It was suggested that it could be thus used more as a prognostic marker for monitoring patients receiving nutritional support.17 Several studies reported a role for TTR in predicting prognosis that could be related to nutritional status and malnutrition in various clinical conditions.16 An algorithm that uses TTR has recently been proposed as a practical guide to help clinicians to stratify their sick intensive care patients by risk of complications and outcome. This evidence concerns the gene TTR and nutritional deficiency disease.