Skip to content

Total Protein with Albumin-to-Globulin Ratio (serum/plasma)

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

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.

Quick summary

["Understanding your protein balance and total blood protein levels can help identify potential health concerns."]

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

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?
A low total protein level could indicate conditions like malnutrition, kidney disease, or liver problems. Your doctor may recommend additional tests to determine the exact cause, such as checking for protein loss in urine or liver function tests.
How often should I get this test?
The frequency depends on your health status and any conditions your doctor has identified. If you have chronic conditions like kidney or liver disease, your doctor may order this test regularly to monitor your progress. Otherwise, it’s often done as part of routine check-ups or when symptoms suggest a problem.
Can diet affect protein test results?
Yes, diet can influence protein levels. Consuming adequate protein through food can help maintain normal levels, while poor nutrition or excessive protein loss (e.g., from kidney disease) may lead to abnormal results. Your doctor may advise dietary adjustments if needed.
  1. 1
  2. 2
  3. 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.

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