@MKIttlesonMD When one medicine costs hundreds and one costs pennies a day, you can have all the data you want but people have to pay for our choices. It’s hard to have people have yo choose between food and “best practice”- which I think is not best for many.
Contrary to expectations: Higher protein intake is linked to lower mortality in adults with chronic kidney disease according to a large new study.
Finally, we have a study. It's time to abandon the low-protein approach.
Link to study: https://t.co/iE92MzMRrd
@hswapnil@NephJC@AndrewRuleMD That’s helpful. I can’t tell you how many 3a’s come in with about 40 papers printed from their portal that says things are abnormal and have not slept since they heard this.
@NephJC It starts with their H and p, and then with gfr trend and UA. Unfortunately, many worried well press hard to get a work up, and the ones that need it most usually have so many other issues going to nephrology is one more burden.
@NephJC@elbaonelida I’m surprised at some of the results I get… most align but several pts have much lower cystatin gfr’s than cr gfr- I watch them more closely. Rarely the opposite except young muscular people.