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Total Protein with Albumin/GLOBulin Ratio (Serum)

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

This test measures the breakdown of proteins in your blood, including albumin and globulin fractions, which helps assess protein distribution and potential conditions like liver disease or immune disorders.

Quick summary

["Helps diagnose and monitor conditions affecting protein balance in your blood."]

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

Key facts at a glance

LOINC
66452-4
Short code
Wheat (nTri a) 18 IgE Qn
Synonyms
Wheat (nTri a) 18 IgE Qn
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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?

The test uses serum to separate proteins into three main categories: albumin, alpha-globulins, beta-globulins, and gamma-globulins. Albumin is the most abundant protein, supporting fluid balance and transport of substances. Globulins include proteins like immunoglobulins (antibodies) and other transport proteins. This separation helps identify imbalances that may indicate conditions such as liver disease, kidney problems, or immune system disorders.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like unexplained weight loss, fatigue, swelling, frequent infections, or signs of organ dysfunction. It’s also used to monitor chronic conditions like liver disease, kidney disease, or certain cancers.

Sample Preparation and Collection

A blood sample is drawn from a vein, usually in your arm. The blood is then processed to separate serum (the liquid part after clotting) for testing. No special preparation is needed, but avoid eating or drinking for a few hours before the test if instructed.

What to Expect During the Test

The process is quick and typically painless. You may feel a slight pinch when the needle is inserted, but most people tolerate it well. The blood is then sent to a lab for analysis, which usually takes a few days to return results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal results may suggest conditions like hypoalbuminemia (low albumin), which can indicate liver disease, malnutrition, or kidney problems. Elevated globulin levels might point to immune disorders, infections, or chronic inflammation. A skewed ratio can also signal underlying health issues that require further evaluation by your healthcare provider.

Short name

Protein Electrophoresis

Frequently asked questions

How Long Does It Take to Get Results?
Results are usually available within a few days to a week, depending on lab processing times. Your healthcare provider will discuss the results with you during a follow-up visit.
What Are the Common Causes of Abnormal Results?
Abnormal protein electrophoresis results can be caused by liver disease, kidney disease, infections, autoimmune disorders, or certain cancers. If you have symptoms or a known condition, your provider may investigate further with additional tests or evaluations.
Can Diet Affect This Test?
Dietary changes may not directly affect protein electrophoresis results, but a balanced diet supports overall protein levels. If you have specific dietary restrictions or conditions, discuss them with your provider 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