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A 31-year-old male asked:

Testing for al amyloid. spep shows no m-spike but mildly elevated total protein & a/g ratio (2.7) due to high albumin. globulins well within normal range. worrisome? serum/urine ife &marrow biopsy ok, but elevated free k/l ratio due to low lambda.

2 doctor answers • 4 doctors weighed in
Dr. Ed Friedlander
Dr. Ed Friedlanderanswered
Pathology 46 years experience
Stop worrying: High albumin simply means either that you were a bit dehydrated / thirsty or that you're one of the few % who naturally fall outside the reference ranges -- ranges are set so that a few % of healthies fall outside. A/G ratio isn't a concern, neither is K/L in this context, glad your globulins are fine. Look for some other illness to explain your findings if you feel sick. Best wishes.
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907 viewsReviewed >2 years ago
Thank
Dr. Gurmukh Singh
Dr. Gurmukh Singh agrees1 doctor agrees
2 comments
Dr. Ed Friedlander
Dr. Ed Friedlander commented
Pathology 46 years experience
Provided original answer
THanks for the follow-up and for your kind words. Best wishes.
Nov 1, 2016
Dr. Gurmukh Singh
Dr. Gurmukh Singh commented
Pathology 51 years experience
Agree with Dr. Friedlander. The only thing I would add is that K/L ratio is a useless test.
Nov 2, 2016
Dr. James Cain
Dr. James Cainanswered
Nephrology and Dialysis 38 years experience
OK: this is a thorough work up, the K/L ratio would not concern me in this instance unless either of the components were high, In that case I would check a bone marrow, which you have already confirmed as normal
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877 viewsReviewed >2 years ago
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Dr. Philip Miller
Dr. Philip Miller agrees1 doctor agrees

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Last updated Nov 23, 2016

Found in:

Urine›Biopsy›Albumin

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