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Expert Study Guides & Clinical Resources.
Real answers. Plain language. Evidence you can trust.

Evidence-based guides by a practising nephrologist — for patients and their families.

196Guides
12Specialties
4Languages
204Calculators
KDIGOEvidence basis
850,274,891
People with CKD — worldwide
10,823,047
In the Philippines
82,000
On dialysis — Philippines
Est. · ISN/KDIGO 2023 · NKTI/PRDR 2024 · Updates in real time
How the counter ticks. No registry feed exists for live CKD or dialysis numbers. Each row uses the latest published baseline (ISN/KDIGO 2023 for prevalence; NKTI/Philippine Renal Disease Registry 2024 for dialysis census) and extrapolates forward at the observed annual growth rate, ticking once per second. So the climb you see is the projected pace — the underlying counts are real, the second-by-second motion is arithmetic.
For educational purposes only. These guides do not substitute for individualized advice from your physician. Always consult your nephrologist or primary-care doctor before changing medications, diet, dialysis, or treatment. By proceeding, you acknowledge that this content is informational and not personalized medical advice.

This library contains over 100 evidence-based guides — and growing — on kidney disease, dialysis, diabetes, hypertension, nutrition, and related conditions — written in plain language by a practising Filipino nephrologist. Every guide is built around the medicines, foods, and healthcare system you actually use. They are designed to be read alongside your doctor, not instead of one.

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Type any symptom, drug name, lab test, or condition into the search bar in the hero above — results update instantly.
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Follow your path
Use the Start Here — I Have… tiles below to get a curated reading order matched to your diagnosis (CKD, dialysis, diabetes, etc.).
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Every guide supports English, Tagalog, Cebuano, and Kapampangan. Look for the language buttons at the top of each page.
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Most guides include a downloadable PDF companion and built-in interactive tools — calculators, trackers, and log sheets you can print.
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A note from the author: This is a personal project by W Rivero, MD, built and maintained with the guidance of colleagues and friends in medicine and technology. New guides are added regularly. If you spot an error, have a suggestion, or simply want to reach out — I'd genuinely love to hear from you. Scan the QR code or email me at admin@williamriveromd.com.

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Kidney Function eGFR Calculator (CKD-EPI 2021) Risk Prediction Kidney Failure Risk (KFRE) Drug Dosing Creatinine Clearance (Cockcroft-Gault) Dialysis Dialysis Adequacy (Kt/V & URR) Bone & Mineral CKD-MBD (Ca, Phos & PTH) Acid–Base Anion Gap & Acid–Base
Latest and updated guides
New guide Incremental Dialysis: Starting With the Kidney Function You Still Have · W Rivero, MD Incremental Dialysis — starting with the kidney function you still have: two hemodialysis sessions a week, stepping up to three when needed, a guide by W Rivero, MD New guide Kidney Stress Tests: AKI Biomarkers in Routine Care · W Rivero, MD Kidney Stress Tests: AKI Biomarkers in Routine Care — when a urine test changes kidney care after major surgery, a guide by W Rivero, MD New guide Diabetes Tests: What Do the Numbers Mean? Diabetes Tests: What Do the Numbers Mean? — renalcarematters.com New guide Metabolic Reprogramming in Diabetic Kidney Disease: From Fuel Selection to Ferroptosis Metabolic Reprogramming in Diabetic Kidney Disease: From Fuel Selection to Ferroptosis — renalcarematters.com New guide Strengthening Kidney Resilience to AKI · W Rivero, MD Strengthening Kidney Resilience to AKI — protect your kidneys during illness, before procedures, and after acute kidney injury, a guide by W Rivero, MD New guide Eosinophilia and Kidney Disease: When the Count Changes the Workup Eosinophilia and Kidney Disease — a clinician guide, showing a kidney with an enlarged interstitium where eosinophils with orange granules gather beside a tubule. New guide When Kidney Function Falls in Cirrhosis — A Bedside Guide to HRS-AKI When Kidney Function Falls in Cirrhosis — a clinician guide to HRS-AKI by W. Rivero, MD New guide Dialysis Decisions in the ICU: AKI, Prognosis & Time-Limited Trials · W Rivero, MD Dialysis Decisions in the ICU — what dialysis can do, three prognoses, and the time-limited trial, a guide by W Rivero, MD Updated guide Green Nephrology 2026 — How Sustainable Kidney Care Begins Before Dialysis · W Rivero, MD Green Nephrology 2026 — sustainable kidney care begins before dialysis. Updated guide Innovative Technologies in CKD Updated guide Cardiovascular-Kidney-Metabolic Syndrome: Your Heart, Kidneys and Metabolism Are Connected · W Rivero, MD CKM Syndrome: Heart, Kidney & Metabolic Disease, Connected — williamriveromd.com Updated guide Hurt Without Harm: A Guide to Safe Pain Relief in Kidney Disease Updated guide Advance Care Planning for Dialysis Patients Updated guide Your Microbiome & the Role of Biotics in Health Updated guide Physical Exercise Guide for CKD Patients Updated guide The Vegetables Were Never the Enemy — Plant-Forward Diet in Advanced CKD · W Rivero, MD Plant-forward Filipino renal plate — vegetables, fruit, fish, legumes — for advanced CKD Updated guide New Therapeutic Agents for CKD New Therapeutic Agents for CKD — SGLT2 inhibitors, finerenone, sparsentan, GLP-1 agonists, and emerging kidney-protective therapies. williamriveromd.com Updated guide Red Alert: Blood in Your Urine — When to Worry, When to Wait Blood in Urine (Hematuria): Causes, When to Worry, and What Tests to Expect — Patient and Clinician Guide Updated guide When Kidney Disease in Diabetes Is Not Diabetic Kidney Disease Diabetes and kidney disease — a three-way diagnostic fork: diabetic nephropathy alone, diabetic nephropathy plus another process, or another process without diabetic nephropathy. Updated guide Viral Infections & Vaccinations in CKD Updated guide AKI Does Not End at Discharge: 90-Day Recovery Guide · W Rivero, MD AKI Does Not End at Discharge — the 90-day pathway to recovery, AKD, or CKD, a guide by W Rivero, MD Updated guide KDIGO Blood Pressure Target in CKD: standardized office measurement matters A validated