“CKD is not only a state of high PTH levels, but also a state of low PTH response,” he said. “It’s always the balance between [these states] that will, in the end, determine the bone phenotype—normal bone turnover, high or low bone turnover.”
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Thomas R. Collins is a freelance writer living in South Florida.
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- Iimori S, Mori Y, Akita W, et al. Diagnostic usefulness of bone mineral density and biochemical markers of bone turnover in predicting fracture in CKD stage 5D patients—A single-center cohort study. Nephrol Dial Transplant. 2012 Jan;27(1):345–351.