The Curbsiders Internal Medicine Podcast cover image

#67 Chronic Kidney Disease Pearls with @kidney_boy, Joel Topf

The Curbsiders Internal Medicine Podcast

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Do You Have a PTH of 400 to 600?

The KD Go guidelines are going to recommend you to be more aggressive here, but it's a lot of B and C recommendations. And if you do have these super high PTH levels for many, many years, that does result in bone pain and severe itching and, um, weak bones and brittle bones. I will check the PTH probably yearly. If I do see it really taking off and getting above 150, 200, 250, I will give them a little active vitamin D to keep that in check. Okay. So for right now, I guess it sounds like you can treat their vitamin, you can replete their vitamin D maybe, but don't go crazy chasing the PTH

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