Definition
Kidney disease can disturb phosphate, calcium, vitamin D and parathyroid hormone regulation.
Symptoms
Often silent; some patients develop bone pain, weakness or fractures.
How it may be discovered
Laboratory monitoring in chronic kidney disease.
When to seek care
Discuss results with the kidney team; avoid unsupervised high-dose calcium or vitamin D.
Investigations and tests
Stage-appropriate calcium, phosphate, parathyroid hormone and selected vitamin D testing.
Reaching a diagnosis
Results and trends are interpreted together rather than using one value alone.
Treatment options
Individual nutrition advice and selected treatments to correct imbalance, monitoring for both deficiency and excess.
These kidney guides are educational. Medical kidney disease may require coordinated care with a nephrologist.
Explore this topic further
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