ALB and malnutrition: The Canadian Society of Nephrology Guidelines (2014) [27] ceased to recommend dialysis initiation on the basis of a decline in nutritional status as indicated by serum albumin, lean body mass, or subjective global assessment (SGA), whereas the Caring for Australians with Renal Impairment Guidelines [28] recommend dialysis with glomerular filtration rate (GFR) < 10 mL/min per 1.73 m2 to reduce uremic symptoms or signs of malnutrition.