Several factors can cause hypoalbuminemia, including:
Liver disease such as cirrhosis or hepatitis, which impairs albumin synthesis. Malnutrition or malabsorption syndromes that reduce the amount of protein intake or absorption. Nephrotic syndrome, where albumin is lost through the urine due to kidney dysfunction. Inflammation or infection, which can increase capillary permeability, leading to the leakage of albumin into the interstitial space.