When kidney functioning declines, direct special attention toward creatinine clearance, bun, creatinine, albumin, phosphorus, magnesium and potassium levels. Get a baseline PTH or parathyroid hormone level as well.
Albumin, in particular, is one indicator of outcome. Choose from among the medical articles on Albumin.

Albumin is like the glue that holds it all together. Doctors previously thought that individuals on dialysis needed more protein to raise their serum albumin level. It turns out they need more leucine, an essential amino acid. Supplements of essential amino acids designed specifically for kidney patients manufactured by Calwood, contains 16% of leucine, an amino acid.

We are  sharing our experiences with PKD/PLD Diet, an adjunct diet envisioning it complementing a physician's prescribed medical therapy. Consider testing this with your doctor's prior knowledge, who can  adjust it according to your own uniqueness by adding it to your current  treatment.

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