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Nutrition and the Kidney

George Dunea, MD
JAMA. 1988;259(24):3630-3631. doi:10.1001/jama.1988.03720240082054.
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This represents a reasonable approach to a difficult and controversial topic. Many aspects of nutritional therapy remain imperfectly understood; yet doctors have always believed that dietary manipulation should exert a decisive influence on many disease processes. On this basis they have fasted fevers, then fed fevers, starved ulcers and then again fed them, the fashions often changing with explosive suddenness. Yet skeptics have long noted that diets work least for those who need them most, that compliance is traditionally low, and that most diets are too complicated to be followed by the average patient. The same skeptics have also observed that very few dietary treatments have stood the test of time. Who would have thought 20 years ago that all the ulcer regimens, with their carefully prescribed bland soups and slops, would give way to a single tablet of H2 inhibitor taken at night before retiring!

Yet within these


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