What it is: An albumin blood test measures the level of albumin, a protein made by the liver that maintains fluid balance in the bloodstream and helps transport hormones, vitamins, and other substances throughout the body.
Why it's ordered: Ordered when liver or kidney disease is suspected, or to assess nutritional status. It's commonly included in a comprehensive metabolic panel or liver panel rather than run alone.
What it detects: Low albumin (hypoalbuminemia) can point to liver disease, kidney disease (excess protein loss through urine), malnutrition, inflammation, or malabsorption. High albumin is less diagnostically significant and is usually just a sign of dehydration.
Collection & prep: A standard blood draw from a vein in the arm. No special preparation is required, though fasting may be requested if albumin is being tested alongside other panel components, and certain medications can affect results.
Results:
Low – may indicate liver disease, kidney disease, inflammation, or poor protein intake
Normal – albumin production and loss are balanced
High – usually reflects dehydration rather than an underlying disease
Possible complications of low albumin: Significantly low albumin (below about 2.0 g/dL) can lead to edema, since albumin normally keeps fluid inside blood vessels. An abnormal result on its own isn't diagnostic and typically prompts further testing to pinpoint the cause.
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