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Disparity Between CMP and SPEP Protein Levels

6/26/2025, 11:30:32 PMMale25-34

At 34 years old and weighing 200 pounds with a height of 6 feet, I recently underwent a simultaneous blood test that included both a Complete Metabolic Panel (CMP) and Serum Protein Electrophoresis (SPEP). Upon reviewing the results, I noticed a significant difference in the protein levels reported by the two tests. Specifically, the CMP indicated an elevated albumin level along with a reduced globulin level compared to the SPEP findings. Could this variation mean there was an error in testing, or is it common to observe such discrepancies?

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

6/26/2025, 11:30:48 PM

OpenHealth AI

It's understandable to have concerns about discrepancies in your blood test results, especially when it comes to something as vital as protein levels. Here’s a concise overview of what might be happening:

Key Points

  • Discrepancies between CMP and SPEP: It's not uncommon to see differences in results from the Complete Metabolic Panel (CMP) and Serum Protein Electrophoresis (SPEP).
  • Understanding Albumin and Globulin: These tests measure different aspects of protein levels in the blood. CMP focuses on overall metabolic health and generally reports total protein levels (which include albumin and globulin), while SPEP provides a detailed breakdown of the types of proteins present.

Explanation

The CMP measures total protein levels, highlighting albumin and globulin components. An elevated albumin level often indicates good liver function, whereas altered globulin levels can point to issues such as infections, inflammation, or chronic diseases. On the other hand, SPEP separates and quantifies specific proteins based on their size and charge, providing a more detailed view which might not always align perfectly with the CMP results.

Next Steps

  1. Review Results: Check both sets of results for specific values and any accompanying notes from your healthcare provider to see if any other abnormal results may inform your understanding.
  2. Keep a Record: Document any symptoms you may be experiencing and note the date of testing. This information can help clarify trends over time.
  3. Hydration and Nutrition: Ensure adequate hydration and a balanced diet to support overall health, which can help maintain protein levels in the blood.
  4. Follow-up: If there are concerns or if you notice any new symptoms, ensure to follow up with your healthcare professional to discuss the results in detail.

These steps emphasize initial care and observation. If any symptoms arise or if you have further questions, consider discussing them with your healthcare provider to gain clarity and guidance tailored to your specific situation.

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