
๐ง Kidney stone preventionโฆ reality check ๐ ๐Large RCT (n=1,658) testing hydration adherence strategies in @TheLancet โ๏ธSmart bottles + incentives + coaching = โ urine volume ๐But increase was modest and not sustained over time โ No reduction in stone recurrence (HR ~0.96) ๐จ What this really shows: 1โฃAdherence is HARD 2โฃEven well-designed behavioral interventions struggle long-term 3โฃChanging behavior โ changing outcomes ๐ค Takeaway: Hydration still mattersโฆ But โjust drink more waterโ isnโt a scalable solution for most patients @AmerUrological ๐shorturl.at/tnTda























