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Albumin may or may not be decreased in protein energy malnutrion. Albumin is not always a good indicator for protein energy malnutrition (several other factors may decrease albumin that have nothing to do with nutrition state). Several other lab values may also be low if a person has protein energy malnutrition ( These labs include but are not limited to prealbumn and transferrin). Often studies will use albumin as an indicator for this type of malnutrition because of several factors including cost and standardization of data. A low albumin when it is truly an indicator of malnutrition (signified by a diet inadequate in calories/protein or a problem preventing an individual from absorption of nutrients) is low because it is a protein made in the body. When the body has inadequate amounts of protein from a diet too low in protein or inadequate protein stores in the body, it will not be able to make as many of the proteins that belong in the blood (one of which is albumin).

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