compared to normal albumin, hypoalbuminemia was accompanied by a greater burden of comorbidities at baseline, a more complex presentation and hospitalization course and, ultimately, a reduced 10-year survival following the index event; however this was only evident within the normal weight to class 2 obesity (i.e., 18.5 to <40 kg/m2) subgroups; and 3. Here, ALB is linked to obesity due to melanocortin 4 receptor deficiency.