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21min chapter
#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!
The Curbsiders Internal Medicine Podcast
Managing Metabolic Acidosis in Chronic Kidney Disease
The chapter explores the intricacies of managing metabolic acidosis in chronic kidney disease (CKD), discussing the implications of continuing medications like Metformin as kidney function declines and the consequences of metabolic acidosis on various aspects such as kidney fibrosis, muscle mass, and bone health. It delves into the history and chemistry behind bicarb replacement therapy, the use of sodium bicarbonate and alternative sources like lemon juice, and the evolving guidelines for managing metabolic acidosis in CKD patients.
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