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11min chapter
#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!
The Curbsiders Internal Medicine Podcast
Managing Metabolic Acidosis in CKD Patients
This chapter explores a study comparing outcomes in CKD patients with metabolic acidosis treated with either bicarbonate or advised to increase fruits and vegetables. The discussion highlights the benefits of dietary interventions in improving blood pressure, potassium levels, and weight, despite no significant GFR changes. It delves into challenges of prescribing sodium bicarbonate and introduces the failed trial of a novel agent, emphasizing the need for personalized care in managing metabolic acidosis.
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