From https://www.justanswer.com/ythealth JustAnswer Customer: my A/G ratio is 2.6 (supposedly "high".?), my Albumin is a 4.9, Globulin a 1.9? JustAnswer Customer: I am 54, male. JustAnswer Customer: is this really "high" and if so, does it matter? Dr. Arun Phophalia: Doctor (MD): Hello! Dr. Arun Phophalia: Doctor (MD): My name is* to JustAnswer. Dr. Arun Phophalia: Doctor (MD): I'm reviewing your question now, and will post back with the reply momentarily. Dr. Arun Phophalia: Doctor (MD): What are your symptoms for which these investigations were done? Dr. Arun Phophalia: Doctor (MD): Do you drink alcohol regularly? Dr. Arun Phophalia: Doctor (MD): Are you overweight? Dr. Arun Phophalia: Doctor (MD): Were your rest of the liver function tests normal? JustAnswer Customer: Symptoms: at the time had a three week cough - now its nearly 5 weeks - not really ill. JustAnswer Customer: Test in prep for a referral. JustAnswer Customer: Alcohol: - yes most evenings Overweight: slightly - BMI=25-26 205lbs, 6' 2" liver function test: - not sure what value I should be looking at for those Dr. Arun Phophalia: Doctor (MD): The other liver functions are AST, ALT, GGT etc. Dr. Arun Phophalia: Doctor (MD): An elevated investigation level needs to be interpreted within the context of the patient’s history, physical examination, diagnostic imaging, and laboratory work-up findings. Dr. Arun Phophalia: Doctor (MD): Investigation alone is never diagnostic. Dr. Arun Phophalia: Doctor (MD): The elevated A/G ratio can be due to alcohol and overweight. Dr. Arun Phophalia: Doctor (MD): If your rest of the liver function tests are normal; you may not be worried at all. Dr. Arun Phophalia: Doctor (MD): Your doctor may ask for ultrasound of the liver for the confirmation. Dr. Arun Phophalia: Doctor (MD): The cough may need further work up like culture of sputum and a CT scan of chest. Dr. Arun Phophalia: Doctor (MD): But A/G ratio is not related to it. Dr. Arun Phophalia: Doctor (MD): Please feel free for your follow up questions. Dr. Arun Phophalia: Doctor (MD): I would be happy to assist you further, if you need any more information. Dr. Arun Phophalia: Doctor (MD): Thanks for using Just Answer. Dr. Arun Phophalia: Doctor (MD): The common causes of chronic cough are postnasal drip (also called upper airway cough syndrome), asthma, and reflux laryngitis / gastroesophageal reflux disease (GERD). Dr. Arun Phophalia: Doctor (MD): These causes are responsible for up to 90 percent of all cases of chronic cough. Dr. Arun Phophalia: Doctor (MD): Less common causes include infections, medications, and chronic lung diseases. Dr. Arun Phophalia: Doctor (MD): Another common cause of chronic cough is nonasthmatic eosinophilic bronchitis. Dr. Arun Phophalia: Doctor (MD): It is privilege assisting you. JustAnswer Customer: thank you - AST and ALT are both well within norm. JustAnswer Customer: No issuesI'm fine - clearly nothing to worry about. JustAnswer Customer: I was more curious.thanks again Dr. Arun Phophalia: Doctor (MD): You are very welcome. Dr. Arun Phophalia: Doctor (MD): Yes, nothing to worry. Dr. Arun Phophalia: Doctor (MD): It is privilege assisting you. Dr. Arun Phophalia: Doctor (MD): Please let me know if you have further queries or unanswered questions. Dr. Arun Phophalia: Doctor (MD): You are not charged again for giving a rating. Dr. Arun Phophalia: Doctor (MD): Thank you. Dr. Arun Phophalia: Doctor (MD): Wishing you all the very best in life. JustAnswer Customer: about the cough - yes you are correct - saw an ENT and confirmed LPR - nothing wrong with my chest. JustAnswer Customer: I run each week without issues, many thnaks Dr. Arun Phophalia: Doctor (MD): You are most welcome. Dr. Arun Phophalia: Doctor (MD): Yes, LPR is the likely culprit. Pearl Wilson: Assistant: If you have a health question and want to chat with a doctor now, visit justanswer.com/ythealth