Skip to content

Immunoglobulin G (IgG) Monoclonal Protein Screening (Serum)

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

This test checks for unusual amounts of a single type of antibody (IgG) in your blood that may suggest a condition called monoclonal gammopathy, which can sometimes lead to diseases like multiple myeloma.

Quick summary

["A screening test for abnormal antibody proteins that may indicate a serious blood disorder."]

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

Key facts at a glance

LOINC
104672-1
Short code
IgD&IgE.Monoclon Band Obs Ser IFE
Synonyms
IgD&IgE.Monoclon Band Obs Ser IFE
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
immunofixation
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

What Does This Test Measure?

This test measures the concentration of IgG antibodies in your serum. IgG is the most common type of antibody in your blood, but the test specifically looks for any unusual spikes in a single IgG clone (monoclonal protein). These spikes can occur in conditions like multiple myeloma, lymphoma, or other monoclonal gammopathies.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like unexplained fatigue, frequent infections, bone pain, or if they suspect a blood disorder. It’s also sometimes used as part of a broader evaluation for conditions like multiple myeloma or other monoclonal gammopathies of undetermined significance (MGUS).

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into a vein (usually in your arm) to draw blood. The process takes about 5 minutes, and you may feel a slight pinch. If you’re nervous, let your doctor or nurse know.

What to Expect After the Test

After the test, you may experience mild bruising, soreness, or swelling at the injection site. Apply gentle pressure to the area to help reduce any discomfort. Avoid heavy lifting or strenuous activity for a few hours. You can resume normal activities right after.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal levels of monoclonal IgG proteins can indicate serious conditions, such as multiple myeloma (a cancer of plasma cells), Waldenström macroglobulinemia (a type of lymphoma), or other monoclonal gammopathies. While many people with elevated monoclonal proteins don’t have a serious condition, further testing may be needed to determine the cause and next steps.

Short name

IgG Monoclonal Protein Screen

Frequently asked questions

What Does an Abnormal Result Mean?
An abnormal result means your blood contains unusually high levels of a single type of IgG antibody. This doesn’t always mean you have a disease, but it may prompt additional tests to investigate further, such as a follow-up protein electrophoresis or bone marrow biopsy.
Will I Need More Tests If My Result Is Abnormal?
Yes, if your test shows an abnormal monoclonal protein, your doctor may recommend further testing to determine the cause. This could include repeating the test, checking other blood proteins, or imaging studies to look for signs of disease.
Can Diet or Supplements Affect This Test?
Diet or supplements typically do not affect this test, as it measures naturally occurring antibodies in your blood. However, avoid taking blood thinners (like warfarin) before the test if your doctor has instructed you to do so.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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