Can stress lead to an intermittent decline in albumin and globulin ratio?
Nothing to worry
The normal albumin to globulin (A/G) ratio is between 0.8-2.0.
Though your albumin and globulin ratio is going downwards it I still within normal range.
If it goes down below 0.8 then there was a chance that you could have multiple myeloma or autoimmune disease or was having some kidney disease like nephrotic syndrome.
For now, your results are normal and as your CBC and metabolic panel are normal and you are having no symptoms and only taking medication Luvox for OCD and no other medications there is nothing to worry.
I would advise you to wait and watch and do the albumin and glogulin ratio test every 1 month.
If it goes down below 0.8 then you need further investigations
Blood protein labs vary day to day there is nothing abnormal.
Hope I have answered your query. Let me know if I can assist you further.
Specifically was concerned because last time is first time I saw globulin elevated to 3.2 from normal 2.4/2.5. Is this likely nothing with all other labs normal?
Blood test for serum protein electrophoresis
As mentioned above though your AG ratio is undergoing downward trend there is nothing to worry till it is more than 0.8.
But if you are so concerned and saw your globulin elevated to 3.2 i would advise you to go for a more specific blood test called serum protein electrophoresis
This is a test that measures specific proteins in the blood.
The test separates proteins in the blood based on their electrical charge.
The protein electrophoresis test is often used to find abnormal substances called M proteins.
The presence of M proteins can be a sign of a type of cancer called myeloma or multiple myeloma.
Myeloma affects white blood cells called plasma cells in the bone marrow.
This test is also used to diagnose other conditions affecting the plasma cells.
These include Waldenström macroglobulinemia, monoclonal gammopathy of undetermined significance (MGUS), and primary amyloidosis.
It can also help to diagnose problems such as thyroid problem, diabetes, anemia, liver diseases ,poor nutrition or inability to absorb nutrients and certain autoimmune diseases
You can consult your local doctor for it.
Hope I have answered your query.
Dr Monish De, Oncologist
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