upper-arm cuff beside a measurement checklist and the number 120 — 120 is a protocol, not just a number. Guide by W Rivero, MD. Updated guide Heart Failure & Chronic Kidney Disease A heart and a kidney joined by a single looping blood vessel — the two-way cardiorenal connection New guide Getting Fit for a Kidney Transplant: Prehabilitation, Nutrition and Recovery · W Rivero, MD Getting Fit for a Kidney Transplant — renalcarematters.com New guide Nephrotic Syndrome: When the Kidney Filter Leaks Protein · W Rivero, MD Nephrotic Syndrome: When the Kidney Filter Leaks Protein — renalcarematters.com New guide Anti-GBM Disease (Goodpasture Disease): A Kidney and Lung Emergency · W Rivero, MD Anti-GBM Disease (Goodpasture Disease) — renalcarematters.com New guide Cancer Treatment and Your Kidneys: Chemotherapy, Kidney Injury and Safe Dosing · W Rivero, MD Cancer Treatment and Your Kidneys — renalcarematters.com New guide Fever and Kidney Injury in the Tropics: Scrub Typhus, Malaria, Leptospirosis and Dengue Fever and Kidney Injury in the Tropics: scrub typhus, malaria, leptospirosis, and dengue, over a Philippine rice-field landscape. New guide AL Amyloidosis and Your Kidneys · W Rivero, MD AL Amyloidosis and Your Kidneys — renalcarematters.com New guide Born Small, Kidneys for Life · W Rivero, MD Born Small, Kidneys for Life — renalcarematters.com
196 guides Highlighting patient picks Highlighting internist/GP picks Highlighting nephrologist picks Highlighting caregiver picks Highlighting dialysis-staff/HD-tech picks Highlighting dietitian picks
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Nephrology & Kidney Disease 64 ▾
Kidney Basics, Testing & When to See a Nephrologist17
Your Amazing Kidneys — Normal Physiology
Pre-Dialysis
Immersive guide to what healthy kidneys do — filtration, reabsorption, endocrine signaling.
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Your Kidneys: The Master Regulators of Your Body
Pre-Dialysis
The 20 vital jobs healthy kidneys do — from fluid, salt, and blood pressure to hormones, bone, and heart protection.
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Kidney Energy — ATP, Mitochondria & Fatty Acids
Pre-Dialysis
How kidney cells make and spend ATP — and why kidney protection is about the machinery, not more fuel.
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The Nervous System of the Kidney
New
The two-way circuit between brain and kidney — sympathetic and sensory nerves, the renorenal reflex, renal denervation evidence, and the new 2026 CGRP repair biology. Evidence-graded throughout.
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Nephrology Visual Atlas — Anatomy, Conditions, Procedures & Embryology
New
67 illustrated cards across 4 tabs — kidney gross anatomy, nephron ultrastructure, imaging modalities, medical conditions, procedural techniques, and developmental embryology.
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Why Kidney Disease Is Silent — and Where the Hope Is
New
Why you can lose most of your kidney function and feel fine — a normal creatinine, no pain — and how the same adaptability is where the hope lives.
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Signs It's Time to See a Kidney Doctor — Sooner Than You Think
New
Eight quiet signals, six louder ones, who should be checked even without symptoms, and why timing changes everything.
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Preparing for Your First Nephrologist Visit
PhilippinesPre-DialysisSystem Nav
What to bring, what to ask, and what to expect — an interactive question builder and pre-visit checklist.
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Symptom Checker — When Should You Worry?
New Decision Tool
4-band triage for kidney, heart & diabetes patients. ER / same-day / urgent / routine recommendations.
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Lab Results Interpreter — What Do Your Numbers Mean?
New Calculator
Instant colour-coded interpretation against KDIGO 2024, ACC/AHA 2026, ADA 2025. 7 panels, 19 derived calculations.
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How to Properly Assess Your Kidney Function
New
Creatinine is measured, eGFR is estimated, GFR can be measured — and filtration is only part of kidney health. A patient + clinician guide, with calculators.
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Red Alert — Blood in Your Urine: When to Worry, When to Wait
Updated New Glomerular Dse
Gross vs. microscopic hematuria, three-tube test, IgAN pattern, when cystoscopy is needed.
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Unlocking Urine Electrolytes
New
Serum shows the problem; urine shows the kidney's response. Read urine Na, Cl, K, osmolality, and FENa/FEUrea as one physiologic pattern — with the specimen-timing rules and failure modes that decide whether the number means anything.
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Understanding Your Lab Results
CalculatorSystem Nav
Plain-language decoder for common blood and urine tests — what each number means.
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The Lab-to-Action Card
New
Your number changed — find it, read the color, do the action. One-page quick reference for six common kidney labs.
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The Silent Kidney: Compensation, Concealment & Renal Plasticity
New Clinician
Why CKD is asymptomatic by mechanism, not chance — reserve, magnification, creatinine hypersecretion — and the plasticity windows that stay open. With algorithms and full citations.
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Personal Medical Journal & Health History
New Philippines Prevention
Build the four records that let any clinician read your health story in a minute — a one-page current summary, an accurate medicine list separating prescribed from actually taken, a lifetime timeline, and an organized archive.
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CKD — Causes, Blood Pressure & Slowing Progression13
Taking Charge of CKD: Understanding Your Kidney Disease
Pre-Dialysis
Stages 1–5, classification, progression, and strategies to keep kidneys working longer.
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Slowing CKD Progression
CalculatorPre-Dialysis
Drug classes, lifestyle targets, illustrated glomerulus-protection mechanisms.
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Top 5 Mistakes CKD Patients Make
Pre-Dialysis
Most common and preventable mistakes causing avoidable progression and dialysis complications.
