ALB and Nephropathy: The urine albumin creatinine ratio (UACR) is a standard kidney damage test, in which protein (albumin) is abnormally excreted.11 In the study of El-Wakil et al., no increase in the excretion of urinary protein was observed post fasting.5 According to the study of Bernieh et al., changes in urinary protein excretion and changes in the UACR were not significant before, during or after Ramadan in fasting patients.9 Our studies are consistent with the literature in this respect.