
💧 Kidney stone prevention… reality check 👇 👏Large RCT (n=1,658) testing hydration adherence strategies in @TheLancet ✔️Smart bottles + incentives + coaching = ↑ urine volume 📉But increase was modest and not sustained over time ❌ No reduction in stone recurrence (HR ~0.96) 🚨 What this really shows: 1⃣Adherence is HARD 2⃣Even well-designed behavioral interventions struggle long-term 3⃣Changing behavior ≠ changing outcomes 🤔 Takeaway: Hydration still matters… But “just drink more water” isn’t a scalable solution for most patients @AmerUrological 🔗shorturl.at/tnTda























