CKDMBD规范治疗_培训课件.pptVIP

* Vitamin D Suppresses PTH but With Potential Trade-Offs in Phosphorous and Calcium Levels3 Months Following Initiation * Active vitamin D and its derivatives reduce the PTH levels, but at the same time they also elevate calcium and phosphorus levels. Increased levels of serum calcium and phosphorus are associated with adverse events such as soft tissue calcification. * * The JSDT guidelines were drafted on the base that PTH should be controlled with the serum phosphorus and serum calcium levels remaining under optimal control. Under these circumstances , the regulation of PTH is limited b