ALB and obesity due to melanocortin 4 receptor deficiency: Several common risk factors, including elevated blood glucose and glycosylated hemoglobin levels, age, extended disease duration, reduced estimated glomerular filtration rate (eGFR), obesity, hyperlipidemia [4, 5], elevated urinary albumin-to-creatinine ratio (UACR) [6], low serum albumin level, and hyperuricemia [7, 8], have been postulated.