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CKD Statistics: Philippines, Asia & World
PhilippinesSystem Nav
12.94 million Filipinos with CKD, 64,845 on dialysis in 2024, NKTI & DOH data.
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Proteins & Proteinuria
CalculatorPre-Dialysis
Why protein leaks into urine, correct measurement, RAAS and SGLT2i treatment.
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Diabetes Is Not Always the Diagnosis
Updated New
When kidney disease in a person with diabetes deserves a second look — the mismatch signals, what a biopsy can show, and what a major 2026 biopsy study proves, suggests, and cannot prove.
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Cardiovascular-Kidney-Metabolic Syndrome — Your Heart, Kidneys and Metabolism Are Connected
UpdatedDiabetes
CKM stages 0–4, why the kidney sits in the middle, testing eGFR with UACR, and therapy by indication. Revised to the 2026 KDIGO review.
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Obesity, Overweight & CKD — Why BMI Alone Misleads
UpdatedCalculatorDiabetesNutrition
Asian-Pacific BMI cutoffs, hyperfiltration, MASH proteinuria, GLP-1 evidence, dialysis paradox.
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The Silent Scarring: Hypertensive Kidney Disease
HypertensionPre-Dialysis
How decades of uncontrolled BP silently scars kidneys — #2 cause of ESKD in the Philippines.
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The 120-mmHg Problem: What BP Target Does KDIGO Really Mean?
UpdatedHypertensionPre-Dialysis
KDIGO's below-120 systolic target is a standardized-office goal for selected adults with non-dialysis CKD, when tolerated — not a universal number. A measurement-first guide with two interactive tools.
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When Blood Pressure Stays High: Difficult-to-Control & Resistant Hypertension
HypertensionPre-Dialysis
Why BP stays up despite medicines — measurement, adherence, hidden salt, primary aldosteronism — and the evidence for the fourth drug, with a Philippine medication hierarchy.
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Born Small, Kidneys for Life
New
Birth weight, prematurity, and growth restriction: kidney reserve, the 2026 Danish AKI study, NICU-graduate follow-up, and a birth-history visit planner.
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Diabetes & Your Kidneys
CalculatorDiabetesPre-Dialysis
How diabetes damages kidneys through hyperfiltration and glycation, protective drugs.
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Metabolic Reprogramming in DKD: From Fuel Selection to Ferroptosis
NewDiabetes
How diabetic kidneys change fuel use, why lipid damage may injure tubules and podocytes, and which treatments have evidence for protecting kidney function.
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Glomerular, Genetic, Stone & Other Kidney Diseases13
Glomerulonephritis: When Kidney Filters Become Inflamed
Glomerular Dse
IgAN, lupus nephritis, FSGS, ANCA vasculitis — biopsy, types, treatment illustrated.
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IgA Nephropathy — The Kidney Disease You Didn't Know You Had
Updated New Glomerular Dse
KDIGO 2025 algorithm, full drug table, referral criteria, SAR access pathway.
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Nephrotic Syndrome
New
When the kidney filter leaks protein: the three adult causes, new antibody tests, 2026 steroid and obinutuzumab trials, and bedside tools.
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Anti-GBM Disease (Goodpasture Disease)
New
A kidney and lung emergency: warning signs, same-day testing, plasma exchange, recovery odds, and the variant forms that break the textbook pattern.
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AL Amyloidosis and Your Kidneys
New
Why blood remission is only part of recovery: typing, response domains, the 2026 macrophage study, and tools to keep follow-up comparable.
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Tubulointerstitial Kidney Disease
New
Beyond the glomerulus: tubulointerstitial nephritis is a pattern, not a final diagnosis and not automatically a drug reaction. Recognize tubular dysfunction, run the eight-category differential, exclude infection and obstruction, and biopsy when it changes management — Philippine practice.
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Eosinophilia and Kidney Disease
New
For patients and clinicians. When the count changes the workup: eosinophilia with AKI, CKD, dialysis, or allograft dysfunction. Red flags, the sediment-and-timeline branch, biopsy and steroid decisions, EGPA and HES trials, and the Strongyloides check before steroids.
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Stone Smart: Managing Kidney Stones
CalculatorCalculus
Pass it, prevent it — stone types, MET, procedures, precision dietary strategies.
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Kidney Cancers: Early Detection. Accurate Staging. Life-Changing Outcomes.
RCC, urothelial carcinoma, Wilms tumor — why incidental imaging discovery changes survival.
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Cancer Treatment and Your Kidneys
NewOncology
Kidney-safe chemotherapy: which drugs need extra care, how GFR should set the dose (ADQI 34, ADDIKD), methotrexate rescue, chemo TMA, and dosing with CKD or dialysis.
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Herbal Nephropathy
PhilippinesPrevention
Star fruit, aristolochic acid plants, tawatawa, high-dose Vitamin C — kidney-damaging herbs.
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When Complement Injures the Kidney: C3G, aHUS/CM-TMA & IC-MPGN
New Glomerular Clinician
One immune cascade, several diseases. Why a low C3 is a clue not a diagnosis, why MPGN is a pattern not a cause, what LM/IF/EM biopsy and genetics can and cannot prove, the 2025 iptacopan and pegcetacoplan trials, C5 blockade for aHUS, and infection safety — with U.S. labels kept separate from Philippine access. Dual patient/clinician modes.
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Lupus Nephritis — When Your Immune System Attacks Your Kidneys
UpdatedGlomerular Dse
ISN/RPS classes I–VI, biopsy, induction therapy, belimumab, voclosporin, Philippines context.
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Polycystic Kidney Disease (PKD)
CalculatorPre-Dialysis
ADPKD/ARPKD, two-hit model, PKD1/PKD2, tolvaptan therapy, aneurysm screening, family guidance.
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CKD Complications — Blood, Bone, Electrolytes & Skin13
Anemia in Kidney Disease: Iron, EPO & Energy
UpdatedCalculator
EPO deficiency cascade, iron-first principle, ESA targets, dialysis-specific approach.
