Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease Ergocalciferol (D2) Cholecalciferol (D3) - Effective in repleting 25-D and 1,25-D in patients with early-stage CKD and adequate kidney function ER Calcifediol - Effective in repleting 25-D and 1,25-D in patients with CKD 3 and 4 - Effectively suppresses SHPT Calcitriol - Biologically active VDR agonist - Effectively suppresses SHPT - Reduces abnormal high bone turnover Doxercalciferol - Suppresses SHPT similar to or better than calcitriol - Noted reduction in serum bone-specific alkaline phosphatase and osteocalcin Alphacalcidol - Suppresses SHPT similar to or better than calcitriol Paricalcitol - Biologically active VDR agonist - Effectively suppresses SHPT - Noted reduction in serum bone-specific alkaline phosphatase and osteocalcin Dr. Edgar V. Lerma @edgarvlermamd - Nephrology Secrets https://amzn.to/34t5DgJ #VitaminD #Secondary #Hyperparathyroidism #CKD #Nephrology #Management #Pharmacology #Cholecalciferol #Calcitriol
