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Dr. Kelly Picard, PhD RD

Dr. Kelly Picard, PhD RD

An Unscripted Renal Nutrition Expert

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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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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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Phosphorus Potassium Protein

Emergency Meal Plans for Dialysis Patients

September 27, 2025September 27, 2025 Kelly Picard PhD RD

When a dialysis patient can’t get to treatment, having an emergency meal plan can help reduce health risks until dialysis is available again. In these

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RD Q&A

What are the recommendations around insulin adjustments on HD?

November 30, 2023December 1, 2023 Kelly Picard PhD RD

Danielle reached out to see if I had any resources for adjusting insulin on HD days. She has a client who reports increased insulin resistance

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