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Chapter Nine: Regulation of Plasma Osmolality

Channel Your Enthusiasm

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I'm Not Giving It Up, Melanie

Melanie's patient had a urinosmolality of 44, that was extremely proficient system where you're reabsorbing sodium without water. And then obviously ADH was completely suppressed. There was no water or reabsorption from that point on. So really the only thing that you can ever say for sure is that the medulla has to be concentrated. But we don't really know why. Do we know why now? It's that happens or is there like an existential? The why?

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