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Total Protein with Albumin-to-Globulin Ratio (Serum/Plasma)

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

This test measures total protein in your blood and evaluates the balance between albumin and globulin proteins, which can help assess overall protein status and immune function.

Quick summary

["Understanding your protein balance and total protein levels can aid in diagnosing and managing conditions like malnutrition, infections, or liver/kidney disease."]

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

Key facts at a glance

LOINC
58741-0
Short code
PT Skull to thigh W RNC IV
Synonyms
PT Skull to thigh W RNC IV
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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
Method
pt
CPT
85610
SNOMED
396252006
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 Total Protein Measure?

Total protein includes all proteins in your blood, primarily albumin and globulin. Albumin helps maintain fluid balance in your tissues, while globulins support immune function and transport certain substances.

Why Is the Albumin-to-Globulin Ratio Important?

This ratio compares albumin (the smaller, more abundant protein) to globulins (which include antibodies and other immune proteins). A higher ratio may suggest liver disease or malnutrition, while a lower ratio could indicate chronic infections or inflammation.

Common Uses in Healthcare

This test is often used to screen for conditions affecting protein synthesis (e.g., liver disease), immune function, or nutritional status. It may also be part of routine monitoring for chronic illnesses.

How Is This Test Performed?

A blood sample is drawn, typically from your arm, and sent to a lab. The lab measures total protein content and separates albumin and globulin fractions using specialized techniques like electrophoresis or nephelometry.

Reference range

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

Specimen: serum

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.

Elevated total protein or albumin may indicate dehydration, chronic inflammation, or certain cancers. Low total protein or a high globulin-to-albumin ratio can signal liver disease, malnutrition, or immune disorders. Always discuss results with your healthcare provider for personalized interpretation.

Short name

Protein Profile & Ratio Test

Frequently asked questions

What causes abnormal total protein levels?
Abnormal results may be linked to conditions like liver disease (reduced albumin), chronic infections (increased globulins), kidney disease, or malnutrition. Other factors, such as dehydration or certain medications, can also affect protein levels.
How long does it take to get 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 for review.
Can I eat or drink before this test?
For most protein-related tests, fasting is not required. However, follow your healthcare provider’s instructions if they specify dietary restrictions for your specific test or condition.
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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