Milagros Flores

Bleeding Risk in Patients Receiving Omega‐3 Polyunsaturated Fatty Acids: A Systematic Review and Meta‐Analysis of Randomized Clinical Trials There is a potential concern about increased bleeding risk in patients receiving omega‐3 polyunsaturated fatty acids (PUFAs). The aims of this study‐level meta‐analysis were to determine the risk of bleeding and to assess whether this relationship ...

Omega-3 may increase bleeding risk
Probably safe when no procedure is planned, but less reassuring in high⚠️ biopsy patients, issue still under study.
If injecting therapies directly into the renal cortex, I would likely avoid omega-3 to reduce any issue #nephjc

pmc.ncbi.nlm.nih.gov/articles/PMC...

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2026 #NephJCKidneys vote begins — NephJC

Awesome, thanks for all the hard work #nephjc

Welcome to #NephMadness 2026 Our beautiful baby has grown into a moody, hormonal teen.  That’s right, it’s year 14 of NephMadness!  Whether this is your first time or you are a seasoned veteran, we have all the inf…

Up next, we are taking a break on 03/24/26.
Don’t forget to play NephMadness!
www. ajkdblog.org/2026/03/01/welcome-to-nephmadness-2026/
We will return in April with WCN late breaking news. #NephJC
Good night!

I sincerely thank all my #NephJC 2025-2026 interns!
This is our last discussion. They are #FOAMed heroes.
We could not do what we do without them. ♥️

a cartoon illustration of a finger pushing a button that says not by ALT: a cartoon illustration of a finger pushing a button that says not by

Only If I Don’t have a biopsy. Otherwise, the risk of 🐠definitely will exceed benefits 🫢 #nephjc

a close up of a statue of yoda with the words `` patience i have '' written below him . ALT: a close up of a statue of yoda with the words `` patience i have '' written below him .

As much as I love kidney biopsies, still believe we can maximize nephroprotective 💊. So many Q for the phase 3 RCT #nephjc

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Still seeing very low adoption of #flozination and #glipination. Are this cost efective new therapies, like always only very few patients will actually benefit #nephjc

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For a long time we have used tools mainly to monitor decline, actually is good to move to treat ⚠️patients #nephjc

That moment when the needle anchors and get into the kidney #nephjc

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Type 1 Diabetes are in!!!
Big thumbs up for this 🫰#nephjc

Hi #NephJC
Mili live from México City 🇲🇽
Today was kidney biopsy day 🫰
Rush like always 🙃🍃 no COI

🎨 No olviden revisar la versión en español traducir por Milagros Flores #NephJC

🎨 Beautiful visual abstract by Dr Natalia Nombera Natalia Nombera Aznaran #NephJC

Is REACT (Renal Autologous Cell Therapy) the “fifth pillar” in diabetic kidney disease? — NephJC This week, we will discuss the use of renal autologous cell therapy (REACT) in diabetic kidney disease.

Check out the insightful summary by me and my co-intern.
Dr. Sai Vani Dr SaiVani Yellampalli #NephJC
Dr Akshaya Akshaya Jayachandran

Is REACT (Renal Autologous Cell Therapy) the “fifth pillar” in diabetic kidney disease? — NephJC This week, we will discuss the use of renal autologous cell therapy (REACT) in diabetic kidney disease.

We're discussing 💉REACT- renal autologous cell treatments (rilprencel) in diabetic kidney disease.
Is regenerative medicine the future of nephrology❓
Come discuss 3/10/26 at 9pm
#NephJC #NephSky
Blog by @drsaivani.bsky.social and @nephromommy-akshu.bsky.social
www.nephjc.com/news/rilprencel-react

It is #nephmadness time of the year!
🌞Artificial Intelligence in Nephrology-what are the real-world applications and limits?
⭐ Check out our #visualabstracts
👀Read on to know more
ajkdblog.org/2026/03/01/n...
@nephroseeker.medsky.social @nephrosparks.bsky.social @dramiliflores.bsky.social

Deciphering the dilemma: Intravenous (IV) iron use in iron deficiency anemia during acute infections AbstractBackgroundThe use of intravenous (IV) iron for treating iron deficiency anemia during acute infections remains controversial. Prior studies have re

There is a large cohort study showing that IV Fe is safe in sepsis. Presented at ASH 2025 (thanks for the heads-up @shematologist.medsky.social) but now published in Blood #NephJC ashpublications.org/blood/articl...

#ISNWCN #nephSky #medsky

#NephJC

More of practice affirming rather than practice changing?

#NephJC

@nephmadness.bsky.social #NephSky #MedSky

Up next on #NephJC

An RTC of kidney autologous cell therapy in diabetics with CKD
pubmed.ncbi.nlm.nih....

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#NephJC

The things that have changed or most influenced my approach to anemia are:

Daniel Coyne
DRIVE 2
PIVOTAL
CHOIR/CREATE/TREAT

(No KDOQI or KDIGO guideline)
#NephJC

I would pick a real life answer: Monitoring. More eduacation, reassesment and individualized anemia follow up #NephJC

This is usually a temporary approach, wait until sepsis is controlled (often about 1-2 weeks), then restart on IV iron infusion in hospital and adjustment on ESA if needed. But as you said, if persistent it will limit response to both

As usual, updated guidelines still leaves a significant gap for a very young yet high-risk population

Better care in nephro peds means better outcomes on CKD adults #NephJC

Hb value may guide, but if symptoms, any rapid decline, CV risk or transplant candidate… do not wait that is <10 #NephJC

Genius Smart GIF ALT: Genius Smart GIF

Critical appraisal as usual #NephJC