The ALBI Score grades liver synthetic function using only albumin and bilirubin — two markers the liver directly regulates.
The ALBI Score grades liver synthetic function using only albumin and bilirubin — two markers the liver directly regulates. Grade 1 indicates well-preserved function; Grades 2–3 indicate increasing impairment. ALBI is more objective than earlier clinical scoring systems because it relies only on measurable blood values.
Grade 2–3 typically reflects chronic liver disease (cirrhosis, advanced fibrosis, hepatitis), severe malnutrition, nephrotic syndrome, or acute hepatic stress. Review alongside FIB-4 and clinical history.
Jaundice, unexplained bruising, oedema, confusion, and fatigue appear at Grade 2–3. Grade 1 is silent by design.
Adequate high-quality protein (fish, eggs, legumes, lean poultry) supports albumin synthesis. Mediterranean pattern reduces hepatic inflammation.
Alcohol — the single most modifiable driver of chronic liver decompensation.
Educational information only — not a diagnosis. Every Pheno result is interpreted in context and reviewed by a physician.
See all 119 markers we test →