ALB and obesity due to melanocortin 4 receptor deficiency: Age (adjusted csHR 0.99, p<0.001), male sex (adjusted csHR 1.07, p<0.001), race, obesity (adjusted csHR 0.96, p<0.001), presence of diabetes (adjusted csHR 0.92, p<0.001), high serum albumin (adjusted csHR 0.93, p<0.001),, stage 3/4 encephalopathy (adjusted csHR 1.16, p<0.001), MELD score (adjusted csHR 1.09, p<0.001), portal vein thrombosis (adjusted csHR 0.88, p<0.001), poor performance status (adjusted csHR 1.47, p<0.001) and causes of liver disease were significantly associated with removal from the list due to liver transplantation (Table 2).