Jeyakumar Meyyappan

Well said , in era of raasi and flozins - no place for low protein diet . Vlpd is out of question #nephjc

#nephjc
Jeyakumar from India
I believe half of my patients here don’t even take half the of prescribed protein 0.8g/kg . Interested in learning from this systematic review

#nephjc

Protein supplementation in CKD: The Visual Abstract — NephJC We like protein, or do we? Low protein, high protein, supplements…what’s a nephrologist to do?

Check at the VA for our discussion of protein diet strategies by @msocomd.bsky.social. Is restricting protein in CKD and pushing protein in ESRD #TWDFNR?

www.nephjc.com/news/2025/10...

Thanks Marc.
Was easier when it had to follow a great guidelines summary from you guys.

📢 The 2025 ACC/AHA Hypertension Guideline Update is here.
Join the discussion on #Bluesky tonight (9/16, 9 pm EST).
We’ll unpack key changes, clinical implications, and what it means for your practice.
🫀🫘🧠
#Nephjc

ISPD APCN Malaysia 2025 . Talk on fungal peritonitis in CAPD

NephJC Shorts: MCD and FSGS Outcomes — NephJC A NephJC Shorts discussion of the long term data on kidney failure in FSGS and MCD

🤔 How often is end-stage kidney disease in patients with MCD/ FSGS? #NephSky #MedSky

@brianrifkin.bsky.social dissected the conclusions from the RaDar study in this #NephJCshorts

*the original article from @asnpublications.bsky.social

www.nephjc.com/news/nephjc-...

Thank you #nephjc and @kidneyboy.bsky.social .
TB deserved this one hour.
In India , any fever of more than 2 weeks duration is tuberculosis until you prove it otherwise .
And this book was a must read for me !

another great quote in that chapter

"Stigma is a way of saying, "You deserved to have this happen," but implied within the stigma is also,
"And I don't deserve it, so I don't need to worry about it happening to me."

Stop blaming people for having a disease #NephJC"

#nephjc
Green best described Henry when he says “ Henry fit all the ideals of the consumptive - the wide eyes , the visible cheekbones , and the creative temperament “ . He wrote beautiful poems and his interest in writing blossomed during illness.

#nephjc
Jeyakumar Meyyappan from India
“Everything is tuberculosis “Read My second book on a disease. First was “emperor of all maladies “

“Where are the drugs? The drugs are where the disease is not. And where is the disease? The disease is where the drugs are not.”

A powerful book! Looking forward to tomorrow’s book club!

Sometimes more lessons are learned from failures than successes. I've learned quite a bit from working through the challenges of this trial. #NephJC

The HiLo Trial - Visual Abstract — NephJC Is a lower versus higher phosphate target beneficial to patients undergoing hemodialysis? Check out this crisp VA by Dr Sejal Lakhani

😎Check out the VA for HiLO by @sejalplakhani.bsky.social
🆒 This should be quite the discussion, don't miss it!
#NephJC #NephSky
www.nephjc.com/news/2025/8/4/the-hilo-trial-visual-abstract

High or Low Phosphate? Are we Missing the (P)oint? — NephJC This week, we will discuss the phosphate targets in dialysis. Are you aiming for HIgh or Low?

HiLo, HiLo it's off to work we go! ⛏️
Join us 9 pm EST 8/5/25 to discuss. #NephJC #NephSky
Controlling Phos in patients on HD is a lot of work, but is it worth it? HiLo looks at hospitalization & death in low/high Phos goals. Will we finally have a RCT with answers ⁉️
www.nephjc.com/news/hilo-tr...

Severe AKI in the ICU: Management ca. 2025
#Nephpearls #AKIinICU #NephSky

👉🏼 pubmed.ncbi.nlm.nih.gov/40578821/

#nephjc
Hello all ,
Jeyakumar from India .
I stick to creatinine for most decisions.
Would love to know about the gap though

Great job Marc @msocomd.bsky.social . :) #NephJC

Agree. The trial meant to see if starting agents upfront can make adifference. The point is these patients anyway wud have started the other pillars in sequence if made available. UACR (already < 1 gram ) & its reduction by 52% not strong point to start 2gether. Can still go in sequence #NephJC

The next trial should measure hard outcomes like mortality and ESKD.
Albuminuria reduction and the eGFR are dip were expected and go hand in hand. #NephJC.

Also the reason why they must have had screening failure of more than 50 percent .
In reality , I don’t mind if my patient s eGFR was more than 45 and his potassium is 5.5.
Would just Flozinate and be happy.
#NephJC

My approach with the #nsmra when egfr less than 45-50 ie #flozin first. If egfr over 45 start both at the same time because #YOLO

#Nephjc

98% on ACEi /ARB and still have potassium less than 4.8 . Not what we see always #NephJC

SGLT2 also phylogenetically an older system than RASi #NephJC

#NephJC

I think 30 mg /day will be where we are headed. ( The Push just like how lipid targets in CVD kept getting lower) #NephJC. But 500 mg/day for now

Thank you Swap. With plenty of help from the NephJC faculty . Thanks to you and all of them . I am more CONFIDENT #NephJC

#NephJC

Hello all.
This is Jeyakumar from Lucknow.
No COI

A dose of CONFIDENCE: Building evidence for finerenone-empagliflozin synergy in diabetic kidney disease — NephJC This week, we will discuss how the CONFIDENCE trial gets nephrology closer to the magic CKD polypill of CKD.

With unshakable CONFIDENCE, finerenone and empagliflozin waltz into diabetic kidney disease - turning 'maybe someday' into 'why not today?'

#NephJC summary by @sejalplakhani.bsky.social and @jeyakumarmeyyappan.bsky.social

#MedSky

www.nephjc.com/news/confide...