Cherry, RND (Rizza Marie T. Magbuhat)

10/14/2022

Repost from the Academy’s renal practice group

08/28/2022

08/25/2022

A meta-analysis of 23 randomized controlled trials by Liu et al. assessed the therapeutic benefits of biotic supplements in people with chronic kidney disease. They included studies on prebiotic, probiotic, and symbiotic supplements in both pre-dialysis and dialysis populations. The analysis showed no benefit in GFR or albumin, but prebiotic supplementation did decrease BUN in both dialysis and pre-dialysis groups. The most significant improvements were noted in oxidative stress (improved total antioxidant capacity, reduced malondialdehyde), inflammation (lowered interleukin-6 in dialysis) and uremic toxins (reduced serum p-cresol in both populations and reduced indoxyl sulfate in dialysis). Prebiotic supplements appear superior in these outcomes compared to probiotics. The authors concluded that biotics are promising for modulating inflammation, oxidative stress and uremic toxins but larger studies are needed to assess outcomes and related impacts on these populations.

Reference: Liu J, Zhong J, Yang H, et al. Biotic Supplements in Patients With Chronic Kidney Disease: Meta-Analysis of Randomized Controlled Trials. J Ren Nutr. 2022;32(1):10-21. doi:10.1053/j.jrn.2021.08.005

08/19/2022

Would be interesting to see what future studies on this supplement would show

08/15/2022

07/27/2022

can you think of one that is indigenous to the philippines?

07/26/2022

know your risk, i suggest getting regular lab work done.

07/15/2022

this is so true! builds rapport and trust. how do you interact with your patients? one thing i learned over the years is that healthcare providers do not know all the answers, and the best way to get things done is to explode treatment options with patients