Essential Amino Acid Supplements

The building blocks of protein are called amino acids. Proteins are composed of long chains of amino acids, with the chains folded in complex ways. Twenty different amino acids that are used in building proteins are known. Almost all of these 20 amino acids are found in almost all proteins, in differing sequences. These different sequences cause the chains to fold in different ways, bringing about myriad different functions. Of these 20 amino acids, 12 can be synthesized by the body from...

Is Remission of Kidney Failure Possible

There has been a lot of talk recently about remission of chronic renal failure. A decrease in the loss of protein in the urine, in the absence of kidney failure, or when the kidney disease is acute, certainly does occur. But a small scarred kidney is not going to grow back into a normal one, no matter what. There is no such thing as remission of chronic renal failure. However, arresting the progression of the disease is a real possibility, as shown by a number of publications and by several...

When Should You Start Dialysis

In my opinion, many people are started on dialysis too early in their kidney failure. Dialysis should be avoided as long as possible. In recent years, doctors have begun starting patients on dialysis earlier and earlier, in the hope of thereby reducing some of the complications of dialysis. Because it has been demonstrated repeatedly that late referral by a primary care doctor to a nephrologist increases the subsequent morbidity and mortality of patients, some doctors have inferred that...

Ketoconazole and Low Dose Prednisone

Ketoconazole Nizoral has been used extensively to treat fungal infections for a number of years. Ketoconazole also is used in renal transplant recipients to reduce the rate of metabolism of cyclosporine, thereby lowering the dosage requirement of this expensive drug. Ketoconazole inhibits the synthesis of cortisol, the main glucocorticoid hormone produced by the adrenal cortex. High rates of production of cortisol are associated with faster progression of chronic renal failure, while low rates...