Hi, I have a number of PD patients on APD that are either young and active or large men 90-100 kg's that all have a consistent hight serum creatinine level like 1000mmol/l or greater. Their urea is acceptable and their adequacy suggest they are adequately dialysed. Is this just related to the either the larger muscle mass of this group of patients and/or the increase in muscle breakdown in the younger patients? Is this common?
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