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

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 liver function, nutritional status, and immune response.

Quick summary

["Understanding protein balance may reveal hidden health concerns like liver disease or malnutrition."]

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

Key facts at a glance

LOINC
56517-6
Short code
11DC 2h p chal SerPl-mCnc
Synonyms
11DC 2h p chal SerPl-mCnc
Category
hormone
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

Why This Test Matters

Total protein in your bloodstream is made up of albumin and globulin proteins, both of which play key roles in maintaining fluid balance, transporting nutrients, and supporting immunity. Albumin, produced by your liver, helps keep fluids in your blood vessels, while globulins assist with immune function and transporting substances like iron and hormones. An imbalance between these proteins can signal underlying health issues.

How the Test Works

Your blood sample is analyzed to measure total protein content and separately assesses albumin and globulin levels. The albumin-to-globulin ratio is then calculated to compare their proportions. This ratio can be affected by conditions like liver disease, chronic inflammation, or malnutrition.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions such as liver cirrhosis, chronic kidney disease, malnutrition, or autoimmune disorders. Low albumin levels may indicate liver or kidney problems, while elevated globulins could suggest chronic infections or inflammatory conditions.

What to Expect Before the Test

No special preparation is needed for this test. You may have a small needle inserted into your arm to draw blood, similar to other routine blood tests. If you’re on certain medications, let your healthcare provider know before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Protein & Globulin Ratio

Frequently asked questions

What does an abnormal result mean?
An abnormal albumin-to-globulin ratio may indicate liver disease (low albumin), chronic infections (elevated globulins), or malnutrition. Your doctor will review your results alongside other symptoms and tests to determine the cause.
Can I eat or drink before this test?
You can eat and drink normally before this test, as no fasting is required.
How long will I need to wait for results?
Results are typically available within a few days to a week, depending on your lab’s processing time. Your healthcare provider will discuss the findings with you during your follow-up visit.
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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