ALB and Hepatic failure: Among them, gamma globulin, also called immunoglobulin, is an antibody that plays an extremely important role in the immune system against disease.36 It is known that the globulin level increases with chronic inflammation due to the activity of inflammatory cytokines.37 Because the serum levels of albumin and globulin are affected by many factors such as stress, liver failure, dehydration, and edema, they also show measurement variability.