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The race twitter analytics I’m watching is will @eAJKD tweet more about #NephMadness (436 tweets) than I did at #KidneyWk13 (554 tweets)?

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Prepping my ASN review for the docs that couldn’t go to #KidneyWk13 . This is my slide for Chertow’s bardoxolone talk

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Page not found – Precious Bodily Fluids

PBFluids► All the tweets of #KidneyWk13: @kidney_boy Brilliant summary of Renal Week activity via Twitter. Par... http://bit.ly/1bJxTew

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#KidneyWk13 Final twitter score: more twice the tweets and 55% more participants than 2012

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That's it I'm done.
#KidneyWeek Out.
Thanks everyone it has been a great Kidney Week. #kidneywk13

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UK convinced restaurants to reduce the Na in food. US McNuggets have 3x as much as London McNuggets. Still gross though. #kidneywk13

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Na content of food hasn’t changed in the last 6 yrs or last 30 yrs. #kidneywk13

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78% of Na is in the food prior to getting to the table in the US, but in rural China 75% is added it at the table. #kidneywk13

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Na restriction trial for 6 months 100 mmol Na restriction #kidneywk13

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Na restriction CKD #kidneywk13

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Biologic plausibility for low sodium intake being bad. It lowers BP but increases RAAS and sympathetic NS and inc'd insulin res. #kidneywk13

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IOM looked at only hard outcomes. Said increased Na is bad, and less than 2,300 mg maybe bad. #kidneywk13

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J shaped curve for sodium intake with CV outcome. ONTARTGET and TRANSCEND observational data. Low intake maybe harmful. #kidneywk13

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only 9% of the US population consumes < 2,300 mg Na/day
<1% consumes less than 1,500 mg Na/day #kidneywk13

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K/DOQI says we should eat 2 g Na
KDIGO say <90 mmol Na (1C evidence) #kidneywk13

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US is 3.74 grams Na, Japan 4.56g, China 5.23g

ESRD population is typically close to general population in terms of Na intake. #kidneywk13

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Salt restriction is it possible? #kidneywk13

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"Though I own dogs I don't have a dog in this fight." Awesome. #kidneywk13

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Robert Reilly up next he is the Fred Coe endowed chair at UT Southwestern in Dallas. #kidneywk13

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McCain tried to re-regulate supplements Hatch shut him down. #kidneywk13

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aristolochic acid is banned but 20% of Chinese herbals still have it. #kidneywk13

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aristolochic acid nephropathy. AA is a common additive to chinese medications. Causes transitional cancer of GU tract. #kidneywk13

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Lead levels of woman who take herbals. #kidneywk13

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Indian herbal therapy they add metals for therapeutic effect. Ayurvedic medication is intentionally dosed with heavy metals. #kidneywk13

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Often these herbs are contaminated with heavy metals. #kidneywk13

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carambola juice is made from star fruit which is loaded with oxalate. Causes acute oxalate nephropathy. #kidneywk13

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"Glycyrrhiza" a word you should know for scrabble, you will get 8000 points.

This guy is hilarious #kidneywk13

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Bitter orange is an alpha agonists that will drive up BP, like cocaine. Like ephedra. #kidneywk13

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FDA has banned 72 weight loss drugs b/c they have amphetamines in them, only way they were shut down was a patient death. #kidneywk13

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14% of all OTC herbs have nephrotoxins in them #kidneywk13

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