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Chronic kidney disease (CKD) & bone loss (osteoporosis)
Osteoporosis & Bone Health | Last Active: Feb 11, 2024 | Replies (16)Comment receiving replies
@benjamin8161 I am curious what stage of Chronic Kidney Disease you are currently at, and the cause of the CKD?
This is from the National Institute of Diabetes, Digestive, and Kidney Diseases https://www.niddk.nih.gov/health-information/kidney-disease/mineral-bone-disorder.:
"Chronic kidney disease is kidney damage that occurs slowly over many years, often due to diabetes or high blood pressure. Once damaged, the kidneys can’t filter blood as they should.
Hormones and minerals are important because they help bones stay strong. If a person’s hormones and minerals are out of balance, his or her bones can become weak and malformed.
Parathyroid hormone plays an important role in controlling calcium levels in the blood. When kidneys do not function properly, extra parathyroid hormone is released in the blood to move calcium from inside the bones into the blood.
Chronic kidney disease causes mineral and bone disorder because the kidneys do not properly balance the mineral levels in the body. The kidneys stop activating calcitriol and do not remove the phosphorus in the blood properly.
The complications of mineral and bone disorder in CKD include slowed bone growth and deformities, and heart and blood vessel problems.
Treating mineral and bone disorder in CKD includes preventing damage to bones by controlling parathyroid hormone levels through changes in eating, diet, and nutrition; medications and supplements; and dialysis.
Reducing dietary intake of phosphorus is one of the most important steps in preventing bone disease.
If diet, medications, and dialysis can’t control parathyroid hormone levels, a surgeon can remove one or more of the parathyroid glands."
And from the same NIDDK site: https://www.niddk.nih.gov/health-information/kidney-disease/mineral-bone-disorder
From the National Kidney Foundation, here is their take on the issue: https://www.kidney.org/atoz/content/MineralBoneDisorder
And from Mayo Clinic, their discussion on Chronic Kidney Disease includes the complication of bone loss https://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/syc-20354521
Our kidneys do so much for our bodies! Who would have thought?!
Ginger
Replies to "@benjamin8161 I am curious what stage of Chronic Kidney Disease you are currently at, and the..."
@gingerw, Thank you so much for this excellent information and for the links as well. If bookmarked, can someone to return to it later to reread? As an active poster, I sometimes unintentionally delete an intended "saved" post. I will copy and paste the links to a word doc. "just in case" .
Thanks so much for your informative reply. I have stage 4 kidney disease and my nephrologist had me stop taking calcium. My calcium levels were normal. I have severe osteoporosis not taking any medication for it. Diagnosed with osteo over a year ago. Primary care and nephrologist have not spoken together yet.
Question?
I have 4th renal CKD RIGHT NOW I AM DOING-THE RENAL diet. My one kidney has stenosis causing other problems. Does insurance cover stem cell or renal stint
Thanks
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@gingerw, thanks for this. Too much phosphorus contributes to bone loss which is why monitoring phosphorus intake is so important on a renal diet. Animal protein binds phosphorus less than plant protein, meaning that on a vegetarian or plant-based diet, phosphorus is natutally "bound" and is not as readily absorbed by the body as animal-based. Therefore the kidneys don't have to work so hard to filter out excess phosphorus. Read labels as there are hidden phosphates in many, many foods like pyrophosphate and phosphate-containiing baking powder. One way to limit phosphorus is to use baking soda and vinegar instead of baking powder even though this substitute is higher in sodium. Another reason to have small portions of certain foods. . . My three recipe collections address this issue to varying degrees. Boring statistics literally can help with quality of life as well as longevity.