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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Renal Insufficiency Be Treated?

I have recently found out I have renail insufficient since 2009. I have acute kidney failure in 2013. Since obtaining ,you medical records, my GOD have been steady at 34. I have recently been to a first visit with a nephhrologisy. My primary care put me on Vito do for the rest of my life, & added alendronatesodium sodium. Upon research, I think it is contraindicated for renal failure. No one has suggested calcium for me. Your adive, please TV Linda
Wed, 26 Sep 2018
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Internal Medicine Specialist,  's  Response
Hi,

Renal failure patients are prone for hypocalcemia why because Vitamin D hydroxylation takes place by kidney. But in kidney failure patients it may lead to hypocalcemia and osteoporosis. Bisphosphonates must be carefully administered in chronic kidney disease (CKD) patients.

Despite this, Bisphosphonates can safely be used in all CKD stages, including dialysis and kidney transplant. So dose of administration may vary depending upon the stage of CKD. Please consult your nephrologist/physician they will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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How Can Renal Insufficiency Be Treated?

Hi, Renal failure patients are prone for hypocalcemia why because Vitamin D hydroxylation takes place by kidney. But in kidney failure patients it may lead to hypocalcemia and osteoporosis. Bisphosphonates must be carefully administered in chronic kidney disease (CKD) patients. Despite this, Bisphosphonates can safely be used in all CKD stages, including dialysis and kidney transplant. So dose of administration may vary depending upon the stage of CKD. Please consult your nephrologist/physician they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist