Elevated globulin levels of 20.8g/L are mostly mild abnormalities, which may be related to factors such as chronic inflammation, autoimmune diseases, liver diseases, dehydration, or laboratory errors.
1. Chronic inflammation:

Long term infection or inflammatory response can stimulate the immune system, leading to an increase in globulin synthesis. It is commonly seen in chronic sinusitis, gingivitis, tuberculosis, etc. This type of situation needs to be comprehensively judged based on indicators such as C-reactive protein and erythrocyte sedimentation rate. If necessary, anti infective treatment or control of the original inflammation may be necessary.
2. Autoimmune diseases:
Rheumatoid arthritis, systemic lupus erythematosus and other diseases can trigger abnormal immune responses, promoting excessive secretion of immunoglobulin by B lymphocytes. Usually accompanied by symptoms such as joint swelling and pain, rash, etc., it needs to be diagnosed through testing for anti nuclear antibodies, rheumatoid factors, etc. Treatment mainly focuses on immune regulation.
3. Liver diseases:

Patients with chronic hepatitis, cirrhosis and other liver diseases have a decreased ability to synthesize albumin in the liver, while globulin is relatively increased. Often accompanied by abnormal transaminase and elevated bilirubin levels, liver function and ultrasound examinations need to be improved, and liver protection or antiviral treatment should be carried out for liver disease.
4. Blood concentration:
Dehydration or specimen hemolysis can cause an increase in pseudoglobulin. Failure to replenish water in a timely manner after intense exercise and prolonged use of tourniquets during blood draws can both lead to this phenomenon. It is recommended to maintain normal drinking water before re examination, avoid vigorous exercise, and ensure standardized blood collection procedures.
5. Detection error:
Laboratory reagent batch differences and instrument calibration deviations may cause numerical fluctuations. Globulin detection is easily affected by temperature and sample storage conditions. If there are no symptoms and other indicators are normal, it is recommended to have a follow-up examination 2-4 weeks later to rule out transient abnormalities. When there is a mild increase in globulin, it is recommended to increase the intake of high-quality protein such as fish and soy products to avoid a high-fat diet that increases the burden on the liver; Maintaining a regular daily routine helps with immune regulation; Moderate aerobic exercise such as brisk walking and swimming can improve the body's metabolism. Regular monitoring of liver function, blood routine, and other indicators is necessary. If there is a sustained increase or symptoms such as fatigue and jaundice occur, timely medical attention should be sought to investigate the cause. Pay attention to observing abnormal manifestations such as bleeding tendency of skin and mucous membranes, joint swelling and pain in daily life, and avoid self medication that may damage the liver.

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