ALB and Hypoalbuminemia: Mean serum albumin at baseline indicated hypoalbuminemia (n = 40, 3.0 ± 0.8 g/dL; range 1.4–4.0 g/dL), and significant improvement was shown post-Acthar gel therapy (n = 35; mean improvement 0.53 ± 0.6 g/dL, P < 0.0001).