#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 11 March 2024

⏱️ 53 minutes

🔗️ Recording | iTunes | RSS

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Summary

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl!

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Show Segments

Time stamps refer to the ad-free version

00:00 Introduction and Guest Bio
07:46 Case Presentation
08:42 Initial Approach to CKD Management
09:10 Metabolic Acidosis in CKD
13:30 Consequences of Metabolic Acidosis
22:28 Administration of Bicarbonate
23:54 Alternative Options for Bicarbonate Repletion
24:47 Citrate and Bicarbonate
26:02 Sodium Bicarbonate for CKD
30:19 Dietary Modifications
33:35 Renal Diet
38:20 Counseling CKD Patients
41:39 Veverimer and Other Treatments
44:36 Mistakes and Pitfalls
46:55 Conclusion

Credits

Writer and Producer: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art and Infographic: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Timothy Yau MD

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Transcript

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0:00.0	Hey listeners it's 2024 and we are so excited for everything ahead this year.
0:05.5	If you haven't done so already make sure to check out our Patreon at
0:09.1	Patreon dot com slash curbsideers where you can get access to bonus episodes we've already
0:13.9	released 18 of them and they come out twice a month plus you can get access to
0:18.0	add free episodes and our private discord server to hang out with other members of
0:22.4	the cashlack community.
0:23.7	That's Patreon.com slash curbsiders.
0:27.0	All right, watto.
0:31.0	I hate how much I like this one. What do you call an acid with a bad attitude?
0:40.0	I don't know. Amino acid. All right Paul, I have a different one.
0:49.3	Paul, throwing acid is wrong.
0:52.3	In some people's eyes.
0:54.4	All right, a little darker than what would have expected.
0:58.6	All right.
0:59.6	Yeah, I thought it was okay.
1:01.5	All right, thanks. Once again, I gotta just say punstoppable.com just I love
1:07.3	that's I love that site it's great
1:11.9	the curbsideers podcast is for Entertainment, Education and Information
1:14.3	Prepises Only and the topics discussed should not be used solely
1:16.1	a diagnose, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on
1:19.2	this podcast are solely those of the hosts and should not be interpreted for official policy or
1:21.6	position of meaning entity aside from possibly cash-like moral hospital and affiliate outreach programs.
	...

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