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I wrote this in a moment I never would have chosen. A sudden pause that made me see my life clearly. The meaning of our work is profound. This experience simply helped me see more clearly what matters most. “Time is Finite” JAMA jamanetwork.com/journals/jama/…

Hey #NephTwitter!! 👋 Today's #Xtorial is on a perspective in @asnpublications, @JASN_News on "Bispecific Antibodies and Glomerular Diseases by @SabineKaram6, @kdjhaveri and @BoudhabhayI 🔗pubmed.ncbi.nlm.nih.gov/41979896/

2/🔥 Strong take from Dr. Pani at #SRNMCON2026 “Don’t use AI for generic CKD diet planning. LLMs need to be trained by nephrologists & dieticians first” CKD nutrition is too nuanced, phosphorus traps, potassium paradoxes, protein tightropes. AI needs to earn its seat.

🎙️ Live from #SRNMCON2026 Panel Discussion on “AI Tools & Apps for Diet Planning and Nutritional Monitoring in CKD” Diet is medicine in CKD. Can AI make it smarter, more personalised, and actually adherent? 🤔 Let’s find out. #Nephtwitter #CKD #SRNMCON2026

@myadla @drpriyajohn @Suceena @CMCNephrology @AnandhUrmila @DrAkshayaJ 4/Beyond diet - pharmacological tools: 💊 Appetite: megestrol, cyproheptadine, ghrelin 💪 Anabolic: rhGH, nandrolone decanoate 🔬 Experimental: anti-inflammatories, zinc Take- aways: ✅ Use the ladder ✅ Combine food + supplements + exercise ✅ If one step fails → escalate

@myadla @drpriyajohn @Suceena @CMCNephrology @AnandhUrmila @DrAkshayaJ 3/💉 IDPN — for whom? #SRNMCON2026 🟡 At risk → diet counselling + oral supplements 🟠 Mild-moderate → oral supplements + IDPN 🔴 Severe → enteral/total parenteral nutrition IDPN ✅ works despite anorexia, regulated, minimal patient effort IDPN ⚠️ costly, unphysiological.

💉 @nishajose2 on Intradialytic Nutrition #SRNMCON2026 Sarcopenia in CKD, it’s not just muscle loss | Obese sarcopenia = high fat + low muscle = worst outcome combo ISRNM PEW diagnosis: ≥3 of 4 👇 Diagnose it. Don’t miss it. @ISNkidneycare @isn_india #NephTwitter

@ISNkidneycare @isn_india @WomenNeph_india @SwarnalathaGud2 @drpriyajohn @DrPSVali @AnandhUrmila @drmanishasahay @myadla @DrAkshayaJ @Suceena @nishajose2 @arvindcanchi @drshyambansal

6/So why starve your patient? 🤔 Liberal diet + GDMT = protect the kidney AND the muscle The LPD era may be quietly ending @ISNkidneycare @isn_india @WomenNeph_india @SwarnalathaGud2 @drpriyajohn @DrPSVali @AnandhUrmila @drmanishasahay @myadla @DrAkshayaJ #CKD #NephTwitter

🔬 Workshop 2 | #SRNMCON2026 “From Lab to Plate: A Biochemistry-Driven Approach to CKD Nutrition” 🤝 IAPEN India × Renal Nutrition India Where the bench meets the kitchen 🍽️🔬2:00 PM – 4:00 PM @ISNkidneycare @isn_india @WomenNeph_india #NephTwitter

@manishmedicine1 & Dr. N. Vijayashree on: “Protein & Albumin: Restriction vs Preservation in CKD” One of the oldest debates in nephrology — revisited 🧵 @ISNkidneycare @isn_india @CMCNephrology @DrAkshayaJ @SwarnalathaGud2 @drpriyajohn #CKD #RenalNutrition #SRNMCON2026

💥 Potassium and phosphate restriction in ckd. 💥 Hidden source of phosphate and potassium in drugs. 💥Focus on bioavalibality and phoshate /protein ratio of these compounds in food. 💥Phosphate binders to be taken with first bite of food.

Thrilling insights from Dr. Anurag Gupta at #SRNMCON2026! Exploring the Gut-Kidney Axis in CKD and the power of plant-based nutrition in slowing disease progression. Plant-based diets are gaining strong scientific backing for better outcomes in CKD. #KDIGO #PLADO

@ISNkidneycare @isn_india @WomenNeph_india @arvindcanchi @drshyambansal @DrPSVali @drmanishasahay @myadla @DrAkshayaJ @narayansgpginep 7/An Outstanding and Impactful Dr Anita Saxena Memorial Oration on MACKD #SRNMCON2026 Key takeaways: – Think beyond DKD in T2D – Use all 4 pillars early – South Asians: lower BMI cutoffs matter – Diet is medicine CKD care is clearly shifting → earlier, metabolic, and preventive

@ISNkidneycare @isn_india @WomenNeph_india @arvindcanchi @drshyambansal @DrPSVali @drmanishasahay @myadla @DrAkshayaJ 6/🚨 We have the tools. We’re just not using them. Modern GDMT can slow CKD progression by 50–70% Dialysis in ~4 yrs → 10–14 yrs with full therapy That’s 5–8 extra years of kidney function 🎯 The crisis in CKD isn’t therapeutic it’s implementation @narayansgpginep #SRNMCON2026

🎖️ A moment of reverence at #SRNMCON2026 @narayansgpginep The Dr. Anita Saxena Memorial Oration is about to begin 🙏 Prof. Anita Saxena (1963–2022) 🏛️ Founder, Society of Renal Nutrition & Metabolism (2014) 🏆 FICCI Outstanding Woman in Healthcare | Bharat Jyoti Award