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More EPO Isn't Better: ESA Dose & Cancer Risk
New Calculator
Reaching the KDIGO hemoglobin target is the goal; pushing past it (even on covered EPO) carries real, dose-related risk — including a 2026 cancer signal in older dialysis patients. Embeds ESA initiation, dose-adjustment & iron calculators.
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EPO-Resistant Renal Anemia: ESA Hyporesponsiveness in CKD
New
Why hemoglobin stalls on escalating EPO doses — the hepcidin–iron axis, KDIGO 2026 targets, a cause-directed workup, and an integrative therapy ladder (iron, HIF-PHI, vitamin D, L-carnitine).
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Thalassemia and Kidney Disease
New
Genetics, iron overload cascade, lab pitfalls, chelation dosing in CKD, KDIGO 2026 targets — Filipino context.
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CKD-MBD: Silent Sabotage of Bone & Blood Vessels
Calculator
Calcium, phosphorus, PTH, vitamin D disruption — bone loss and arterial calcification.
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Vitamin D in the Philippines: The Sunshine Paradox
Patient + Clinician
Why sunlight isn't the whole story — the skin–liver–kidney activation chain, testing, and safe treatment in CKD.
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CKD-Associated Osteoporosis: One Umbrella for Bone & Vessel
New
Turnover-stratified diagnostics, evidence-honest drug selection, KDIGO 2017/2025 framing — closing the fracture-treatment gap in CKD.
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Metabolic Acidosis in CKD — The Silent Bicarbonate Drop
Pre-Dialysis
Bicarb <22 accelerates CKD, weakens bones, worsens hyperkalemia. Inexpensive fix: sodium bicarbonate.
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Potassium & Hyperkalemia in CKD
Philippines
Why CKD raises potassium, EKG changes, Filipino foods to avoid, full medication guide.
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Thyroid Disease and Kidney Health
CalculatorNew
How CKD affects thyroid function, TSH interpretation pitfalls, when to treat subclinical hypothyroidism, and 6 clinical tools.
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Epilepsy & Seizures in Kidney Disease
NewCalculator
AED dose adjustments by eGFR, free phenytoin correction, levetiracetam dosing calculator, and status epilepticus protocol for CKD patients.
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The Itch That Should Not Be Scratched: Uremic Pruritus
60–70% of dialysis patients have chronic itch — full treatment ladder from creams to difelikefalin.
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Why Is My Skin Getting Darker? Skin Changes in CKD & Dialysis
Philippines
50–100% of dialysis patients develop skin changes — three root causes, lower-leg darkening, four-tier management, six warning signs.
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Dialysis 35 ▾
Preparing for & Living with Dialysis9
Staying Well on Dialysis — What Every HD Patient Must Know
Updated
Per-session expectations, diet & fluid, KDIGO 2024 targets, access protection.
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Dialysis in the Elderly: What Patients and Families Need to Know
Updated
Frailty, functional decline, Clinical Frailty Scale, when conservative management is more compassionate.
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Travel Guide for Dialysis & CKD Patients
System Nav
Safe travel with kidney disease — arranging dialysis abroad, PD travel, pre-travel checklist.
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When Should Dialysis Start? Symptoms & Safety Over One eGFR
New Philippines System Nav
There is no magic eGFR. Start for a clinical reason, prepare before a crisis, and keep reassessing — with a readiness organizer, visit-question builder, KDIGO/IDEAL evidence, a separate AKI pathway, and a clinician algorithm.
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Incremental Dialysis: Starting With the Kidney Function You Still Have
New Philippines
Twice-weekly hemodialysis or lighter PD when measured kidney function allows — how Kru is measured, what the team watches, when to add the third session, and the 2025–2026 evidence.
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Preparing for Dialysis — The 12-Month Window That Changes Your Outcome
5 Tools Philippines Pre-DialysisSystem Nav
5 interactive decision tools: dialysis-or-CKM, AVF/AVG/catheter, HD/PD, transplant, PhilHealth estimator.
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Advance Care Planning: Making Your Voice Heard Before the Crisis
UpdatedPhilippinesSystem Nav
Understanding choices, documenting wishes, dialysis withdrawal, Philippine legal context.
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El Niño & Extreme Heat: Survival Guide for Dialysis Patients
Calculator Philippines
Heat paradox, brownout HD/PD protocols, medication storage, live heat-risk calculator.
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Typhoon & Disaster Preparedness for Dialysis Patients
Updated Philippines
PAGASA signal-level action plans, go-bag essentials, missed session diet, PD storm protocols.
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How to Transfer Dialysis Centers or Change Nephrologists Safely
New Philippines System Nav
Patient rights, PSN HPEF form, step-by-step transfer, templates, red flags, readiness checklist.
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HD Prescription, Adequacy & Technique10
Fluid Management & Interdialytic Weight Gain
Calculator
Hidden sodium in Filipino foods, weekend gap danger, personalized UF rate estimates.
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Finding Your True Dry Weight
NewCalculatorPhilippines
Why dry weight keeps changing, why bioimpedance is a trend not a verdict, and how the team triangulates the signals — believe the patient.
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Hemodialysis Modalities Explained
Conventional HD, HDF, home HD, PD, CRRT, SLED — mechanisms, clearance, patient selection.
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Hemodiafiltration Deep Dive: What the Evidence Has Taught Us
New
From CONTRAST to CONVINCE — landmark RCTs, dose-response, 23% mortality reduction, and 2025 EuDial consensus on high-volume HDF.
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Maximizing Your High-Flux Hemodialysis Benefits
New
Why QB ≥300 mL/min is non-negotiable — middle-molecule clearance, β2M accumulation, back-filtration risk, and the hidden cost of under-used high-flux membranes.
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Is My Dialysis Working? Understanding Dialysis Adequacy
Calculator
Kt/V and URR explained, KDIGO 2024 targets, interactive spKt/V Daugirdas calculator.
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Understanding Your Dialysis Prescription
New
Every number on your dialysis order explained — Kt/V, UFR limits, parameters, dose adjustment triggers.
