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Dr. Kelly Picard, PhD RD

Dr. Kelly Picard, PhD RD

An Unscripted Renal Nutrition Expert

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Category: RD Q&A

Questions I receive from dietitians – with my answers.

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RD Q&A

How does eating impact cyclosporine levels?

July 22, 2024July 22, 2024 Kelly Picard PhD RD

Cyclosporine is an immunosuppressant that is frequently used post-kidney transplant (and is associated with hyperkalemia). I received this question on how eating impacts cyclosporine. To

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Hyperkalemia Assessments Potassium RD Q&A

Why is glucosamine associated with hyperkalemia?

July 6, 2024July 6, 2024 Kelly Picard PhD RD

On my hyperkalemia assessment guide, I highlight that glucosamine supplements can be associated with hyperkalemia.  But why? Glucosamine supplements may cause hyperkalemia because they can

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Hyperkalemia Assessments Potassium RD Q&A

When do blood glucose levels start to impact K?

June 8, 2024June 8, 2024 Kelly Picard PhD RD

This is part two of a question that was emailed to me. The questions were about how different factors impact the movement of potassium inside

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Hyperkalemia Assessments Potassium RD Q&A

When do CO2 levels impact K?

June 1, 2024June 1, 2024 Kelly Picard PhD RD

This question was emailed to me a little while ago. Its a tough one, but a good one! How are CO2 and K related? According

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Hyperkalemia Assessments Potassium RD Q&A

How do ostomies impact serum potassium levels?

May 1, 2024May 1, 2024 Kelly Picard PhD RD

Given that constipation is known to contribute to hyperkalemia risk and many ostomies are associated with increased fecal volume, the most well-known impact is hypokalemia.

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medications on a marble surface
RD Q&A

Why is metformin stopped when eGFR is low?

February 19, 2024February 19, 2024 Kelly Picard PhD RD

This isn’t directly related to nutrition, but this question has come my way, so I am happy to talk about it. This question comes up

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medical eyeglasses and full of blood vials on diaper
RD Q&A

Can my patient on blood thinners take Vitamin K?

February 17, 2024February 17, 2024 Kelly Picard PhD RD

In one of my previous posts, I talked about Vitamin K and calcification. It got me wondering, what about my patient’s on blood thinners? I

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Phosphorus RD Q&A

Do processed plant sources of phosphorus still have low bioavailability?

February 10, 2024February 10, 2024 Kelly Picard PhD RD

Is the bioavailability of micronutrients in plants foods equal? Is the phosphorus bioavailability lower in all plant foods? Or does the level of processing matter?

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Free potatoes, sweet potato and
Phosphorus RD Q&A

Are “starches” phosphorus additives?

February 8, 2024February 8, 2024 Kelly Picard PhD RD

It is not uncommon to see “modified” or “resistant” starch listed on food labels, but do those starches contain phosphorus? The easy answer – sometimes

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silver heart bowl filled of red pomegranate seeds
RD Q&A

Can Vitamin K supplementation reduce vascular calcification risk in adults living with CKD?

February 2, 2024February 2, 2024 Kelly Picard PhD RD

A colleague of mine brought this question to my attention. She had a patient who was asking if they should take Vitamin K. I admit

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