Multi vitamin and CKD

The Mayo surgeon who saved my kidney told me to discontinue my daily myltivitamin..strive toward 5-10 servings of fruits & veggies daily (I'm still not there yet!😇)

@mkhogan I take Renavite, a daily vitamin geared towards kidney patients. Yes, it is a bit pricey. But it is what my nephrologist recommended. I purchase from Amazon; it is packaged 100 to a bottle, and suggested dosage is one a day.
https://www.amazon.com/Rena-Vite-Tablets-100-Bottle-Bottles/dp/B076TTZK48.
Ginger

Thank you Ginger for your information. I will strongly consider switching to this. Every bit helps!

@gingerw
Why should any of the vitamins or minerals be loaded to over 100% of recommended?

Last March my eye doctor started me on AREDS 2, which had more than 2,000x my RDA of copper and high zinc (switched to Macuhealth); my multivitamin addes another 1,000x. I started having colitis flares but assumed that was just my wonky inflammed body. My kidney function before was stage 3a, and by July was 3b, and my MGUS turned into smouldering multiple myeloma (SMM). Eight months later, I stopped the AREDS and the multivitamin and switched to B complex. I don't know if the very high levels of copper and zinc influenced the inflammation, CKD, and/or SMM, but that is a problem when we have complex health issues, is there cause and effect, or just chance.

Each person is different - keep that in mind as I add my comments. The only supplements I've been instructed to take are: Fish oil for cholesterol-triglycerides. Vitamin D3 - 1,000 IU or less. Melatonin for sleep 3 mg. My primary doctor, nutritionist and nephrologist have all said you get everything you need from what you eat during the day. If I am feeling a bit fatigued, or like I might be coming down with some cold/flu, I'll take a half of Centrum Silver for a boost on some of the trace minerals, or a boost in iron, but that is seldom. AGAIN, each person is different, listen to the advice from your care team.

@4boyss That's a good question! It is my thought, and remember please, I am not a medical professional, that our bodies respond to differing inputs of vitamins and minerals. When we are not feeling well, or dealing with chronic conditions, we may not process them well, if at all. Relying on diet intake to get our needed supplements seems to be good in a perfect world, but if we are not keeping a good diet or intake, we might be left wanting for what our bodies need to operate. Sometimes we have health conditions that require higher doses of a particular vitamin or mineral, due to depletion from medications.

In my own personal case, potassium is often a challenge in patients with CKD. But, I actually take potassium supplements! We recently reduced my prescription of [3] 20meq potassium tablets a day, to one a day, and ramp up dietary potassium. So, now I get to indulge in potatoes, bananas, and orange juice again! My nephrologist would rather I get my potassium through diet.
Ginger

@kayabbott
Areds3 a new formula has just come out with very high levels of B vitamins. May present the same issues as the high zinc levels.

@sjs1 Thanks. It likely depends on which B vitamin(s), the concentration relative to RDA, and one's health issues. B vitamins are water soluble, so should be flushed from the body faster than A, E, or other oil-based vitamins. I take some vitamins just because I am at risk of malabsorption due to celiac and collagenous colitis diseases. https://my.clevelandclinic.org/health/drugs/23803-vitamin-b-complex-tablets-or-capsules

@gangcarotid1
I was told the same thing. Absolutely no OTC vitamins. Since my transplant, I now take a B12 which is monitored by the transplant team via routine bloodwork.