ALB and chronic kidney disease: The patient was admitted with abdominal distention treated outside the hospital with diuretics and worsening of his CKD with a maximum creatinine level of 4.5 mg/dL, eGFR (CKD-EPI) of 13.9 mL/min/m2, proteinuria/creatinine ratio of 0.65 g/g, microhematuria of 50–100 RBC/HPF, serum glucose of 98 mg/dL, albumin of 3 g/dL, uric acid of 12.5 mg/dL, LDL cholesterol of 108 mg/dL, triglycerides of 419 mg/dL and HbA1C of 5.2%.