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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 compares albumin to globulin, two key protein groups that help maintain fluid balance and support immune function.

Quick summary

["Understanding your protein balance can help identify fluid imbalances or immune issues."]

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

Key facts at a glance

LOINC
98217-3
Short code
T palldm IgG Titr CSF IF
Synonyms
T palldm IgG Titr CSF IF
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Ref low
8
Ref high
61
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
CPT
82977
SNOMED
3110003
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

What Does Total Protein Measure?

Total protein includes albumin and globulin, both vital for transporting nutrients, maintaining blood pressure, and supporting immune responses. Abnormal levels may signal conditions like dehydration, liver disease, or chronic inflammation.

How Albumin-to-Globulin Ratio Works

The ratio compares albumin (a protein that helps retain fluids) to globulin (proteins involved in immunity and clotting). A higher albumin-to-globulin ratio often suggests conditions like malnutrition or liver disease, while a lower ratio may indicate chronic infections or kidney problems.

Why This Test Matters in Your Health

This test helps doctors assess fluid balance, detect protein-related disorders, and evaluate conditions affecting liver, kidney, or immune function. It’s sometimes used alongside other tests to diagnose or monitor chronic illnesses.

Common Conditions This Test Helps Identify

Abnormal results may signal dehydration, liver disease (e.g., cirrhosis), kidney disease, malnutrition, or chronic infections. High protein levels could indicate dehydration, while low levels may point to liver or kidney issues.

Reference range

Adult males: 8-61 U/L; Adult females: 5-36 U/LN/A

Specimen: csf

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: This test provides a snapshot of protein metabolism and immune function, guiding decisions for managing conditions like chronic kidney disease, liver disorders, or malnutrition. It’s often used as part of a broader diagnostic evaluation.

Short name

Protein & Alb/Glob Ratio

Frequently asked questions

What does a high or low total protein level mean?
A high total protein could suggest dehydration or overproduction of proteins, while low levels may indicate liver/kidney problems or severe malnutrition. Your doctor will interpret results in context with your symptoms and other tests.
How is this test performed?
A blood sample is drawn, typically from your arm. The serum or plasma is analyzed to measure protein content and the albumin-to-globulin ratio using standard laboratory methods.
Do I need to prepare for this test?
No special preparation is needed, but avoid heavy meals 2 hours before the test. If you’re on certain medications (e.g., diuretics), discuss this with your doctor to ensure accurate 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