​We are what we eat! And proper nutrition is the key essential step for managing CKD and ESKD.  Reducing the burden of other diseases associated with kidney disease such as hypertension, diabetes, and early atherosclerotic disease (heart attacks and strokes), a good diet is essential.

Patients with CKD, and patients opting for conservative management, may attempt the Very-Low Protein Diet with essential keto-amino acid supplementation program, and coupled with regular dietitian follow-up.

In pre-dialysis ESKD patients and patients already on dialysis, good nutrition is needed to prevent complications, in particular infections, and muscle wasting.  Regular assessment using tools such as bioimpedance spectroscopy, blood test for nutrition markers (albumin and pre-albumin), and body measurements help us to prescribe the most appropriate diet and supplements.