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Total Serum Protein with 24-Hour Rate of Change (Qualitative)

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

This test measures your total protein level in serum and evaluates how quickly your protein levels may change over 24 hours.

Quick summary

["Understanding your protein levels and trends can help identify potential health concerns."]

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

Key facts at a glance

LOINC
80464-1
Short code
Protein servings 24h nRate Measured
Synonyms
Protein servings 24h nRate Measured
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
Method
measured
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 Does This Test Measure?

Total serum protein includes all proteins found in your blood, such as albumin, globulins, and other proteins like fibrinogen. The rate of change measures how much your protein levels may fluctuate over a 24-hour period, which can be important for detecting conditions affecting protein synthesis, breakdown, or retention in your body.

Why Might This Test Be Ordered?

Your healthcare provider may order this test if they suspect conditions like kidney disease, liver problems, malnutrition, or certain inflammatory or autoimmune disorders. It may also be used to monitor treatment responses or assess fluid balance in patients with conditions like heart failure or edema.

Common Conditions Monitored

Changes in total protein levels can signal underlying health issues. For example, low protein levels might indicate malabsorption, severe liver disease, or chronic kidney disease, while high levels could suggest dehydration, inflammation, or conditions like multiple myeloma.

How Is This Test Performed?

A blood sample is drawn from a vein, typically in your arm. The serum portion is then analyzed to determine total protein concentration and the rate of change over 24 hours. This test is usually performed using a qualitative method to assess trends rather than specific numeric values.

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.

While this test does not provide absolute numeric ranges, qualitative trends in protein levels and their rate of change can be critical. For instance, a consistently low or rising rate of change may prompt further investigation into conditions affecting protein metabolism. Your healthcare provider will interpret results in the context of your overall health and symptoms.

Frequently asked questions

What does a 'rate of change' in this test mean?
The rate of change refers to how much your protein levels might vary over a 24-hour period. It helps identify if your body is losing or retaining proteins at an unusual rate, which could indicate conditions like kidney disease, liver dysfunction, or other metabolic issues.
How often is this test repeated?
The frequency depends on your healthcare provider’s recommendations. If this test is part of a monitoring plan for a chronic condition, it may be repeated periodically to track trends in your protein levels and overall health.
Can diet affect the results of this test?
Yes, diet can influence protein levels. High-protein diets or certain medical conditions may impact how your body synthesizes or retains proteins. Always follow your healthcare provider’s dietary advice and avoid significant dietary changes before or after the test.
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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