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Total Protein with Albumin/GLOBulin Ratio (Serum)

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

This test measures the breakdown of total protein in your blood into albumin and globulin fractions, which helps assess protein balance and potential abnormalities in protein production or function.

Quick summary

["Understanding your protein composition can help diagnose conditions like liver disease, kidney problems, or immune disorders."]

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

Key facts at a glance

LOINC
58724-6
Short code
LPT 5 ug PW Act/Nor Bld
Synonyms
LPT 5 ug PW Act/Nor Bld
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like unexplained weight loss, fatigue, swelling, frequent infections, or changes in how your blood clots. It’s also used to monitor conditions like multiple myeloma, liver disease, or kidney disease.

How the Test Works

A small blood sample is drawn, and the protein content is separated into albumin and globulin using electrophoresis. The ratio helps identify shifts in protein distribution that may indicate underlying health issues.

Common Conditions Affecting Results

Abnormal ratios can signal conditions like chronic liver disease, kidney disease, infections, or autoimmune disorders. High globulin levels may suggest inflammation or immune system activity, while low albumin could indicate malnutrition or liver dysfunction.

What to Expect Before the Test

No special preparation is needed, but inform your provider about medications (especially blood thinners) or recent illnesses that might affect results.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: whole-blood

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Serum Protein Electrophoresis Ratio

Frequently asked questions

How might my protein ratio results affect my treatment?
Your results will guide decisions about further testing or treatment, such as adjusting medications, investigating infections, or managing chronic conditions like liver disease or autoimmune disorders.
What do abnormal results mean?
Abnormal ratios may point to conditions like protein loss (e.g., kidney disease), overproduction of globulins (e.g., infections or cancers), or low albumin (e.g., malnutrition or liver failure). Always discuss findings with your provider.
Can diet or lifestyle changes impact this test?
Dietary protein intake may indirectly affect results, but direct changes are unlikely. Avoiding alcohol or certain medications (like NSAIDs) before testing can help ensure accurate results.
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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