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Iso-UF, Sodium & UF Ramping — Clinician's Prescription Guide
New
Mechanism-driven selection and prescription framework for hemodynamically vulnerable HD patients — iso-UF, dialysate Na profiling, UF ramping, with copy-ready order-sheet worksheets and KDIGO-aligned harm framing.
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Volume, BP & Hemodynamic Tolerance in Maintenance HD — Clinician's Guide
New
Congested, hypotensive, or both? Separate congestion from UF intolerance, use measurement-specific BP targets, and read UFR, sodium, cooling, MRA and volume-tool trials at their true strength — with seven review pathways, transparent calculators and eight teaching cases.
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Precision Dialysis: From the Average Patient to You
New
Why one prescription fits people differently — and how goals, symptom timing, and daily life become a plan your team can review.
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Dialysis Unit Operations & Safety6
Hemodialysis Machine Assignment by Serology
NewDecision Tool
Which machine for which patient — HBV/HCV/HIV allocation logic, window-period pitfalls, seroconversion protocol, and interactive decision tools per PSN 2024 and DOH AO 2012-0001.
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Dialyzer Reuse in Modern Times: Is It Making a Comeback?
New Philippines
A deep-dive companion to Green Nephrology 2026 — what dialyzer reprocessing actually is, why Japan/Australia/EU banned it, why KDIGO 2026 cautiously revived the conversation, the germicides, the QA metrics (TCV ≥ 80%, integrity, residual), and the six questions to ask your unit.
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Antibiotic Stewardship in Hemodialysis: Using Antibiotics Wisely
New Philippines
Fever during dialysis does not automatically mean an antibiotic. Why blood cultures come first, how dialysis reshapes dosing, the 48–72-hour antibiotic timeout, source control, and preventing catheter and bloodstream infection.
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Dialysis Center Quality Management: QAPI vs. CQI
New Calculator
QAPI and CQI drawn cleanly, then run as one monthly loop — the regulatory crosswalk, the five QAPI elements, the CQI engine, a full KPI dashboard with targets, and a built-in scorecard that turns the monthly meeting into a decision.
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Hemodialysis Water Treatment Systems — Clinical & Engineering Reference
New
RO and ultrafiltration design, source-water-specific builds (municipal, deep well, brackish, hard water), capacity sizing, isolation-bay/HDF/dual-pass RO specs, AAMI/ISO 23500 limits, and troubleshooting — for dialysis nurses, technicians, and nephrologists.
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Efficient Handling of Code Blues & ACLS in a Dialysis Unit
New
A clinical playbook for cardiac arrest on the dialysis floor — circuit management, defibrillation around the machine, empiric hyperkalemia treatment, team roles, and a downloadable recording flowsheet.
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Acute Kidney Injury & Critical Care Nephrology 9 ▾
Acute Kidney Injury — Causes, Recovery & Follow-up6
Kidney Stress Tests: AKI Biomarkers in Routine Care
New
When a urine stress test (TIMP-2×IGFBP7, NGAL) changes care after major surgery — how to read it with KDIGO staging and what to do next.
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Strengthening Kidney Resilience to AKI
NewPre-Dialysis
Protect your kidneys during illness, before procedures, and after an acute kidney injury — sick-day plans, surgery and contrast, and recovery checks.
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AKI Does Not End at Discharge
UpdatedNewPre-Dialysis
The 90-day pathway from AKI to recovery, AKD, or CKD — follow-up timing, medication restart, and dialysis recovery.
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When Creatinine Rises After Fenofibrate
NewPrevention
Kidney injury, a reversible drug effect — or something in between? What ACCORD & FIELD show, and when a creatinine rise needs a real AKI work-up.
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Contrast-Associated AKI (CA-AKI)
CalculatorPre-DialysisPrevention
AKI after contrast is often associated, not caused — who is truly at risk, and why a needed scan should not be delayed.
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Kidney Injury from NSAIDs
Pre-DialysisPrevention
Why ibuprofen and mefenamic acid are dangerous — the triple whammy, safer alternatives by CKD stage.
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Neonatal Acute Kidney Injury: A Clinician Guide
New Clinician
Read the newborn creatinine as a trajectory, not a number — neonatal modified KDIGO staging, nephrotoxin stewardship (Baby NINJA), biomarkers, KRT escalation, and post-NICU kidney follow-up. With evidence labels and full citations.
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Acute Kidney Injury on Top of CKD (AKI-on-CKD)
Pre-Dialysis
KDIGO staging, pre-renal vs intrinsic vs post-renal, rhabdomyolysis, sick day rules.
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When Kidney Function Falls in Cirrhosis — A Bedside Guide to HRS-AKI
New
Recognize HRS-AKI in adults with cirrhosis and ascites. Reassess volume within 24 hours when resuscitation is indicated, select monitored vasoconstrictor therapy, and plan early transplant evaluation.
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Internal Medicine & Metabolic Health 10 ▾
Your Kidneys & Blood Sugar — Filter, Reclaim, Burn, Make
NewDiabetes
The kidney's four glucose jobs, why sugar normally stays out of urine, and how that physiology explains SGLT2 kidney and heart protection.
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Blood Sugar & Your Kidneys — Breaking the Glycemic-Renal Cycle
NewDiabetes
Individualized HbA1c targets, Filipino food & movement, and the SGLT2i/GLP-1RA medicines that protect both sugar and kidneys.
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Diabetes Tests — What Do the Numbers Mean?
NewDiabetes
A1C, fasting glucose, OGTT, glucose sensor reports and the two kidney tests: what each measures, when to repeat, and why A1C misleads in dialysis.
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Managing High Blood Pressure
CalculatorHypertension
How BP damages heart, kidney, brain — monitoring technique, medication classes, lifestyle targets.
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Dyslipidemia: 2026 ACC/AHA Guidelines
CalculatorPrevention
New LDL targets (<55 very high risk), PREVENT equations, stepwise statin→ezetimibe→PCSK9i.
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Heart & Kidney Connection — When Protecting One Saves Both
CalculatorHypertension
Cardiorenal cycle — how each organ accelerates failure of the other, drugs protecting both.
