Total Protein with Albumin-to-Globulin Ratio (serum/plasma)
This test measures your blood’s total protein levels and evaluates the balance between albumin and globulin proteins, which can help assess overall protein status and immune function.
["Understanding your protein balance and total blood protein levels can help identify potential health concerns."]
Key facts at a glance
- LOINC
- 34147-9
- Short code
- T palldm IgG+IgM Ser Ql
- Synonyms
- T palldm IgG+IgM Ser Ql
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 82784
- 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
Why Total Protein and Albumin-to-Globulin Ratio Matter
Total protein includes albumin and globulin proteins, which are vital for transporting nutrients, maintaining fluid balance, and supporting immune responses. Albumin is often the most abundant protein in blood, while globulins include proteins like antibodies and transport proteins. An abnormal ratio may signal conditions like malnutrition, liver disease, or immune disorders.
How the Test Works
Blood is drawn and processed to separate serum or plasma, where protein levels are measured using a specialized laboratory method. The albumin-to-globulin ratio is calculated by comparing the concentrations of these two protein types.
What the Results Typically Indicate
Low total protein or an elevated albumin-to-globulin ratio may suggest conditions like protein loss (e.g., kidney disease), malnutrition, or chronic inflammation. A low albumin level alone could indicate liver disease or poor nutritional intake, while high globulin levels might point to immune system overactivity or certain infections.
Common Conditions Monitored
Doctors may use this test to diagnose or monitor conditions such as liver disease, kidney disease, malnutrition, chronic infections, or autoimmune disorders. It can also help assess fluid balance and overall protein synthesis in patients undergoing certain treatments.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Protein & AG Ratio
Frequently asked questions
What does a low total protein level mean?
How often should I get this test?
Can diet affect protein test results?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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