Preventing kidney disease is not just about taking the right medications

symptomatic, late stage kidney disease is generally preventable

Prevention needs to start early to be effective

The plan needs to be goal-directed and specific

The plan must involve changes in diet

clarity about protein intake

emphasis on salt restriction

There should be a discussion of bone health

risk of fractures should be discussed

modifiable factors such as calcium intake and exercise should be discussed

relationship between salt intake and bone health should be discussed

Preserving mental acuity

discussion of risk of dementia and cognitive impairment

recognition of modifiable risk factors: exercise, smoking, sleep hygiene, social activities