Welcome to the 4th International Conference on Advances in Medical Science (4th ICAMS) to be held from 12th – 14th April 2019 at The Watefront Hotel, Kuching. Sarawak, Malaysia. The ICAMS is held once every two years and it is hosted by three major research groups from Universiti Kebangsaan Malaysia, i.e. Bone Metabolism, Cardiovascular and Stress Enzyme groups.