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Metabolic Bone Disease

When kidney function declines, as seen in chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD), the kidneys lose their ability to balance crucial minerals in the blood, including calcium and phosphorus. This imbalance can lead to a condition known as mineral and bone disorder, which significantly impacts bone health. When phosphorus builds up due to inadequate filtering, it binds with calcium in the bloodstream, reducing the amount of available calcium needed for strong bones. As a result, bones become fragile, brittle, and more susceptible to fractures which is a serious health risk for individuals with advanced kidney disease.

Our nephrology specialists are dedicated to managing these mineral imbalances to protect bone health in our patients. Our team takes a proactive approach, starting with regular blood tests to monitor calcium, phosphorus, and parathyroid hormone (PTH) levels, which play a critical role in regulating bone metabolism. Based on these findings, we develop personalized treatment plans to restore mineral balance and reduce the risk of bone deterioration.

Treatment may include dietary recommendations to limit phosphorus intake, often involving adjustments to protein sources and certain types of processed foods. We may also prescribe phosphate binders—medications that prevent phosphorus from being absorbed into the bloodstream—as well as active forms of vitamin D to enhance calcium absorption. Our team works with each patient to optimize their nutrition, medication, and lifestyle to support bone health while managing kidney disease.

At We Care Nephrology, we understand that maintaining strong, healthy bones is essential to overall well-being. Through continuous monitoring, tailored treatments, and ongoing patient education, we empower our patients to protect their bone health and improve their quality of life, even in the face of kidney disease.

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