What you have is fine. B12 is great as it can support not being anemic. When you eat less meat and animal products you often need B 12. Inulin is actually in many things. It is a probiotic and helps with good bacteria growth. My nephrologist recommended I take a probiotic, so I do.
Hi. I think so, I never heard of inulin, but I asked my Nephrologist about taking probiotics and he said they are bacteria, and do not introduce more bacteria to a system which is already compromised. (CKD)
inulin is a soluble fiber with pre-biotics properties. Onion contain inulin for example. I really can't tell whether in your specific situation it's beneficial and what would be enough or too much.
Please note that specific recommendations on supplements are based on YOUR unique CKD and underlying causes. However, in general the NKF.org has some good information on supplements. Probiotics are generally safe and the supplements sold by the great “Lee Hull” for high s ultra-low protein diet to improve CKD are overpriced probiotics available from India for about 20% of Mr. Hull’s cost. There are several studies on promed.gov showing the safety of these probiotics and a potential benefit though more studies are needed as outlined in the KIDGO nutrition guidelines of 2020.
Also, NKF.org recommends a kidney disease specific multivitamin as most traditional multivitamins contain potentially high levels of sodium, potassium and phosphate that may be harmful long-term for the kidneys. Specific vitamins alone like a B-12, B complex, D, A, and others are generally recommended as not helpful and potentially hazardous to kidney health. In specific studies regarding supplements the general recommendation is none or proceed with caution and if you think about it, adding a CKD specific multivitamin and a probiotic adds two additional pills the kidneys must work to clear. However, adding those two plus 4,5,6 other individual supplements adds a potential increase in the workload of the kidneys to process all the vitamins and supplements to clear them from your system. As always for specific information about adding vitamins and supplements to your daily intake consult your most trusted physician. The above information is USA specific and references USA specific websites and I am only relating information gleaned from these sites as general knowledge not specific medical recommendations to you or anyone. My best to you on your CKD journey!
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