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Why do renal patients have problems with adequate vitamin blood levels?

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Why do renal patients have problems with adequate vitamin blood levels?

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A. There are four reasons. (1), renal diets are restrictive with decreased sources of vitamins. (2), water soluble vitamins are lost in dialysis. Approximately 44% of folic acid is lost during hemodialysis. (3), many drugs interfere with vitamin absorption. (4), uremia (the build up of waste products in the blood) alters the activity of certain vitamins.

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