Importantly, both albumin levels and BMI did not suggest malnutrition in non-phosphate binder users (albumin 42.4 ±3.2 g/L and BMI 26.2 ±4.4 kg/m2 versus 40.3 ±3.4 g/L and 25.4 ±4.8 in kg/m2 in phosphate binder users). Here, ALB is linked to nutritional deficiency disease.