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Heart Failure & CKD — One Integrated Plan for Both Organs
UpdatedNewDiabetesHypertension
When heart and kidney fail together — the shared medicines (SGLT2i, finerenone, GLP-1), and why a small eGFR dip is no reason to stop. Based on the 2024 KDIGO conference.
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Gout — The Crystal Disease You Can Actually Conquer
CalculatorCalculus
Uric acid buildup in Filipinos, crystal kidney damage, why febuxostat preferred over allopurinol in CKD.
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When Your Prostate Blocks the Flow: A Guide to BPH
Calculus
BPH mechanisms, IPSS scoring, how obstruction damages kidneys, medications to restore flow.
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Prostate Cancer and Kidney Disease
Oncology
How CKD affects PSA, treatment nephrotoxicity, and managing kidney health through prostate cancer care.
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GLP-1 Drugs & Your Kidneys: What Ozempic Means for CKD
UpdatedPhilippinesDiabetesPre-Dialysis
FDA 2025 semaglutide approval — FLOW trial, who qualifies, muscle loss warning, Philippines cost.
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Infections & the Kidney 9 ▾
Why UTIs Keep Coming Back — And How to Finally Stop Them
CalculusPrevention
Recurrence, correct antibiotic approach, hydration strategies, danger in CKD and diabetes.
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Recurrent UTI as a CKD Peril
Pre-DialysisPrevention
2024–2025 evidence on UTI-driven kidney scarring, antibiotic dosing by eGFR, MV-140 vaccine.
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Hantavirus and the Kidneys — HFRS, AKI & CKD
New Philippines Calculator Pre-DialysisPrevention
Seoul virus in Philippine rats, the 2026 MV Hondius outbreak with Filipino crew, HFRS 5-phase timeline, global spread heatmap, and why CKD raises the stakes — the guide hantavirus finally deserves.
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Dengue & Your Kidneys — When Fever Becomes a Kidney Emergency
New Philippines Calculator Pre-DialysisPrevention
Dengue-AKI mechanisms, three-phase danger window, fluid paradox, CKD risk, red flags, and why mefenamic acid is dangerous.
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Fever and Kidney Injury in the Tropics — Scrub Typhus, Malaria, Leptospirosis & Dengue
New Philippines Calculator Prevention
Hub for febrile AKI: how four tropical infections injure the kidney, the eschar search, first-24-hour approach, INTREST, severe malaria, and dialysis choices.
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Leptospirosis After Flood Exposure — Act Early to Protect Your Kidneys
PhilippinesPrevention
What to do after wading in floodwater — 30-day symptom watch, ER red flags, and how leptospirosis can cause acute kidney injury.
›
Viral Infections & Vaccinations in CKD
UpdatedPhilippinesPrevention
Uremic immunoparalysis, 6 key viral threats, complete Philippine vaccination schedule with CKD doses.
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Tuberculosis and Kidney Disease
PhilippinesPrevention
CKD patients have 6–25× higher TB risk — renal TB, drug doses by CKD stage, rifampicin–tacrolimus interaction.
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HIVAN: The Kidney Disease You Can Fight Back Against
NewGlomerular Dse
HIV-associated nephropathy — collapsing FSGS, ART-first treatment, drug interactions, ESKD management, and screening protocols.
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Nutrition & Diet 30 ▾
Eating Smart with Diabetes — A Filipino Food Guide
New Philippines Calculator Diabetes
GI of Filipino rice varieties, sinangag hack, meal sequencing, 7-day plan, and drug-diet interactions for T2DM — built for the palengke, not a Western pantry.
›
Vinegar & Apple Cider Vinegar: What the Science Actually Says
NutritionDiabetes
Evidence on sukang paombong, sukang niyog, and ACV for diabetes, gout, metabolic syndrome, and MASLD — including an interactive decision tool and CKD safety guide.
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GDM Nutrition & Meal Planning — A Nephrologist's Perspective
Calculator Philippines DiabetesNutrition
What standard GDM counseling misses — 20-year kidney trajectory, rice strategy, 7-day meal plan.
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Cholesterol & the Filipino Diet
New Calculator Nutrition
Cholesterol biochemistry, why it rises, Filipino food choices that move your numbers.
›
The Plant-Forward Renal Diet
Updated New Nutrition
Why plant protein behaves differently from animal protein in CKD — lower bioavailable phosphorus, lower acid load, and a gut microbiome that makes fewer uremic toxins — with Filipino plant sources and practical swaps. Dual-mode, four languages.
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Plant Milk & Kidney Disease: The Hidden Additive Nobody Warns You About
NewNutrition
“Dairy-free” isn't “kidney-safe.” The real risk is in the ingredient list — phosphate additives, oxalate, arsenic, and protein dilution — plus why unsweetened soy is the surprise winner and how to screen any carton.
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Low-Carb & Keto: Fad, Fix, or Hazard for Your Kidneys?
NewNutrition
Is low-carb a fad or worth it — and is it safe for kidney disease? Weight, diabetes, and LDL vs the real dangers of high-protein/high-fat eating in CKD, dialysis, euglycemic DKA, and ADPKD — plus a Low-Carb Safety Planner.
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"Holiday Kidney Syndrome": Surviving Fiestas, Reunions & the Holidays
NewPhilippinesNutrition
Why the day after a stretched dialysis gap is the deadliest of the year — party food traffic light, the fruit trap, schedule planning, host tips, and a printable wallet card.
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30% Lower Risk of Dying — From One Dietary Change
NewPhilippinesNutrition
Fiber lowers LDL, controls blood sugar, protects kidneys, and cuts cancer risk — with a Filipino food reference table, CKD notes, and the prune/prune-juice/melon-milk verdict.
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Nutrition for Kidney Patients
PhilippinesNutrition
Stage-specific limits with Filipino meal plan guidance using palengke-available ingredients.
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Kain Pa Rin: CKD Nutrition Guide for Filipino Patients
NewPhilippinesNutrition
Protein, phosphorus, potassium, and sodium targets for CKD stages 3–5, with Filipino food tables, carinderia tips, and the critical nutrition pivot at dialysis initiation. Dual-mode (patient + clinician).
