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Oral sodium bicarbonate used to correct metabolic acidosis in CKD and slow disease progression.
Chronic metabolic acidosis (bicarbonate < 22 mEq/L) accelerates CKD progression and muscle loss. Oral bicarbonate corrects it and may slow eGFR decline; targets keep serum bicarbonate 23-28 mEq/L. Sodium load from bicarbonate can raise blood pressure and fluid retention — monitor. Dosing is guided by repeated labs.
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This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.