
Nilang Patel, MD, MS, FASN
@nilangpatel
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Associate Professor, Nephrology @VCU @VCUHealth @RichmondVAMC - Views expressed here are my own and not of my employer's, Likes & Retweets aren't endorsements.
Virginia, USA
Joined September 2009
#IronDeficiency #Anemia is widely prevalent(~ 10-20% globally). #Oral #Iron is the mainstay of treatment. But, how do you give this? > = 2 times/d, 1/d or alternate day? Would they have a similar response? Checkout our recently published study .
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Combination therapy reduced more proteinuria than either agent alone. .
More than 50% reduction in uacr with combo and about 30% with each component that is empagliflozin and finerenone. Time to consider simultaneous initiation of combination therapy in ckd and t2d as in hfref and stage 2 hypertension.
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RT @VAResearch: CIPHER is excited to announce our partnership with #OHDSI! A core part of OMOP’s Common Data Model, OHDSI’s standardized vo….
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RT @JasmohanBajaj: 🙏 for highlighting our @VAResearch & @TriNetX study! .@nilangpatel @DrJackieOleary @VCU_CCTR @MedPageID @HealioGastro @g….
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RT @JasmohanBajaj: 🙏 @EASLnews for invite to present data on #machinelearning to exclude #SBP in @VAResearch @VCUresearch cohorts @EASLnews….
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❓How much Hgb🩸increase would you expect if we give oral Iron tablet daily vs. 2-3 times/day vs. alternate day in #Irondeficiency #Anemia. 🔑Hgb🩸⬆️ 1.03 g/dL in daily, ⬆️ 1.38 g/dL in >= 2 times/day and ⬆️ 0.93 g/dL in alternate day group at 90 days in patients normal kidney
Cohort study signifies the importance of following the standard clinical practice (2-3 times a day oral iron supplementation) in iron deficiency anemia when a rapid rise of hemoglobin is desired.
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How often should we give #Oral #Iron supplements to patients with #Irondeficiency #anemia?. We studied > 70,000 patients with IDA. ⬆️ Hgb🩸is similar in daily and alternate-day groups but happened at a slower pace ⬇️compared to >= 2 times/day. This difference in dose response is
Cohort study signifies the importance of following the standard clinical practice (2-3 times a day oral iron supplementation) in iron deficiency anemia when a rapid rise of hemoglobin is desired.
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Our work is being quoted @nytimes. We showed that 10% patients of #dementia could have reversible cause. #cirrhosis @RichmondVAMC @VAResearch.
Our study is mentioned @nytimes !!!What to Know About Mild Cognitive Impairment Treatment - The New York Times @JAMANetworkOpen #cirrhosis #dementia @VAResearch @VCUresearch @nilangpatel
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RT @JasmohanBajaj: Our study is mentioned @nytimes !!!What to Know About Mild Cognitive Impairment Treatment - The New York Times @JAMA….
nytimes.com
There are ways to manage symptoms and slow the progression.
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RT @JAMANetworkOpen: Among veterans with a diagnosis of dementia, a high Fibrosis-4 score suggestive of advanced liver fibrosis to cirrhosi….
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1 in 9 (10.7%) US adult age > 65 has dementia. So it's vital to look for reversible causes of #dementia. We recently published that 10% of patients with #dementia, could have potentially reversible underlying cause. @VAresearch, @dementiaOrg, @vcuhealth.
What if 10% of pts w #dementia had a potentially reversible cause of mental dysfunction?.They could w #cirrhosis & #hepaticencephalopathy.✅our National #Veterans study @JAMANetworkOpen .✅ collab w geriatrics, GI & liver societies=essential!.@nilangpatel
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RT @JasmohanBajaj: Are 👄🦷part of the digestive system? ✔️.Do dental access #disparities impact #cirrhosis ? ✔️.How can we fix it? ✅commenta….
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RT @LTxJournal: Plasma exchange for acute & acute on chronic liver failure: A systematic review & Meta-Analysis.by @kavishpatidar11 et al….
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A wonderful discussion today in JC by @realdhirenkumar on this article. Many patients developed #ODS despite staying < 8 correction! Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia | NEJM Evidence
evidence.nejm.org
Osmotic demyelination syndrome (ODS) is a rare but potentially devastating neurologic complication of hyponatremia. The primary objective of this study was to identify the proportion of patients wh...
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RT @LTxJournal: Early #paracentesis is associated w/better prognosis compared to late or no-paracentesis in hospitalized veterans w/#cirrho….
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RT @JasmohanBajaj: 🙏@vcunews for highlighting our prior & ongoing #gutbrainaxis research in #alcohol use disorder!. .
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RT @JasmohanBajaj: Evolution of #SBP Rx & prophylaxis in #cirrhosis, less is more. 🔑@DeptVetAffairs⬆️cipro resistance in primary prophylax….
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RT @JayaKala11: .@WaltDisneyWorld @DisneyParks @WDWGuestService @Disney @OrlandoMagic @CNN @cnni @cnnbrk ridiculous service from Disney. Be….
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#GLP1R agonist, #semaglutide #tirzepatide improve eGFR slope compared to placebo and/or Insulin for #DKD. Wonderful analysis by David Cherney and Hiddo Heerspink.#KidneyWk
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