There are many reasons for elevated total protein, as total protein is made up of albumin and globulin. Therefore, elevations in both albumin and globulin may cause an increase in total protein. Normal people may have elevated total protein due to elevated albumin, which indicates good nutritional status and does not require special treatment. In addition, people who engage in strenuous exercise or intense physical work may also have elevated total protein, which is a normal physiological phenomenon. Elevated globulin can also cause elevated total protein, especially in chronic liver diseases, such as chronic active hepatitis, cirrhosis, chronic alcoholic liver disease, primary biliary cirrhosis, etc., when globulin will appear significantly elevated. Even if albumin decreases, it is possible to cause a corresponding increase in total protein. It is also important to note that when the blood is concentrated, a relative increase in total protein concentration can occur. This is mainly seen in cases of frequent and violent vomiting, diarrhea, profuse sweating, persistent high fever, or states of shock.