Visual summary
A plausible anti-inflammatory mechanism needs outcome evidence. Continue the fundamentals of infection care, nutrition, access health, and physical function.

Text version
A common background state
Dialysis-related inflammation can coexist with infection, vascular disease, access problems, malnutrition, and reduced physical function.
Look for a treatable cause
Persistent inflammatory markers or falling albumin should prompt clinical assessment rather than being accepted as inevitable uremia.
Interpret biomarkers carefully
Albumin and inflammatory markers predict risk but are affected by many mechanisms. Changing a marker does not automatically change the underlying risk.
Assess proposed therapies
For fish oil or other adjuncts, verify the exact trial, population, intervention, adverse effects, and clinical endpoint.
Include treatment burden
Interactions, bleeding concerns, tolerability, cost, and patient priorities belong in the discussion of an optional supplement or medication.
Prioritize meaningful benefit
A plausible anti-inflammatory mechanism needs outcome evidence. Continue the fundamentals of infection care, nutrition, access health, and physical function.
Continue learning
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