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Ketoanalogues: When Misuse Leads to Harm
NewNutrition
When ketoanalogues actually help — proper indications, dietary prerequisites, hypercalcemia monitoring, and why prescribing without protein restriction causes harm. KDIGO 2024-aligned.
›
Eating on Dialysis: What the Evidence Actually Says
NewPhilippinesNutrition
Protein targets, phosphorus binder timing, potassium individualization, intradialytic oral nutrition, and a practical Filipino food guide — based on KDOQI 2020 and ISRNM.
›
Nutrition Prescription Calculator
CalculatorNutrition
Personalized daily targets for protein, potassium, phosphorus, sodium, fluid, calories by CKD stage.
›
CKD Recipe Nutrition Analyzer (AI)
AI Tool Philippines Nutrition
Paste any recipe — instant Nutrition Facts label, CKD safety flags, AI-generated safer modifications.
›
Sodium & Salt Reduction — Your Most Powerful Daily Choice
Calculator Philippines HypertensionNutrition
Filipino diet runs 5–6g sodium/day — double the CKD target. Hidden sources, smart swaps.
›
CKD Nutrition Label Scanner
Scanner Tool Philippines Nutrition
Snap or upload any Nutrition Facts label — OCR reads it, flags CKD limits, suggests safer alternatives.
›
CKD-Friendly Filipino Recipes
PhilippinesNutrition
11 full recipes — Tinola, Sinigang, Paksiw and more — tagged pre-dialysis or HD with macros.
›
Iron — Fueling Every Red Cell in Your Blood
CalculatorNutrition
Iron cycle plate to red cell, three deficiency stages, ferritin paradox in inflammation, CKD IV iron.
›
Reading Nutrition Labels with CKD
PhilippinesNutrition
Philippine supermarket survival guide — spot hidden phosphate additives (E338–E452) and potassium chloride.
›
Meal Prep & Fast Food for CKD Patients on the Go
Updated Philippines Nutrition
Leaching guide, traffic-light ratings for Jollibee/McDonald's/KFC/Chowking, 7-day meal prep plan.
›
CKD-Friendly Regional Philippine Recipes
PhilippinesNutrition
12 recipes across 6 cuisines — Kapampangan, Ilocano, Ilonggo, Cebuano, Fil-Spanish, Fil-Chinese.
›
Ketogenic Diets & Chrononutrition in CKD
Nutrition
VLPD-ketoanalogue alternative, safety by CKD stage, circadian biology and kidney outcomes.
›
Phosphorus: The Silent Threat in CKD
Nutrition
Why phosphorus is dangerous in CKD, hidden phosphate additives, which binders to take and when.
›
Food & Kidney Toxins: What You Should Know
NutritionPrevention
Phosphate additives, purines, oxalate, AGEs — how Filipino foods generate kidney toxins.
›
Uremic Toxin Precursors in Diet
Nutrition
Indoxyl sulfate, TMAO — gut-derived toxins dialysis cannot remove and biotic strategies to reduce them.
›
Cooking Oils & Fats: What the Evidence Actually Says
NewPhilippinesNutrition
Rice bran oil, EVOO, coconut oil — ranked by evidence for CKD, diabetes, and dyslipidemia, with Filipino kitchen context.
›
Your Microbiome & the Role of Biotics in Health
Updated
38 trillion gut microorganisms — immunity, kidney toxin production, CKD biotic protocol with Renadyl.
›
Buko Juice & Alkaline Water in CKD
PhilippinesNutritionPrevention
Why buko juice can cause fatal hyperkalemia in dialysis patients — two most common Filipino myths busted.
›
Caffeine, Coffee & Kidney Disease — What's Safe to Drink?
New Philippines Prevention
Barako, 3-in-1, salabat, energy drinks — clear rules by CKD stage, PKD status, and dialysis. Includes caffeine-free alternatives.
›
Perspectives 6 ▾
Roadmap to Adding a Peritoneal Dialysis Program
Updated Perspective New Philippines
A staged, gated implementation guide for a freestanding or hospital-based dialysis centre adding PD — the physiology that earns each requirement, DOH and PhilHealth verification, operating model, clinical design, build, simulation, controlled launch, and the quality dashboard.
›
Why Home Hemodialysis Is Difficult to Run in the Philippines
Perspective New Philippines
Home dialysis is sold as a machine; it is really a clinical containment system. The physiology of why a house is a hard place to run a blood circuit, eight barriers that reinforce one another, what the randomized trials actually showed, and five gates before any Philippine program is ready. Dual-mode, four languages.
›
Artificial Intelligence in Nephrology Practice
Perspective New
A practicing nephrologist's perspective on AI in nephrology — CKD risk, AKI prediction, pathology, dialysis, transplant, LLMs, and governance — with a 7-point appraisal checklist for any AI claim.
›
PhilHealth ACR → DRG: A Nephrologist's Take on the Payment Overhaul
Perspective New Philippines
What PhilHealth's shift from All Case Rates to a DRG payment model means for hospitals, clinicians, and Filipino patients — risks, mitigations, and what the 2027 transition should look like.
›
Why Won't My HMO Cover My Kidneys?
Perspective New Philippines
Why Philippine HMOs deny kidney-disease claims, why your nephrologist may not accept your health card, what your legal rights are, what PhilHealth covers — and the 11 questions to ask any HMO before signing.
›
A Filipino Nephrologist's Challenges — A Perspective
Perspective New Philippines
An honest first-person essay on kidney care in the Philippines — the CKD epidemic, late referral, dialysis-centric financing, workforce strain — and the shift from "dialysis rescue" to kidney-health preservation. Dual-mode, four languages.
›
Downloads & Companion Guides 25 ▾
My Personal Medical Journal & Health History (Fillable)
NewPDF DownloadPhilippines
The same 36-page A4 booklet as an interactive form — 2,523 named fields you can type into, save, reopen, and print. Prints blank for handwriting too, so one file covers both.
