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Serum or Plasma Albumin to Globulin Ratio (A/G Ratio)

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

This test measures the ratio of albumin and globulin proteins in your blood, which helps assess protein balance and potential issues like malnutrition or liver disease.

Quick summary

["A/G ratio helps identify protein disorders and overall health risks in your blood."]

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

Key facts at a glance

LOINC
103209-3
Short code
Mean O2 sat
Synonyms
Mean O2 sat
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Is the Albumin/Globulin Ratio Testing For?

Your A/G ratio can indicate whether your body is producing enough albumin (a protein that helps maintain fluid balance) or if there’s an excess of globulins (proteins involved in immune function and transport). High ratios may suggest liver disease or chronic inflammation, while low ratios could point to malnutrition or kidney problems. This test is often used alongside other blood tests to diagnose conditions like cirrhosis, chronic liver disease, or protein-losing syndromes.

How Is This Test Performed?

A small blood sample is drawn from your arm, typically in a clinic or lab. The blood is processed to separate serum or plasma, where albumin and globulin levels are measured. The ratio is then calculated by comparing the concentrations of these proteins.

Why Might You Need This Test?

Your healthcare provider may order an A/G ratio test if you have symptoms like unexplained weight loss, swelling, fatigue, or signs of liver disease (e.g., jaundice). It may also be part of routine checks for chronic conditions like kidney disease, autoimmune disorders, or malnutrition.

What Do Results Mean?

Results are not given as a single numeric range since they depend on your specific protein levels. A higher ratio may suggest liver disease or inflammation, while a lower ratio could indicate malnutrition or protein loss. Your doctor will interpret results in the context of your overall health and symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Albumin/Globulin Ratio

Frequently asked questions

Could my A/G ratio test results affect my medications?
Yes, your A/G ratio may influence certain medications, especially those metabolized by the liver or affecting protein-binding (e.g., some antibiotics or blood thinners). Always discuss test results with your doctor before starting or changing medications.
Do I need to prepare for this test?
No special preparation is usually needed, but avoid heavy meals 2–3 hours before the test. If you’re on blood thinners (e.g., warfarin), let your lab know to prevent unnecessary bleeding during the draw.
How often should I get this test?
Frequency depends on your health status. Your doctor may recommend it annually for chronic conditions like liver disease or periodically if you have risk factors (e.g., malnutrition, kidney disease). Follow their guidance for timing and follow-ups.
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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