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Doctor insights on: Recommended B12 For Dialysis Patient

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Dr. Quresh Khairullah
507 doctors shared insights

Dialysis (Definition)

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


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What is the best form of taking B12 supplement cyanocobalamin or methylcobalamin that you recommend to your patients and why. Thanks.

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

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Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?

Tubular acidosis question. Gfr improves  consistently with b12 shot and bicarbonates (sodium bicarbonate). 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

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Laminine can be used for dialysis patients?

Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, i would strongly recommend you talk with your kidney doctor. ...Read more

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Why some dialysis patient got dark skin?

Why some dialysis patient got dark skin?

Increased pigment: Kidney failure often causes increased pigmentation similar to tanning. The mechanism may be related to molecules and toxins that build up and are incompletely removed by dialysis. The pigmentation usually causes no problems. There can also be small deposits of calcium in skin, itching, sores from scratching and other skin problems in dialysis patients that can cause more severe symptoms. ...Read more

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Why do dialysis patients become incoherent?

Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more

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Is rambutan fruit bad for a patient on dialysis?

Possible: Tropical fruits have been shown to inhibit enzymes in the liver that help break down drugs. While this has not been critically tested in patients, test tube results are concerning. I would review with your doctor your medications and the available patient data on the interaction of tropical fruits with you meds. ...Read more

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When is a kidney patient supposed to be on dialysis?

When is a kidney patient supposed to be on dialysis?

When kidneys fail...: Dialysis is required when the kidneys are no longer able to do the work of removing the body's toxins, removing extra fluid, and keeping the body's acid/base balance normal. (The kidney has other functions, too.) Doctors follow lab tests (a rising creatinine and/or falling eGFR) to detemine when a patient requires dialysis. Ask your nephrologist for answers that fit your body! LGromkoMD ...Read more

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What is the effect of high albumin in dialysis patient?

Good health: Albumin levels reflect the overall nutritional status of your body and generally patients on dialysis who have Albumin level more than 3.5 tend to have better outcomes when compared to patients with low levels. ...Read more

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Which symptoms do dialysis patients have right before dying?

ESRD and Death: Most patients simply become very disoriented, sometimes agitated, and then they go to "sleep". Many health professionals have commented to me that dying from renal failure is gentle and painless. My grandfather simply went to sleep and never woke up and he appeared comfortable. ...Read more

Dr. Randy Baker
972 doctors shared insights

Vitamin B12 (Definition)

Vitamin B12 is a vitamin which is a kind of nutritional agent ...Read more