ALB and nutritional deficiency disease: This might be of value at an earlier stage of reduced liver function, even though the test is not specific for liver disease: albumin serum levels are also reduced in patients with malnutrition or malabsorption, protein-losing enteropathy, or nephrotic syndrome, but, nevertheless, even though we cannot confidently exclude malnutrition as a confounding factor, according to the accessible medical records, the other typical preconditions for serum albumin alterations were not present in our study population.