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Total Protein with Albumin/Globulin Ratio (Serum)

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

This test measures your blood’s total protein and evaluates the balance between albumin and globulin proteins, which can help assess liver function, nutritional status, and immune response.

Quick summary

["Your blood proteins may signal health issues like liver disease, malnutrition, or immune disorders."]

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

Key facts at a glance

LOINC
56026-8
Short code
PZA Islt Slgr Mcbct AB300.0
Synonyms
PZA Islt Slgr Mcbct AB300.0
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
method-for-slow-growing-mycobacteria-antibiotic-concentration-at-ug-ml
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 protein reflects the combined weight of albumin and globulin in your serum. Albumin, produced by your liver, helps maintain fluid balance and carries nutrients. Globulins, including antibodies and other proteins, support immunity and transport substances. The ratio between these proteins can indicate underlying conditions.

Why Might You Need This Test?

Doctors may order this test to diagnose or monitor conditions like liver disease (e.g., cirrhosis), kidney problems, malnutrition, infections, or autoimmune diseases. It can also help assess fluid retention or protein loss in urine.

Common Conditions Monitored

High total protein or globulin levels might suggest chronic inflammation, infections, or certain cancers. Low albumin could signal liver failure, kidney disease, or severe malnutrition. Abnormal ratios may point to conditions affecting protein synthesis or loss.

What to Expect Before the Test

No special preparation is needed. A blood sample will be drawn from a vein, usually in your arm. You may feel a slight pinch, but it typically takes a few minutes to complete.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test provides critical insights into protein metabolism, immune function, and organ health. While not diagnostic alone, it often guides further testing (e.g., liver function panels, albumin-specific tests) to pinpoint causes of abnormal results.

Short name

Total Protein Ratio

Frequently asked questions

Why do I need this test if I don’t have symptoms?
Your doctor may order it to monitor chronic conditions (e.g., liver disease, kidney disease) or check for subtle changes in protein levels that could signal early problems.
What does a ‘high’ or ‘low’ protein result mean?
A high total protein could indicate chronic inflammation, infections, or dehydration. A low total protein may suggest liver/kidney issues or poor nutrition. Your doctor will interpret results in context with your medical history and other tests.
Can diet affect this test?
Yes—high-protein diets or certain foods (e.g., dairy, eggs) may temporarily raise protein levels. Avoid extreme dietary changes before testing, as they could skew results.
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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