Progression of chronic renal failure in patients given keto acids following amino acids.

  title={Progression of chronic renal failure in patients given keto acids following amino acids.},
  author={Mackenzie Walser and Norman D Lafrance and L Ward and M A VanDuyn},
  journal={Infusionstherapie und klinische Ernahrung},
  volume={14 Suppl 5},
Twelve patients with chronic renal failure who exhibited a progressive decline in 24-h creatinine clearance despite being given, for 2-10 months, a diet containing 0.3 g of protein/kg ideal weight and 7-9 mg of phosphorus/kg ideal weight supplemented with vitamins, CaCO3, and 10 g per day of essential amino acids, were changed to a supplement containing predominantly keto acids. In 6 patients whose serum creatinine levels were 7.5 mg/dl or greater at changeover, progression continued unabated… 
Controlled low protein diets in chronic renal insufficiency: meta-analysis.
This result, obtained on a large population of patients suffering from chronic renal insufficiency, strongly supports the effectiveness of low protein diets in delaying the onset of end stage renal disease.
Is there a role for ketoacid supplements in the management of CKD?
Evidence strongly suggests that these diets can delay the need for maintenance dialysis therapy, but whether they slow the loss of glomerular filtration rate in patients with CKD is less clear; more research is needed to examine the effectiveness of KA/EAA supplements with higher protein intakes.
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A 42-year-old woman with a mild sensorineural hearing loss bilaterally, and a family history of renal disease, a diagnosis of hereditary nephritis was made and she entered the feasibility phase of the Modification of Diet in Renal Disease (MDRD) Study.
Effect of low-protein diet on renal function: are there definite conclusions from adult studies?
The data available indicate that somtimes only a poor degree of compliance is achieved both in single and in multicentre trials, and a crucial point in analysing the efficacy of low-protein diets is the degree of Compliance with the protein restriction.
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Overweight or obese patients with CKD are encouraged to lose body fatness to aim for a Body Mass Index closer to 18.5 – 24.5 and prescribed caloric restriction under the management of an appropriately qualified dietitian.
Dietary protein restriction as a treatment for slowing chronic kidney disease progression: The case against (Review Article)
Patients with progressive kidney disease are likely to be better served by avoiding dietary protein restriction and instituting alternative, proven renoprotective measures (e.g. renin‐angiotensin system blockade, blood pressure reduction and statin therapy).
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There is no convincing or conclusive evidencethat long-term protein restriction delays the progression of CKD, and the possibility of a modest benefit of low-protein diets on Renal failure progression must be weighed against the risk of a concomitant decline in nutritional parameters.
The CARI Guidelines – Caring for Australasians with Renal Impairment Prevention of Progression of Kidney Disease
There is limited evidence to suggest that the progression of certain forms of renal disease is retarded by non-steroidal anti-inflammatory drugs, but benefits are outweighed by the serious side-effects of these medications and their use cannot be currently recommended.
Mani Diet In Renal Diseases
Bull's Infamous regime, a nauseating concoction of olive oil and glucose, which was administered orally or via an intragastric route, and, if it induced vomiting, the vomitus was strained and given again.
Feeding to Minimize Nitrogen Excretion by Dairy Cows 1
Dairy cows utilize feed crude protein (CP; N x 6.25) with much greater efficiency than other ruminant livestock but still excrete about 2-3 times more N in manure than in milk. This contributes to