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Total Protein with Albumin Ratio (Serum)

Published: August 9, 2026Updated: August 16, 2026

This test measures the proportion of albumin (a protein) relative to total protein in your blood serum, which can help assess protein balance and potential kidney or liver function issues.

Quick summary

["Understanding your protein balance may help identify health concerns like malnutrition or organ dysfunction."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
72916-0
Short code
HNA 1b/1b Ab Ser Ql IA
Synonyms
HNA 1b/1b Ab Ser Ql IA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters

Albumin is one of the most abundant proteins in your blood and plays a key role in maintaining fluid balance and transporting substances like hormones and medications. Total protein includes albumin plus other proteins like globulins. A ratio helps doctors evaluate how well your body produces and balances these proteins.

How the Test Works

Blood is drawn from a vein, typically in your arm, and sent to a lab. The test measures the concentration of albumin and total protein using standard laboratory techniques, such as immunoturbidimetry or similar methods.

Common Reasons for Testing

Doctors may order this test if you have symptoms like swelling (edema), unexplained weight loss, fatigue, or if they suspect conditions like liver disease, kidney problems, or malnutrition.

Preparing for Your Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if instructed by your healthcare provider. Avoid smoking or consuming alcohol for a few hours before the draw.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Albumin-to-Protein Ratio

Frequently asked questions

A low albumin-to-protein ratio may indicate conditions like liver disease, kidney failure, or severe malnutrition, as these can reduce protein production or increase protein loss. High ratios are less common but could suggest dehydration or certain inflammatory conditions.
How long will results take? Results are typically available within 1–3 business days, depending on your lab.
Will I need to do anything after the test? Follow-up care depends on your test results and your doctor’s recommendations. If you have concerns, contact your healthcare provider.
Can diet affect this test? Eating a balanced diet with adequate protein can support normal protein levels, but extreme diets or medical conditions may impact results. Always follow your doctor’s advice.
Is this test painful? Blood draws are generally quick and well-tolerated. Most people experience only mild discomfort or a brief pinch at the injection site.
What if I have questions about my results? Ask your healthcare provider to discuss findings, reference ranges, and next steps tailored to your health situation.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy