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September 20, 2023. Low Urinary Ammonium May Predict Death or Progression to ESRD in Patients with CKD

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Article name: Urine Ammonium, Metabolic Acidosis and Progression of Chronic Kidney Disease

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This article was published in Nephron in 2018. It is a review article that elaborates in the mechanisms of how metabolic acidosis is implicated in the progression of CKD

The article mentions the interesting finding that in African American Patients with CKD, hypertension, and no acidosis, a daily urinary ammonium (uNH4) lower than 20 mEq is predictive of death or progression to ESRD. This may represent that patients with impaired acid excretion and prone to acidosis can progress faster regarding CKD and are at a higher risk of death

Any information or statement present in this post does not replace your health care provider’s advice or treatment. This blog does not provide medical advice, prescribe medications or therapies, or diagnose conditions, it only expresses an opinion. If you have a health-related question or condition, confer with your healthcare provider.

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