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Immunoglobulin G (IgG) Heavy and Light Chain Free Light Chain Serum Protein Analysis

Published: August 9, 2026Updated: August 17, 2026

This test measures the levels of free heavy and light chains produced by your immune system’s antibodies. It helps detect conditions like multiple myeloma, where abnormal antibody production may occur.

Quick summary

["This test can help identify unusual antibody fragments that may signal serious health issues, such as cancer of the plasma cells."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
17008-4
Short code
IgG/B-Tubulin Ser
Synonyms
IgG/B-Tubulin Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
17
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained fatigue, frequent infections, or unexplained weight loss. It’s also used in diagnosing or monitoring conditions like multiple myeloma, lymphoma, or other blood disorders where abnormal antibody production is suspected.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re on blood thinners, let your provider know before the test.

What the Test Results Mean

The test compares the levels of free heavy and light chains in your serum. Abnormal results may indicate conditions affecting your immune system, such as multiple myeloma or other plasma cell disorders. Your provider will discuss the results with you in detail.

Common Conditions Monitored

This test is primarily used to monitor multiple myeloma, a cancer of plasma cells in the bone marrow. It can also help diagnose or evaluate conditions like Waldenström macroglobulinemia or other immunoproliferative disorders.

Reference range

NCBI: NSE 0-17 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal levels of free light chains can signal multiple myeloma or other plasma cell disorders. High levels of one type of light chain (kappa or lambda) may indicate an imbalance in immune function, which can be linked to certain cancers or autoimmune diseases. Your provider will use these results alongside other tests and symptoms to make a diagnosis or guide treatment decisions.

Short name

IgG Free Light Chain Profile (Serum)

Frequently asked questions

What does an abnormal result mean?
An abnormal result may mean your body is producing too many or too few free light chains, which can be a sign of conditions like multiple myeloma or other blood disorders. Your healthcare provider will review the results with you and may recommend further testing or adjustments to your treatment plan.
How often should I get this test?
The frequency depends on your medical condition and treatment plan. If you have multiple myeloma or another related disorder, your provider may order this test regularly to monitor your condition. Follow their instructions for scheduling follow-up tests.
Does this test hurt?
The test involves a small needle inserted into your arm to draw blood. Most people experience only minor discomfort, similar to a minor pinch. If you’re nervous, let your provider know so they can offer ways to make the process more comfortable.
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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 17, 2026. · Read our editorial policy