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Treatment Of Metabolic Acidosis In Patients With Ckd

Treatment of Metabolic Acidosis in Patients With CKD We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Treatment of Metabolic Acidosis in Patients With CKD Wei Chen, MD and Matthew K. Abramowitz, MD, MS Metabolic acidosis is a common complication of chronic kidney disease and believed to contribute to a number of sequelae, including bone disease, altered protein metabolism, skeletal muscle wasting, and progressive GFR loss. Small trials in animal models and humans suggest a role for alkali therapy to lessen these complications. Recent studies support this notion, although more definitive evidence is needed on the long-term benefits of alkali therapy and the optimal serum bicarbonate level. The role of dietary modification should also be given greater consideration. In addition, potential adverse effects of alkali treatment must be taken into Continue reading >>

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Popular Questions

  1. maxell

    I'm wondering how people are coping with the stinky smell of ketosis. I'm on a ketogenic low-carb diet -- usually 60g of net carbs or less. I've tested myself with ketostix several times and I can smell the rancid urine smell when I pee.
    The problem here is that my toilet doesn't seem to flush completely and the ketogenic smell stays in the bathroom and even leaks to the living room. My super came in to my apartment once and asked what that smell is, whether I'm flushing my toilet.
    I've been using Lysol before I leave to air out the bathroom but that doesn't seem to be enough. Now, I'm using air fresheners, fragrance refills, and toilet bowl cleaners but I can still smell it when I enter my apartment. Not as bad but the smell is unmistakable.
    How do people deal with this ketogenic smell? It's good that I'm ketogenic. But I can do without the smell.

  2. skunk

    my daily carbs is less than 20 grams, and the acetone in my breath is so strong, i swear i can knock out flies LOL
    Not just that, my sweat has a strange smell too.
    I guess we just have to get used to it?
    At least now i know how Paleolithic Cavemen used to smell like lol

  3. Matt51

    A healthy person on a ketogenic diet, should only be slightly in ketosis according to the keto-sticks. After a couple weeks in ketosis, you should not be having a problem with bad breath or urine. 60g carbs a day is more than enough one should be out of ketosis.
    My guess is you have some other problem. Taking an activated charcoal tablet a day should help with the odor.

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