Li+sick dogs with hypoalbuminemia had higher MLR (median = 0.450; range = 0.3–0.7; 25th–75th percentile = 0.325–0.575) (P = 0.001) than those with albumin values within the reference interval (median = 0.3; range = 0.0–1.2; 25th–75th percentile = 0.2–0.4). Here, ALB is linked to Hypoalbuminemia.