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Why the proper kidney function is important for bone health?

Healthy kidneys perform many important tasks. They remove waste and extra fluid from your body, help produce red blood cells, regulate the amount of minerals, and keep your bones healthy. In turn, minerals are nutrients that your body needs to stay healthy.

With advanced kidney disease or kidney failure, your kidneys can’t perform all of these important functions well. As a result, you may develop mineral and bone disorders, a common problem in people with kidney disease and affecting almost everyone with kidney failure.

What is a mineral and bone disorder?

Mineral and bone disorder associated with kidney disease occurs when there is an imbalance in the levels of calcium and phosphorus in the blood. This mineral imbalance can affect your bones, heart and blood vessels.

How do kidney disease and kidney failure lead to bone and heart disease?

When kidney function is impaired, your kidneys can no longer filter excess phosphorus and remove it from the body through urine. Over time, phosphorus from the foods you eat can build up to high levels in your blood.

Healthy kidneys also convert vitamin D from sunlight and foods into active vitamin D that your body can use. When the kidneys fail, there is a lack of active vitamin D. This imbalances the ratio of calcium and phosphorus in the blood.

When blood phosphorus levels rise and vitamin D levels fall, your body begins to produce too much parathyroid hormone (PTH). High levels of PTH cause calcium to move from your bones into your blood. The consequence of this is that your bone system becomes weaker and more brittle.

How are mineral and bone disorders treated?

Diet with low phosphorus content, supplements with Vitamin D. Taking of Calcimimetics – medicaments that are often used when the levels of PTH, calcium and phosphorus in the blood are too high in people on dialysis. Start a training plan – exercises to strengthen the bone system.




Dialysis Center NephroLife is proud to present its new investment in dialysis care – brand new Fresenius 5008 S machines.

By adding them to its amenities and facilities base, the center fulfills the gold world standard for performing hemodiafiltration with pre- and post-dilution.

This method allows better purification of intermediate molecules that are responsible for severe vascular and bone damage, disability and early mortality in hemodialysis patients. The machines themselves are equipped with the highest class of extras, which makes them sensitive to the slightest change in the patient’s condition.

This investment, one of many to come, is dictated by the center’s desire to provide the highest quality dialysis treatment and impeccable medical care.

Dr. Boryana Ivanova shares:

We would like to point out that our center is the only one in Burgas and the region that uses the highest class of medicines offered on the Bulgarian market (synthetic beta erythropoietin, intravenous iron preparations, calcimimetics and synthetic vitamin D analogs).In this way, we manage to offer the perfect symbiosis between medical and equipment overall treatment.




Q: The only option to receive dialysis treatment is to travel to the center at least three times a week for hours. Is it right?

A: Dialysis can be done in many ways: You can have dialysis in a hospital or outpatient clinic, or in your own home. Hemodialysis in the dialysis center is performed three days a week for 3-4 hours each time. The other option is peritoneal dialysis at home. Educate yourself about each option and talk to your healthcare professional about which type of dialysis is best for you.

Q: Is Dialysis procedure painful?

A: Dialysis treatment doesn’t have to be painful. If you feel pain during or after, notify your attending physician or team. Some patients may experience a drop in blood pressure that may lead to nausea, vomiting, headache or cramps. However, by making your diet and fluid restrictions, these types of side effects can be avoided.

Q: Is dialysis absolutely needed to live?

A: Dialysis is a treatment that helps clean your blood of fluids and toxins when your kidneys can no longer function properly. The need to undergo dialysis may sound overwhelming and scary, but dialysis treatment allows you to live.

Q: Can Dialysis patients travel?

A: You can travel on dialysis! But this is some necessary planning. Before your trip, you must make an appointment for dialysis treatment at another center and submit information about your medical treatment and history. The dialysis journey means being prepared – click here to learn more.

Q: Should I stop working? Dialysis patients don’t have the time or energy to maintain normal life.

A: Many dialysis patients continue to work or study. Some of you took time off when you first started dialysis treatment and returned to work or school after getting used to the process.

Q: As a dialysis patient, you worry that you will be a burden on your family.

A: Many people with chronic illness feel this way at some point. Your role in your family may change over time, but it’s important to remember that you have more than just your kidney or dialysis treatment! Seek help when you need it and help others when you can. Be open and honest with your loved ones about how you feel and give yourself the space and time you need to adjust to dialysis treatment. Once you adjust to your ‘new normal’ of dialysis, you will find that you will be able to recover to take on new roles and responsibilities at home.