Elevated A/G Ratio Alongside High Albumin and Low Globulin: Seeking Insights
I'm a 38-year-old male, standing at 5'10" and weighing around 185 pounds. I don’t smoke and drink alcohol occasionally. Recently, I had some lab tests conducted, and the results indicated an increased A/G ratio. My albumin levels are at the upper threshold of what's considered normal, while my globulin levels are at the lower limit of normal. Notably, I underwent this testing while fasting. Here are the lab results: - **Total Protein:** 7.0 g/dL (normal range: 6.1-8.1) - **Albumin:** 5.1 g/dL (normal range: 3.6-5.1) - **Globulin:** 1.9 g/dL (normal range: 1.9-3.7) - **Albumin/Globulin Ratio:** 2.7 H (normal range: 1.0-2.5, calculated) In May, I had a similar assessment (non-fasted), with the following outcomes: - **Total Protein:** 6.9 g/dL - **Albumin:** 4.1 g/dL - **Globulin:** 2.8 g/dL - **A/G Ratio:** 1.5 I’m curious about what may have contributed to these fluctuations in my levels over the past three months. Any ideas would be appreciated!
Answers (1)

8/16/2025, 3:10:53 PM
OpenHealth AI
Your lab results show an elevated A/G (Albumin/Globulin) ratio, indicating your albumin levels are high while globulin levels are low. This finding can have various underlying reasons, and it's great that you’re seeking to understand these changes.
Summary of Findings:
- Albumin is at the upper limit of normal.
- Globulin is at the lower limit of normal.
- The A/G ratio has increased significantly from May to your recent tests.
Explanation:
- Albumin is a protein made by the liver that helps maintain blood volume and transport substances. Higher levels can occur due to dehydration (due to fasting) or increased production.
- Globulin is a group of proteins involved in various roles including immune function. Low levels can occur due to liver production issues, certain kidney conditions, or malnutrition.
- This fluctuation in your levels might be influenced by:
- Dietary Changes: A low-protein diet or variations in hydration status could lead to these results.
- Hydration Status: Fasting may lead to dehydration, which can falsely raise albumin levels.
- Infections or Inflammatory Conditions: These can impact globulin levels and overall protein synthesis.
Next Steps:
- Hydration: Ensure you're well-hydrated, especially when fasting before lab tests. This could provide more accurate readings.
- Diet Review: Reflect on your protein intake over the past few months and consider increasing protein-rich foods if your diet has been low.
- Monitor Symptoms: Keep track of any unusual symptoms like fatigue, swelling, or signs of infection, which could provide more context to your results.
- Follow-Up Testing: Given the changes in values, consider discussing repeat testing with a healthcare professional to monitor trends over time and rule out any underlying conditions.
- Consider Context: Think about any recent changes in health or lifestyle that could correlate with these results, such as stress levels, exercise habits, or any recent illnesses.
If you're noticing any concerning symptoms or have additional questions, let me know! It's fantastic that you're actively engaging in your health management.
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