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Total Protein with Albumin and Globulin Separation (Serum)

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

This test measures total protein in your blood and breaks it down into albumin and globulin fractions, which help assess protein balance and potential liver or kidney issues.

Quick summary

["Your blood protein levels can signal health problems like liver disease, kidney problems, or nutritional deficiencies."]

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

Key facts at a glance

LOINC
41846-7
Short code
N men sg A+B+C+W135+Y+EcK1 Ag Ur Ql Aggl
Synonyms
N men sg A+B+C+W135+Y+EcK1 Ag Ur Ql Aggl
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
aggl
CPT
82553
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Matters

Protein is essential for many bodily functions, including transporting nutrients, maintaining fluid balance, and supporting immune responses. Albumin, the most abundant protein in blood, helps keep fluids in circulation, while globulins assist with immune function and blood clotting. Abnormal levels may indicate conditions like liver disease, kidney dysfunction, or malnutrition.

How the Test Works

Blood is drawn and separated into components. The total protein is measured directly, while albumin and globulin levels are often derived from the total protein result and additional calculations or electrophoresis if detailed separation is needed.

What to Expect Before the Test

No special preparation is usually required, but you may be asked to fast for 8–12 hours if albumin is being specifically measured for accuracy. Wear a comfortable shirt for easy access to your arm.

Possible Results and Their Meaning

Total protein and albumin levels are often reported together. Low levels may suggest malnutrition, liver disease, or kidney problems, while high levels could indicate dehydration, inflammation, or conditions like multiple myeloma. Globulin levels alone may not be reported unless further testing is done.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: urine

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein levels can signal underlying health issues. For example, low albumin may indicate liver disease or poor absorption of nutrients, while elevated globulins could point to chronic infections, autoimmune disorders, or certain cancers. Your doctor will use these results to guide further evaluation or treatment.

Short name

Protein profile

Frequently asked questions

What does a low total protein level mean?
A low total protein level may suggest conditions like liver disease, kidney problems, or severe malnutrition. Your doctor will review your medical history and other test results to determine the cause and next steps.
How long does it take to get my protein test results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will contact you once they are ready to discuss your results.
Can I eat or drink before this test?
For most protein tests, you can eat and drink normally. However, if albumin is being specifically measured, fasting for 8–12 hours before the test may improve accuracy. Always follow your healthcare provider’s instructions.
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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