* May be cause by problems other than protein malnutrition , such as injury ,infection, overhydration , and liver disease.
**Weight loss is judged as significant if there is a 5% loss over the course of 1 month.
*** people who take five or more prescription drugs, over-the-counter drugs , or dietary supplement are at increase risk for developing drug-induced nutrient deficiencies.
**** determining what the patient normally eats can help diagnose the role of intake in the nutritional problem as primary , secondary or insignificant.
***** physical signs and symptoms of malnutrition develop only after other signs of malnutrition , such as laboratory values and weight changes are observed.