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Alex Meraz

@nephroguy.bsky.social

Academic Nephrologist in Winnipeg πŸ‡¨πŸ‡¦. Onconeph and Critical care neph FTW!

662 Followers  |  290 Following  |  51 Posts  |  Joined: 12.11.2024  |  2.3954

Latest posts by nephroguy.bsky.social on Bluesky

Maybe because not all attendees are expert nephrologists? Lots of students, residentes, nurses attending as well.

25.10.2025 01:45 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

And it’s live

Iptacopan in C3GN makes it to @thelancet.com

www.thelancet.com/journals/lan...

#NephSky

26.09.2025 09:37 β€” πŸ‘ 23    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0

Awesome congrats!!! Is this limited to losartan or it would be more a class effect of ARBs?

05.08.2025 20:12 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Amazing to me that a seemingly acute event is either
A) has long-term sequellae despite being apparently resolving or
B) a dramatic and early presentation of profound endothelial disease

14.07.2025 11:35 β€” πŸ‘ 8    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0

Amazing reference

25.06.2025 22:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Way scarier story. Stories.

www.nytimes.com/2025/06/13/t...
(Gift link)

14.06.2025 19:59 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

Sibeprenlimab in IgA Nephropathy #ERA25
* Data presented is the 9-month reduction in proteinuria

06.06.2025 09:40 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Dr Meghan Sise presenting on serum cr/cystatin outcomes in patients treated with cisplatin or carboplatin

#Onconeph #ERA25

05.06.2025 10:26 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Shite!

05.06.2025 10:00 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Adverse effects

Adverse effects

Hyperkalemia rates not lower with adding a flozin to the MRA πŸ€”

www.nejm.org/doi/full/10....

#ERA25

05.06.2025 09:54 β€” πŸ‘ 10    πŸ” 3    πŸ’¬ 2    πŸ“Œ 0
Urinary Albumin-to-Creatinine Ratio, Serum Potassium Level, Estimated Glomerular Filtration Rate, and Systolic Blood Pressure over Time.

Urinary Albumin-to-Creatinine Ratio, Serum Potassium Level, Estimated Glomerular Filtration Rate, and Systolic Blood Pressure over Time.

The first #ERA25 simultaneous pub

CONFIDENCE trial of empagliflozin + finerenone in N = 579

Greater reduction in ACR and BP
Note the impressive GFR dip

www.nejm.org/doi/full/10....

05.06.2025 09:54 β€” πŸ‘ 40    πŸ” 24    πŸ’¬ 4    πŸ“Œ 0
A graph of the least-squares mean ratio of the change from baseline in the urinary albumin-to-creatinine ratio in the full analysis population.

A graph of the least-squares mean ratio of the change from baseline in the urinary albumin-to-creatinine ratio in the full analysis population.

In the CONFIDENCE trial in persons with chronic kidney disease and type 2 diabetes, combination therapy with finerenone and empagliflozin led to a greater reduction in the urinary albumin-to-creatinine ratio than either drug alone. Full trial results: nej.md/4jEVbbk

#ERA25 #MedSky #Nephrology

05.06.2025 09:45 β€” πŸ‘ 29    πŸ” 16    πŸ’¬ 1    πŸ“Œ 0

Missed it. Give us the highlights! #ERA25

05.06.2025 09:56 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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@kevinyau.bsky.social GLP1 agonist master Jedi presenting at #ERA25.

πŸ’‰GLP1 agonist reduce ED visits and hospitalizations!!!

πŸ“‰Awesome methods. Best of the session:

πŸ’ŠDDP4 for comparison, IPTW, ICES data. Ticking all the right boxes (EPI nerd).

πŸ’ŠOnly 40% on SGLT2i!!! We should flozinate more!!!

05.06.2025 09:49 β€” πŸ‘ 9    πŸ” 4    πŸ’¬ 3    πŸ“Œ 0

@kevinyau.bsky.social @armelleid.bsky.social

05.06.2025 06:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I wish we had any of the new treatments in Canada. Any.

05.06.2025 06:48 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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#ERA25 baby!!!

05.06.2025 06:46 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Visual abstract

Visual abstract

Experiential Evidence of Systemic Racism for Indigenous Peoples Navigating Transplantation in Canada - in @kireports.bsky.social

www.kireports.org/article/S246...

#NephSky

03.06.2025 10:30 β€” πŸ‘ 7    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
Preview
Could High Be Better Than Low? Targeting Phosphate in Trials Phosphate is bad, right? As kidney function declines, phosphate excretion goes down. Serum phosphate levels rise, causing parathyroid hormone (PTH) to increase and bring phosphate down. Phosphate h…

The US spends billions of dollars on binders every year

We are doing the RCT to get you the answer - more than 3000 enrolled

ajkdblog.org/2021/06/16/c... and www.nephjc.com/news/2021/2/...

03.06.2025 11:17 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

I am not going. But see you in Vienna!!!!

12.05.2025 03:41 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I feel you pain bro.

04.04.2025 16:09 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Read the same in Brener’s book long time ago

02.04.2025 02:51 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Visual abstract for "Mechanistic Differences between Torsemide and Furosemide."

Visual abstract for "Mechanistic Differences between Torsemide and Furosemide."

Torsemide is proposed to have clinically important pharmacokinetic and pharmacodynamic advantages over furosemide. This study found no meaningful pharmacokinetic/pharmacodynamic advantages for torsemide versus furosemide. bit.ly/JASN0481

15.01.2025 16:04 β€” πŸ‘ 25    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0
Preview
Dapagliflozin improves diabetic kidney disease by inhibiting ferroptosis through Ξ²-hydroxybutyrate production Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease. Sodium-glucose cotransporter protein 2 inhibitors (SGLT2i) are antihyperglycemic agents that provide additional renal-...

Dapagliflozin improves diabetic kidney disease by inhibiting ferroptosis through Ξ²-hydroxybutyrate production

#Nephrology #endocrinology #Diabetes #SGLT2i #NephSky

www.tandfonline.com/doi/full/10....

05.01.2025 16:25 β€” πŸ‘ 11    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

D obviously

26.12.2024 04:40 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Case report:
Daratumumab for Bortezomib-Refractory Proliferative Glomerulonephritis With Monoclonal Immunoglobulin Deposits in Kidney Allograft: A Case Report

https://buff.ly/3P5dsSc

22.12.2024 17:54 β€” πŸ‘ 14    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0

Feliz Navidad!

25.12.2024 15:58 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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πŸ’‘ Kidney stone patients not meeting their fluid intake goals? Try this one weird trick!

Sprinkle a little Carolina reaper powder on their food a couple times a day and πŸ’¦πŸ†™ they'll be drinking so much water you'll be looking up the latest #NephJC on hyponatremia correction rates! GI docs hate him!

18.12.2024 22:58 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

So high BP causes CKD?

17.12.2024 23:38 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Cumulative Blood Pressure Load and Incident CKD

https://bit.ly/4eEtmx7 #OpenAccess

#VisualAbstract

17.12.2024 23:00 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

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