Peter Attia· MD
if you got albumin you you're and you got serious vascular Pithom place maybe it's just your gum area listen you gotta you know kidney disease but you probably have some other vascular disease - so albumin is just a saying some analysis about something as big as a proteins escape or and you've got some membrane problems that are lining some either go merula sorrel blood vessels someplace the other ones are and it's interesting cuz Peter in his little world sees a lot of these people who are well trained athletes take care of themselves and some of them in Peter probably encouraged them to build up muscle mass and which can influence creatinine it makes it far less usable as a mark of renal so statin C's and has not influenced by muscle mass so that's where it picks up some of the imperfections the weight is just oh yeah and if you do both which is by the way if you read the American Kidney guidelines they've actually developed a nice equation where your clearance and we provide this at PhD and I don't know any other lab that does we give you a clearance based on creatinine we give you a clearance based on cystatin C and we give you the best clearance of all based on both of those parameters you segregate by is very different in african-americans so there's a lot more to those EGFR as if you haven't studied it lately there might be going on and if I'm