↓
My Personal Medical Journal & Health History (Booklet)
NewPDF DownloadPhilippines
Printable 36-page A4 write-in companion to Personal Medical Journal & Health History — emergency summary, current summary, medicines with a prescribed-versus-actual column, allergies, lifetime timeline, symptom journal, home monitoring, laboratory trends, archive, visit pages, and kidney/dialysis add-ons. Seven pages marked START HERE for a 15-minute start.
↓
AKI/AKD 90-Day Recovery Planner
NewPDF DownloadPre-Dialysis
Printable fill-in companion to AKI Does Not End at Discharge — kidney-event handoff, 0–90-day road map, lab tracker, medication restart plan, home monitoring, sick-day plan, AKI-D addendum, and the day-90 outcome page. Every medicine line has a named prescriber.
↓
Monthly QAPI Data-Pack Workbook
NewPDF Download
Printable fill-in workbook — 9 QAPI domains, ~35 fields worded exactly like the online Scorecard, an infection/near-miss event log, and a ready-for-the-meeting checklist.
↓
Patient Experience Survey (ICH-CAHPS-Type)
NewPDF Download
Printable fill-in survey — nephrologist & staff communication domains, being-kept-informed items, and 0–10 global ratings, modeled on the ICH-CAHPS domains for local tracking between official cycles.
↓
Grievance / Complaint Log
NewPDF Download
Printable fill-in log — per-incident intake & investigation form, plus a monthly rolling log and trend summary that feeds the QAPI Scorecard's grievance line.
↓
Dialysis Unit Vaccination Tracker
NewPDF Download
Printable fill-in tracker — per-patient hepatitis B / influenza / pneumococcal / COVID-19 immunization record, quick-reference schedule, and a unit roster for the quarterly coverage metric.
↓
Low-Sodium Food Guide — Filipino Kitchen Edition
PDF DownloadPhilippines
Printable handout — sodium content of common Filipino foods, safe swaps, and daily targets for CKD and hypertension.
↓
Potassium Food Guide — Safe Choices for Kidney Patients
PDF DownloadPhilippines
Printable handout — high vs. low potassium foods, leaching technique, and portion limits by CKD stage.
↓
Phosphorus Food Guide — Protecting Your Bones & Heart
PDF DownloadPhilippines
Printable handout — phosphorus content of Filipino staples, binder timing rules, and hidden phosphate additives to avoid.
↓
Cholesterol & Heart-Healthy Diet Guide
PDF Download
Printable handout — LDL-lowering foods, saturated fat limits, and practical Filipino meal swaps for dyslipidemia.
↓
Code Blue Recording Flowsheet
PDF Download
Printable clinician form — timed recording grid for CPR, shocks, and ACLS drugs, plus quick-reference ACLS algorithms (cardiac arrest, brady/tachycardia, hyperkalemic arrest).
↓
ACLS Cardiac Rhythm Recognition & Management Cheat Sheet
PDF Download
Printable 3-page clinician reference — labelled ECG strips for the full rhythm spectrum (sinus, atrial, blocks, ventricular, arrest, paced, hyperkalemia) with recognition cues, first-line management, and shockable tags.
↓
Gout & Uric Acid Food Guide
PDF DownloadPhilippines
Printable handout — high-purine foods to avoid, safe proteins, hydration targets, and alcohol rules for gout.
↓
Meal Prep & Fast Food Guide for CKD Patients
PDF DownloadPhilippines
Printable handout — safer choices at Jollibee, McDonald's, and Chowking, plus simple kidney-friendly meal prep ideas.
↓
CKD Vaccination Guide & Personal Log
PDF DownloadPhilippines
Printable 7-page handout — hepatitis B double-dose protocol, Philippine CKD vaccine schedule, live vaccine rules, and a personal vaccination log.
↓
Typhoon & Disaster Preparedness for Dialysis Patients
PDF DownloadPhilippines
Printable emergency card — what to do when a session is missed, fluid and food limits during flooding, and when to go to the ER.
↓
PSN Hemodialysis Endorsement Form
PDF Download
Official Philippine Society of Nephrology HD endorsement form for PhilHealth dialysis coverage applications.
↓
The Lab-to-Action Guide — Free Companion PDF
PDF DownloadNew
The full explainer behind the Lab-to-Action Card — cross-organ story, causes, food and medication steps, and the KDIGO/ADA/ACC guidance behind each of six common kidney labs.
↓
Move Right, Kidneys Right — Physical Activity Handout
PDF DownloadPhilippines
Printable 5-page handout — activity intensity heat-map, weekly plan by CKD stage, a safe warm-up-to-cool-down session, home routine, and dialysis, heat & diabetes precautions.
↓
My Filipino Diabetic Food Guide — Quick Reference Card
PDF DownloadPhilippines
Printable 4-page handout — GI & GL heatmap of 90+ Filipino foods, plate method, rice strategies, and a 7-day diabetic meal plan.
↓
14-Day Blood Pressure Monitoring Log — Blank Printable Form
Printable HandoutNew
Print-and-fill blank BP log — AM & PM readings for 14 days (2 weeks), with step-by-step measurement instructions, BP target reference, and notes section. Bring to every consultation.
↓
LPD & VLPD Diet Plan — Ketoanalogue Companion Guide
PDF DownloadNewNutrition
Complete Filipino meal plans for low-protein and very-low-protein diets at 40–80 kg, food protein reference table, calorie booster guide, and 10 practical adherence tips. For CKD patients on ketoanalogues.
↓
Fiber-Rich Filipino Food Guide
PDF DownloadPhilippinesNutrition
Printable handout — Filipino foods ranked by fiber content, CKD/dialysis notes, supplement guide, and the salad myth debunked.
↓
Holiday Kidney Syndrome — Patient Companion Guide
PDF DownloadPhilippinesNutrition
Printable companion to the fiesta & holiday guide — high-potassium holiday foods, noche buena swaps, missed-session rules, fluid & alcohol limits, and ER warning signs.
↓