@nephromommy-akshu.bsky.social
MD Internal Medicine, PGI Chandigarh DM Nephrology, CMC Vellore, India 🇮🇳 Passionate nephrologist ! 🩺 👩🏻⚕️ Perspicacious toddler mom ! 👩🏻🍼
Oh, that’s great to know.
And yes, it makes sense actually.
My patients do love ‘natural’ medicine too.
#NephJC
Novice question - If the placebo 🌽has health benefits in itself, and fish 🐟 oil still fared better,
Isn’t it a good thing ?
#NephJC
T3d
Benefits may vary, and results in the general population on CV risk and mortality are still
controversial.
Overall, the results of recent studies have been mixed results. Different study populations,
end points and dosing may account for the lack of clarity. #NephJC
On the fun side, I don’t think anyone would go to the counter and get Fish oil, more so considering how our ESKD patients “hate” their pill burden !
#NephJC
Yes, a few previous studies also looked at bleeding as one of the outcomes measured. I just came to know about this risk while compiling for the summary.
#NephJC
No and even when my relatives ask me if they should continue - my replies are usually “Meh” ! I’ve not been very ‘evidence-based’ with my opinions, (now I am - based on ASCEND/ VITAL) and somehow I don’t believe that it does much good - again glad to change my opinions based on evidence. 🎏 #NephJC
03.12.2025 02:14 — 👍 2 🔁 0 💬 0 📌 0
Some fish I found at Taipei Airport yesterday ! Yeah I’ve been seeing fish everyday after working on the PISCES summary !
Hey this is Akshaya, junior faculty from CMC Vellore, India.
Currently joining in from Taiwan 🇹🇼 - here for the APCN !
🐟
Honestly, most of my CKD patients are poor and I’ve been guilty of stopping some of their randomly prescribed fish oil because it costed them a whale!
#NephJC
Holy Mackerel! 🐟
🦜Ahoy matey! Could fish oil unlock the mysteries of increased CV mortality in ESRD? 🏴☠️ #NephJC
Join us for a lively trawling trip 12/2/25 🛥️at 9pm EST
Check out the PISCES VA by @brianrifkin.bsky.social
www.nephjc.com/news/piscesva
A result this shiny usually means you check for scales! 🎣
Do read and enjoy our #NephJC summary/critical appraisal of the 🐟PISCES 🐟 Study (Fish Oil in Dialysis)
www.nephjc.com/news/pisces-...
@nephjc.bsky.social
The Steroid part was sarcasm 😅.
But sarcasm didn’t land well 😂.
#NephJC
I keep up-titrating and maximising RAASi / Flozi for all my IgANs coz that’s all they can afford, albeit with difficulty (Flozins are still costly by our standards). Steroids are cheap though.
#NephJC
Would they look at outcomes classified by the use of Flozins + RAASi Vs RAASi alone ?
Definitely those who were already on the RAASi/Flozi combo would have better controlled proteinuria ?
#NephJC
Welcome Assadu to IgAland 😅!
#NephJC
These patients seem to be a very docile group compared to all the fiery IgANs we see out here !! #NephJC
19.11.2025 02:28 — 👍 4 🔁 0 💬 1 📌 0Yeah Swapnil I was asking about Sparsenran/ Iptacopan only ! Are they available for use and about their as compared to other standard immunosuppressants.
(Going out of context I think !)
#NephJC
Are any of these FDA approved drugs available commercially and how much do they cost?
#NephJC
Hey I’m Akshaya, nephrologist working at Vellore, India! I keep reading about the trials and magic drugs for IgAN, see atleast 10 IgANs a week, but when it comes to treatment, we’re still stuck at steroids/MMF, RAASi/Flozins (and a generic version of Budesonide). Long way to go! #NephJC
No COI
⏰ 2 hours until chat tonight
#NephJC editorial team debated for a long time...not whether to discuss @kdigo.org IgAN guidelines, but whether to do it after #Kidneywk...Have we said it well: IgAN guidelines: fresh out of press, already aging gracefully?
👀See it for yourself
Is it time yet? #NephJC
Its actually beyond my comprehension 😅
TOM of this month goes to ACHIEVE trial (n=2,538), which showed that spironolactone 25 mg daily did not reduce CV events or mortality in dialysis patients, and increased risk of severe hyperkalemia #VA by
@nephromommy-akshu.bsky.social. See the latest #ISNTrialWatch summary for details.
Highlights from my talk yesterday on Alport syndrome spectrum of disorders. (since no one posted it, I'll have to do it myself)
Variants in type IV collagen cause a wide spectrum of disease. #KidneyWk 🧵
Zigakibart was well tolerated and cut #proteinuria by 60% while stabilizing #kidney function in #IgAN patients over 100 weeks. #nephrology #nephsky #iganephropathy docwirenews.com/post/zigakib...
30.10.2025 18:03 — 👍 1 🔁 1 💬 0 📌 0
The 2025 @kdigo.org IgAN guideline quietly redraws the map: new drugs, new thresholds, and a sense that the era of “supportive care only” is finally over #Nephsky #Medsky
✍️Summary by @thekidneywhisperer.bsky.social and
@glomerican.bsky.social
www.nephjc.com/news/igan-kd...
Wonderful ! 😇
A patient’s perspective on IgA Nephropathy !
#NephJC #Nephsky #MedSky
⏩ Next #NephJC is on IgA nephropathy @kdigo.org guideline
🎨 Nice visual summary by @roxnonna23.bsky.social
www.nephjc.com/news/2025/10...
This is one of the most commonly used protein powders in India - we can see that 100ml has ONLY 8g of protein which can easily be got from a couple of egg whites or even a cup of curd/yoghurt. Yet most of our patients are prescribed these Hi-Fi supplements which drain their pockets. #NephJC
15.10.2025 01:48 — 👍 8 🔁 1 💬 3 📌 0Our patients who can’t afford 3 meals a day are started on “NefroSave” - even at CKD Stage 3 - sometimes even patients of AKI are on these supplements!
#NephJC
It’s hard to convince them especially coz we are young nephrologists who are seen as students/nurses 😅 !
This is a screenshot from an article in the Indian Journal of Nephrology which I liked ! pmc.ncbi.nlm.nih.gov/articles/PMC...
VLPDs need Ketoanalog supplements and are basically impractical and also harmful IMO.
#NephJC
