IGFBP7 and Miyoshi myopathy: Similarly, serum amylase (r = −0.384, p = 0.009) and urinary biomarkers IGFBP-7 (r = −0.633, p < 0.001) and TIMP-2 (r = −0.485, p = 0.001) also showed significant negative correlations with albumin, further emphasizing the systemic impact of MM.