TY - CHAP M1 - Book, Section TI - Chronic Renal Failure and the Uremic Syndrome: Nutritional Issues A1 - Kalantar-Zadeh, Kamyar A1 - Kopple, Joel D. A2 - Lerma, Edgar V. A2 - Rosner, Mitchell H. A2 - Perazella, Mark A. PY - 2017 T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e AB - In patients with chronic kidney disease (CKD), as the glomerular filtration rate (GFR) declines, numerous nutritional and metabolic disorders develop, and the dietary requirements for many nutrients are altered. These disorders and alterations include, (1) diminished appetite or anorexia; (2) abnormalities in intestinal absorption of certain minerals, for example calcium, and other nutrients including some trace elements (eg, iron, selenium, zinc, and copper) and vitamins (eg, vitamin K, folic acid, riboflavin); (3) abnormalities in urinary, intestinal and dermal excretion of nutrients, including changes in microbiome; and (4) disorders of nutrient metabolism. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1149113459 ER -