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Del VecchioL.LocatelliF.CariniM.2011What we know about oxidative stress in patients with chronic kidney disease on dialysis- clinical effects, potential treatment, and prevention.doi: 10.1111/j.1525-39X.2010.00819.x

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Lifestyle treatment rates increased over the 4-year study period, but Wright and colleagues did not find a significant difference in how often providers referred patients for nutrition counseling before or after the guidelines were published

When that load decreases as it does with significant weight loss bones receive less stimulus to maintain their mass, and density can decline

What kept me going through the rough patch was watching the scale drop consistently each week