According to the website, About Health, "Immunocompromised (having an immune system that has been impaired by disease or medical treatment) individuals can sometimes be prone to more serious infections and/or complications than healthy people," which include End Stage Renal Disease, Dialysis and Diabetic patients. In fact, they suggested that these individuals are more likely to contract opportunistic infections (infections that do not normally afflict healthy individuals). Hence, Chronic Kidney Disease, Dialysis and Diabetic patients should be on alert since the U.S. Food and Drug Administration (FDA) announced on Tuesday, December 9th, 2014 that there are risks associated with the use of Dietary Supplements in "Immunocompromised persons."
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Those with Chronic Kidney Disease and Diabetes often utilize supplements due to their additional nutritional and energy needs. This is especially the case for Dialysis patients, and in fact Physicians and Registered Dietitians often prescribe or recommend supplements that will benefit an individual patient. However, patients should know that Dietary Supplements are generally not regulated as drugs by the FDA and thereby are not subject to the FDA’s premarket review or approval requirements for safety and effectiveness, nor to the Agency’s rigorous manufacturing and testing standards for drugs.
FDA, along with the Centers for Disease Control and Prevention (CDC) and the Connecticut Department of Public Health are warning of the potential risks associated with the use of dietary supplements in Immunocompromised patients, especially those containing live bacteria or yeast. Among other complications the rare, often fatal fungal infection, Gastrointestinal Mucormycosis, was found to be especially dangerous in Immunocompromised hosts (patients).
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In many cases dietary supplements are necessary for Chronic Kidney Disease and Diabetic patients to improve and maintain their health and quality of life, and many supplements do not require prescription. Still, before beginning any supplement regimen Chronic Kidney Disease and Diabetic patients are encouraged to verify with their Healthcare Teams that it is a safe option for them. Also, patients should let their Physicians know immediately should they have adverse side effects following the use of their suggested Dietary Supplement(s).
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Koo, Ph.D. Ingrid. "What Does Immunocompromised Mean?" About.com. Http://infectiousdiseases.about.com.
"Dietary Supplements Containing Live Bacteria or Yeast in Immunocompromised Persons: Warning." Http://www.fda.gov. U.S. Food and Drug Administration.
"Supplements for Dialysis Patients." LIVESTRONG.COM. LIVESTRONG.
"Energy and Protein Boosters for Dialysis Patients ." Http://www.davita.com. DaVita HealthCare Partners Inc.