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In plasma, longer chain FFA are combined with albumin , and in the cell they are attached to a fatty acid binding protein , so that in fact they are never really free. Shorter chain fatty acids are more water-soluble and exist as the unionized acid or as a fatty acid anion

53 Another recent, randomized, multicenter, open-label trial was conducted in the UK and studied whether targeting an albumin serum level 30 g/L would reduce the risk of infections, renal dysfunction and death in patients with decompensated cirrhosis