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A : G Ratio

A : G Ratio 

- Most automated chemistry analyzers measure albumin and total serum protein . Globulins are determined by subtraction . 
- A : G ratio = albumin divided by globulin 
- Alterations in A : G  ratio suggest unequal loss or over production of protein fractions 
- The A / G ratio is useful in the evaluation of liver and kidney disease . A / G ratio less than 1.0 is clinically significant 

- Increases in A : G ratio observed in case of decreased globulins ( hypogammaglobulinemia ) - decreases in total protein 

- Decreases in A : G ratio observed in case of decreased albumin ( hypoalbuminemia ) or increased globulin ( hypergammaglobulinemia ) .

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