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: Serum Protein Electrophoresis, Serum

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

: Serum protein electrophoresis is a lab test that separates the proteins in a blood (serum) sample to help identify abnormal protein patterns, including the presence of a monoclonal protein.

Quick summary

[": SPEP gives a broad picture of serum proteins and can flag abnormal patterns such as an extra monoclonal band."]

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

Key facts at a glance

LOINC
57803-9
Short code
OB Pnl Stl IA
Synonyms
OB Pnl Stl IA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 This Test Measures

: Proteins in your serum are separated into groups—mainly albumin and the globulin fractions (alpha-1, alpha-2, beta, and gamma)—based on how they move in an electric field. The size and shape of each band can reveal whether protein levels are abnormal.

: Why It Is Ordered

: Your clinician may order this test to investigate unexplained fatigue, bone pain, recurring infections, kidney problems, or abnormal total protein or calcium results. It is also used to screen for or monitor conditions that produce an abnormal monoclonal protein.

: How the Sample Is Collected

: A small blood sample is drawn from a vein, usually in your arm, and the serum is separated for analysis. No special preparation is typically required unless your care team tells you otherwise.

: Understanding Your Results

: Results are reported as the relative amounts of each protein fraction and sometimes as a graph (electrophoresis pattern). A faint or sharp extra band in the gamma region, or shifts in other fractions, may prompt follow-up testing. Reference ranges vary by laboratory, so your report's own ranges and your clinician's interpretation matter most.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

: An abnormal SPEP result does not by itself diagnose a disease. It can suggest inflammation, infection, kidney or liver conditions, or a plasma cell disorder, and is usually interpreted alongside other tests such as serum free light chains, immunofixation, or quantitative immunoglobulins.

Short name

: SPEP

Frequently asked questions

: Does an abnormal SPEP mean I have cancer?
: No. Abnormal patterns can occur with many non-cancerous conditions such as inflammation or infection. Your clinician will interpret the result with your history and may order additional tests.
: Do I need to fast before this test?
: Fasting is not usually required for SPEP, but follow any instructions your care team gives you, since other tests drawn at the same time may require fasting.
: Will I get a numeric result?
: You will typically see the percentage or amount of each protein fraction rather than a single number. Your laboratory's reference ranges and your clinician's review help put those values in context.
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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