Hello #NephTwitter #Renal #MedTwitter @aspneph radiology webinar for august was Autosomal Recessive Polycystic Kidney Disease (#ARPKD). Let's get started.#PedNeph #Transplant

RT @Ironken6: 1/ July 16 is #WorldSnakeDay - raising awareness of the incredible diversity of snakes and their vital role in our ecosystems….

🚫 Time to ban Paraquat — a toxic herbicide causing severe AKI, multi-organ failure & high mortality, especially in the young. 📌Even 20 ml can be fatal. No antidote.Have a look at this single centre study from south india in @indianjnephrol @vjha at

Depression is common in MHD patients. In a Mumbai-based study (N=282), risk was higher in:.🔺 Women.🔺 Those with catheter access.🔺 Patients with food restrictions.Protective:.✅ Self-employment.Check this out in full and many other interesting papers @indianjnephrol @vjha126

RT @Dilushiwijay: ICYMI catch the recording of today’s XSpace on AKI in the tropics here. @ISNeducation.

@ISNeducation @ISNkidneycare ⭐️Gut microbiome and P4 homeostasis share a bidirectional relationship in CKD. ⭐️GI tract dysfunction and dysbiosis lead to increased uremic toxins and inflammation.⭐️ Focus on bioavailability & consider the gut microbiome/intestinal physiology for future strategies.

@ISNeducation @ISNkidneycare Restriction ≠ restricted diet" when it comes to P4 management! .💪Focus on limiting P-additives , choosing lower bioaccessibility foods, and using culinary techniques.

@ISNeducation @ISNkidneycare 🔷Phosphorus in Protein: Not all protein sources are equal; check total phosphorus, digestibility, and P-additives .🔷Cooking Meat: Cooking methods and duration significantly alter the phosphorus content in meat, . 🔷Soaking reduces phosphorus in foods like legumes and meats

@ISNeducation @ISNkidneycare Food for thought for those managing phosphorus intake! This slide highlights the difference between phosphorus richness (total per serving) and density (per 100 kcal). Skim milk is richer in P per calorie than whole milk.

@ISNeducation @ISNkidneycare DIET-HD study followed 8,110 patients for 3.8 years, highlights a critical link: .Higher phosphorus intake from processed foods may increase mortality in HD patients.

@ISNeducation @ISNkidneycare ⚠️ Phosphate additives are everywhere—snacks, dairy, grains, even beverages. 🔷They’re highly bioavailable & often hidden on labels. In CKD care, identifying & minimizing these sources is essential for phosphorus control.

@ISNeducation @ISNkidneycare Bioaccessibility≠Bioavailability.🔹 Bioaccessible = ready for absorption.🔹 Bioavailable = absorbed & usable by the body. 🌱 Plant-based = low bioavailability.🥩 Animal- = moderate.🧪 Additives = high & fast absorption

@ISNeducation @ISNkidneycare New era in phosphorus management for CKD KDIGO/KDOQI:.📌 No fixed limits—focus is now on source not just amount.🥦 Plant-based < 🥩 Animal-based < 🧃 Additives

@ISNeducation @ISNkidneycare Phosphorus restriction in CKD is easier said than done. 🚫 No clear labeling.🍽️ Hidden sources everywhere.📉 Limited dietitian access.⚖️ Conflicting advice.Result? Frustration & lower quality of life.

@ISNeducation @ISNkidneycare As nephrologists, guide patients beyond just phosphorus quantity—bioavailability matters. 📌 Recommend: animal protein, refined grains, low-phos dairy.⚠️ Avoid: whole grains, legumes, additives

Renal diet and evolution: The renal diet has come a long way—from blanket protein/phosphorus restriction to personalized, evidence-based nutrition. #ThisIsISN #ISNWebinar

📉 CKD-MBD is common in CKD and worsens with progression. 📈 FGF23, phosphate, PTH rise.📉 Klotho, Vit D fall.➡ Leads to biochemical, bone & vascular complications. #ISN-ISRNM WEBINAR

Missed a past ISN-ISRNM webinar?.Catch up anytime on key topics in renal nutrition—from protein-energy wasting to nutrition literacy in CKD care. 🎥 Available now on ISN Academy & @ISNkidneycare @ISNeducation @myadla @Dilushiwijay #ThisIsISN #ISNWebinar.

🚨 Happening in less than 5 minutes.Join the ISN-ISRNM Webinar :. “Navigating a changing dietary phosphorus landscape in CKD” 🧠🧂🩺.📍Speakers: Annabel Biruete & Brandon Kistler.🎙️Moderator: Michelle Wong.Click here to join

RT @ISNkidneycare: 𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for the next Space: "Tropical AKI".🗣️ @DrOribaDan, @eranga_wije, @RClaure_nefro.👥 @myadla, @Dilushiwijay,….

RT @KIReports: Characterizing the #ADPKD IFT140 Phenotypic Signature With #DeepLearning and Advanced Imaging #Biomarkers. #VisualAbstract b….