Reversal of Hyperparathyroidism in Severe Uremics Following Very Low-Protein and Low-Phosphorus Diet

Abstract

Serum iPTH levels decreased markedly in 16 severe chronic uremic patients who changed from a standard low-protein diet to a very low-nitrogen and very low-phosphorus diet supplemented with essential amino acids and keto-analogues and with calcium. The fall of serum iPTH levels occurred simultaneously with a fall of serum phosphate and an increase of serum calcium.