Doctor insights on:
Recommended B12 For Dialysis Patient
What is the best form of taking B12 supplement cyanocobalamin or methylcobalamin that you recommend to your patients and why. Thanks.
See below: Best efficacy and assurance of bodily incorporation occurs when injected once monthly. Some pts do well with sublingual prep, and some even absorb oral meds. Would urge you make certain that you do indeed suffer a vitamin b-12 deficiency prior to getting an aggressive solution. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates. Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. because online 400-letter does not suffice to address.. ...Read more
Itching: High phosphorus levels in a dialysis patient can lead to many issues. Usually most patients itch uncontrollably. However over time elevated phosphorus levels can alter bone structure, lead to calcium deposits on heart vessels and cause nerve damage throughout the body. ...Read moreSee 1 more doctor answer
When kidneys fail: People are treated with dialysis when the kidneys are no longer able to perform their main functions: filtering out toxins and removing excess body fluids. For an excellent reference, look for the book "Help! I Need Dialysis!" by Dori Schatell and John Agar, MD. LGromkoMD ...Read more
Clean & Squeeze: Dialysis is both about cleaning (dialysis) the blood of toxins and squeezing (ultra-filtering) excess fluid out. Both functions are done constantly in patients with normal function. Missing a session puts you 4-5 days between treatments and at risk for electrolyte and/or fluid retention problems. ...Read more
Im a dialysis patient for 17 years. I havent slept in 4 days. I have been trying no sucess what should i do?
Here are some ...: You should bring to and discuss your concern of insomnia with your treating Doc so how to implement lifestyle and behavioral modification, possible use of melatonin and other sleep-inducing drugs, etc. to suit your clinical profile. There has been no magic means or pill around online to meet your specific need. Best wish ... ...Read more
Age illnesses matter: The attached picture is from medicare data. It breaks down life expectancy of dialysis using age and sex. 20yo male on dialysis 15.3years average 40yo male on dialysis 8.4 years average 60yo male on dialysis 4.6 years average 80yo male on dialysis 2.3 years average illnesses and the reason for starting dialysis matter too, but that's too complicated for a chart. Good luck. ...Read moreSee 1 more doctor answer
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