LZLindsey Zirker

1. Article · Aug 6, 2026 · Lindsey Zirker, MS, RD | Publish Date August 6, 2026

   Optimizing Metabolic Health Before Kidney Transplantation (opens the original)

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   Metabolic health is a top concern as patients progress from chronic kidney disease (CKD) to dialysis to transplant candidacy and kidney graft receipt. But health care providers face a significant challenge: Most of the clinical indicators we currently use for metabolic health — hemoglobin A1c, obesity, hypertension, high cholesterol, declining glomerular filtration rate, and proteinuria — tell us things have already progressed into the disease state.9 To improve patients’ metabolic outcomes acro

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2. Article · Jul 9, 2026 · Lindsey Zirker, MS, RD | Publish Date July 9, 2026

   Muscle Wasting in Chronic Kidney Disease: A Collaborative Call to Action (opens the original)

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   Muscle wasting is a common yet underrecognized complication of chronic kidney disease (CKD). For nephrology providers managing an already complex clinical picture, muscle loss can feel like just one more issue competing for attention. From a renal dietitian’s perspective, however, muscle wasting is not a secondary concern: It is tightly intertwined with morbidity, mortality, quality of life, and health care utilization. Addressing it effectively requires shared understanding, consistent terminol

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