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Liver health

Globulin

Also known as: Serum globulin test, Total globulin, Calculated globulin (total protein minus albumin)

A globulin test evaluates the amount of globulin proteins in your blood. These proteins play vital roles in maintaining your immune system, transporting substances like hormones and vitamins, and supporting blood clotting.

Globulin is rarely measured directly. Instead, it is calculated by subtracting the albumin level from the total protein level. This calculation helps assess immune function, liver performance, and overall nutritional status.

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Key takeaways

  • Sample required: Blood

  • Tests for: Total concentration of globulin proteins, which support immune function, clotting, and the transport of hormones and lipids

  • Typical healthy range: 2.0 to 3.5 grams per deciliter (g/dL), but this can vary slightly by lab and method

What can a globulin test tell you?

Globulin testing provides insights into your immune health, liver function, and nutritional balance. It can help identify or monitor:

  • Autoimmune diseases (lupus, rheumatoid arthritis)

  • Chronic infections (tuberculosis, hepatitis)

  • Liver disease (cirrhosis or hepatitis)

  • Certain cancers (multiple myeloma, lymphoma)

  • Protein-losing conditions (nephrotic syndrome, celiac disease)

Abnormal results often lead to serum protein electrophoresis (SPEP) to identify specific globulin types, such as alpha, beta, or gamma globulins.

What is being tested?

Globulins make up the second largest group of proteins in the blood, produced mainly by the liver and immune system. They include:

  • Alpha globulins: Transport lipids and hormones

  • Beta globulins: Include transferrin and complement proteins

  • Gamma globulins: Mostly antibodies that defend against infection

The albumin-to-globulin (A/G) ratio is often calculated alongside globulin levels to assess the balance between these two major protein groups and can be used to evaluate for liver, kidney, or immune disorders.

Where is the globulin test typically included?

The globulin test is typically included in the following panels:

  • Comprehensive metabolic panel, which takes a broad look at overall metabolic and organ health

  • Liver function test, used to assess liver damage or dysfunction

  • Total protein test, which assesses overall protein levels to evaluate for nutrition and liver health

Globulin interpretation is usually paired with the A/G ratio to identify potential imbalances between liver-synthesized and immune-synthesized proteins.

Globulin testing is included as part of lab testing through Hers, which helps you understand what’s really going on in your body and either address or get ahead of problem areas with a tailored action plan.

Who should get a globulin test?

Globulin is assessed as part of a total protein test, liver function test (LFT), and comprehensive metabolic panel (CMP). A globulin test may be ordered if you have symptoms suggesting liver disease, chronic infection, or immune dysfunction, such as:

  • Fatigue or weakness

  • Frequent infections

  • Unexplained weight loss

  • Swelling or jaundice

  • Chronic inflammation or autoimmune symptoms

It’s also commonly performed when total protein or albumin results are abnormal.

How Labs by Hers works

  • 1

    Book your test

    Schedule a lab draw in the Hers app at one of more than 2,000 convenient locations.

  • 2

    Get your results

    Review your lab results to understand which areas of your health may need attention.

  • 3

    Spot early signals

    Identify potential health risks or system imbalances before they become more serious.

  • 4

    Get your action plan

    Receive expert guidance tailored to your health profile and test results.

  • 5

    Improve over time

    Track your progress through a mid-year panel and ongoing provider check-ins.

Not available in all 50 states. Eligibility and provider order required. Lab results alone are not intended to diagnose, treat, or cure any condition. A provider will reach out about critical results and plans include access to 24/7 provider messaging.

Images for illustrative purposes only.

Frequently asked questions

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What causes changes in globulin levels?

High globulin levels may be due to chronic infection of inflammation, autoimmune diseases, liver disease, or plasma cell disorders (e.g., multiple myeloma). Low globulin could be caused by immune deficiency, protein loss (through the kidneys or gut), malnutrition, or liver dysfunction.

Is fasting required?

No, unless your provider requests a fasting metabolic panel.

How long do results take?

Most lab results are ready in 24 to 48 hours.

Can dehydration affect globulin?

Yes, dehydration can temporarily elevate globulin and total protein levels. Adequate hydration ensures accuracy. 

Does insurance cover it?

Yes. It’s part of standard metabolic and liver panels included in routine health checks, so it’s typically covered. Insurance is not required with lab testing through Hers. 

What tests are related to this biomarker?

Total protein

Albumin

• A/G ratio

• Serum protein electrophoresis (SPEP)

• Comprehensive metabolic panel (CMP)

• Liver function tests (LFTs)

The information provided here is for informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk to a qualified healthcare provider about your specific health concerns.

Related biomarkers

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Alanine Transaminase (ALT)

Alanine transaminase (ALT) is an enzyme found in liver cells that helps process amino acids. This enzyme is a key marker that shows if your liver cells are healthy and working normally.

Learn more about Alanine Transaminase (ALT)

Aspartate Aminotransferase (AST)

Aspartate aminotransferase (AST) is an enzyme in the liver and muscles that helps to process amino acids. Healthy levels mean your liver and muscles are not under stress or injured.

Learn more about Aspartate Aminotransferase (AST)

Alkaline Phosphatase (ALP)

Alkaline phosphatase (ALP) is an enzyme that reflects bile flow and liver function. A healthy level indicates proper bone metabolism and that your liver and gallbladder are functioning without signs of stress.

Learn more about Alkaline Phosphatase (ALP)

Albumin

Albumin is a protein made by the liver that helps carry hormones, vitamins, and nutrients through the blood. It also helps to keep fluid in your blood vessels.

Learn more about Albumin

Total Bilirubin

Bilirubin is a waste product made when old red blood cells break down. Your liver helps remove bilirubin from your blood, so normal levels usually mean your liver is clearing waste efficiently.

Learn more about Total Bilirubin

Total Protein

Total protein measures the combined levels of albumin and globulin proteins that support fluid balance, hormone and drug transport, and the immune system. Healthy levels mean that your body is currently maintaining a good balance of these important proteins.

Learn more about Total Protein

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Reviewed by Lynn Marie Morski, MD

Published 12/04/2025