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What does 4.9 ng/ml mean?

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That depends on what you are measuring.  Is that for PSA?

ng = nano-grams (or 10^-9 g"r)  
ml = mili-litter (or 1/1000 of a litter or 1 c"c [cubic centimeter). 

4.9 ng/ml    means 4.9 nano-grams of that material in 1 c"c

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