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

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

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

Quick summary

["Understanding your blood protein balance helps identify conditions affecting protein synthesis, breakdown, or immune function."]

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

Key facts at a glance

LOINC
5983-2
Short code
tPA-PAI1 10M PPP IA-mCnc
Synonyms
tPA-PAI1 10M PPP IA-mCnc
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 both albumin and globulin proteins, which are essential for maintaining fluid balance, supporting immune function, and transporting nutrients. Albumin, the most abundant protein, helps regulate blood pressure and fluid distribution, while globulins play a role in immune defense and transport of substances like hormones and metals.

How Is the Albumin-to-Globulin Ratio Used?

The albumin-to-globulin ratio compares the amount of albumin to globulin proteins. A higher albumin-to-globulin ratio may suggest healthy protein synthesis, while a lower ratio could indicate conditions like chronic inflammation, liver disease, or malnutrition.

Why Might This Test Be Ordered?

Your healthcare provider may order this test to evaluate protein metabolism, diagnose conditions like liver disease, kidney disease, or chronic infections, or monitor treatment responses for conditions affecting protein levels.

What Can Abnormal Results Indicate?

Low total protein or an abnormal ratio might signal conditions such as malnutrition, liver or kidney disease, chronic infections, or inflammatory disorders. High levels may rarely suggest dehydration or certain genetic disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein levels or ratios can reflect underlying health issues, including impaired liver function (affecting albumin production), immune system dysfunction (globulin-related), or fluid balance disturbances. Early detection helps guide treatment for conditions like cirrhosis, autoimmune diseases, or severe infections.

Short name

Protein Profile with AG Ratio

Frequently asked questions

Why do I need this test?
Your doctor may recommend this test to assess your overall protein status, check for conditions affecting protein metabolism, or evaluate symptoms like swelling, fatigue, or unexplained weight changes that could relate to protein imbalances.
How is this test performed?
A small blood sample is drawn, typically from your arm. The sample is sent to a lab where it is analyzed to measure total protein and the ratio of albumin to globulin proteins using standard laboratory techniques.
What are common reference ranges?
Reference ranges for total protein and albumin-to-globulin ratios vary by lab and individual health status. Your results will be compared to your specific lab’s standards and discussed with your healthcare provider.
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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