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Dr. Kelly Picard, PhD RD

Dr. Kelly Picard, PhD RD

An Unscripted Renal Nutrition Expert

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Author: Kelly Picard PhD RD

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Journal Club Phosphorus

Serum Phosphorus vs Total Phosphorus Balance

February 28, 2026February 28, 2026 Kelly Picard PhD RD

Phosphate binders are routinely prescribed to lower serum phosphorus in patients with CKD. But do they actually reduce total body phosphorus — or just shift

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RD Q&A

Is Serum Vitamin B12 a Reliable Marker?

February 21, 2026February 23, 2026 Kelly Picard PhD RD

When I first started working as a dietitian, I frequently requested serum B12 levels and adjusted supplementation based on the results. But one thing I

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Protein RD Q&A

Introduction to IDPN for dietitians working in HD

January 31, 2026January 31, 2026 Kelly Picard PhD RD

One skill I’m developing in my practice is Intradialytic Parenteral Nutrition (IDPN). So if you, like me, want to learn more about IDPN, this post

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Journal Club RD Q&A

Forearm Ultrasound for Muscle Mass Assessment: Feasibility and Reliability in Practice

January 15, 2026January 10, 2026 Kelly Picard PhD RD

As part of a rigorous nutrition assessment, assessing muscle mass is increasingly recognized as an essential component. While dietitians have long relied on visual cues

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Journal Club

Should All Hemodialysis Patients Take Fish Oil? What the PISCES Study Tells Us

January 10, 2026January 10, 2026 Kelly Picard PhD RD

A colleague recently sent me a paper that had her hemodialysis (HD) unit buzzing. It had everyone asking: Should all HD patients be recommended fish

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Phosphorus RD Q&A

A Simpler Way to Estimate Phosphorus Additives in Food

November 30, 2025November 29, 2025 Kelly Picard PhD RD

After publishing my recent post on Estimating Phosphorus Additives, I received a lot of great feedback—especially from clinicians who said the method was clear and

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Journal Club

Is Semaglutide Linked to Sarcopenia? New Evidence from SEMALEAN

November 29, 2025November 29, 2025 Kelly Picard PhD RD

Today’s paper is a deep look at the SEMALEAN study, which examined how semaglutide affects body composition, muscle function, and resting energy expenditure over 12

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RD Q&A

Hydrogen Water: Benefits, Risks, and What Clinicians Should Know

November 22, 2025November 22, 2025 Kelly Picard PhD RD

I was recently asked about hydrogen water and had to admit that I knew nothing about it. So today’s post is result of what I

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Journal Club

Creatine Supplements in End-Stage Kidney Disease

November 3, 2025November 22, 2025 Kelly Picard PhD RD

This is Part 4 in my series on creatine supplements. Today, I focus on creatine supplementation in people receiving dialysis. For background on creatine basics,

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Journal Club

Creatine Supplements and Kidney Health

October 27, 2025November 22, 2025 Kelly Picard PhD RD

This is Part 3 in my series on creatine supplements. Today’s post focuses on the relationship between creatine supplements and kidney health. For background information,

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