On the other hand, the patients’ treatment adherence was not so favorable owing to the size of individual doses and unpleasant taste, causing interruption of treatment13 or reduction of doses.4 Although serum albumin level has been shown to improve in a dose-dependent manner based on the prescribed BCAA doses,10 no studies have investigated exactly how treatment adherence may influence the serum albumin level and prognosis of patients with liver cirrhosis. Here, ALB is linked to cirrhosis of liver.