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MIRTAZAPINE PROTEIN ENERGY WASTING

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https://www.readbyqxmd.com/read/23313434/let-them-eat-during-dialysis-an-overlooked-opportunity-to-improve-outcomes-in-maintenance-hemodialysis-patients
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REVIEW
Kamyar Kalantar-Zadeh, T Alp Ikizler
In individuals with chronic kidney disease, surrogates of protein-energy wasting, including a relatively low serum albumin and fat or muscle wasting, are by far the strongest death risk factor compared with any other condition. There are data to indicate that hypoalbuminemia responds to nutritional interventions, which may save lives in the long run. Monitored, in-center provision of high-protein meals and/or oral nutritional supplements during hemodialysis is a feasible, inexpensive, and patient-friendly strategy despite concerns such as postprandial hypotension, aspiration risk, infection control and hygiene, dialysis staff burden, diabetes and phosphorus control, and financial constraints...
May 2013: Journal of Renal Nutrition
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