Nayan Arora
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captainchloride.bsky.social
Nayan Arora
@captainchloride.bsky.social
Associate Professor and APD @pdxkidney.bsky.social | Cardiorenal enthusiast | Whisky drinker, runner, dad | Filtrate on Freely Filtered 🎙️
We need goat yoga for after the #kidneywk run next year
November 10, 2025 at 5:23 AM
Reposted by Nayan Arora
as far as I know the fish oil craze started with bad math over an Icelandic or Greenland study, and has been a cesspit of bad science since then and this finding reminds me of what my mom said:

if it is to good to be true, it is
November 8, 2025 at 12:50 AM
Reposted by Nayan Arora
Agreed - already have some proactive DMI folks on Finerenone - has been safe and lowers proteinuria in my hands
November 7, 2025 at 8:13 PM
Agreed - seems a little “fishy”
November 7, 2025 at 5:40 PM
This is like the Rockies winning the World Series….
November 7, 2025 at 5:11 PM
Reposted by Nayan Arora
For finerenone in type 1 DKD I think albuminuria is OK

For Atacicept - this is preliminary data which gets them accelerated FDA approval and a few months of making 💰until the GFR slope analysis comes through?

#KidneyWk
November 6, 2025 at 8:57 PM
Reposted by Nayan Arora
While I agree, here in Australia the drugs will not get funded by the govt without the harder endpoints unless of course the price is okay which of course is not going to happen. It’s exciting to see all these new therapeutics but unless the cost comes down I doubt we will see them in Australia soon
November 6, 2025 at 8:41 PM
Finerenone has already shown benefit in type 2 DM and the benefit was primarily driven by albuminuria reduction. To me the type 1 diabetes trial was simply a safety trial since there’s no reason to believe the mechanism would be any different so I’m fine with the albuminuria surrogate
November 6, 2025 at 8:35 PM
Move on - once it became approved as a surrogate endpoint there is zero incentive for trials to use hard endpoints as primary outcomes. Trials are shorter and more importantly cheaper.
November 6, 2025 at 4:56 PM
All of them
November 6, 2025 at 4:05 PM
I would accept a UNa
September 20, 2025 at 5:11 PM
Good luck getting an accurate weight. Plus are you going to wait 24 hours before dose escalation? And then there’s 👇🏾

pubmed.ncbi.nlm.nih.gov/25595470/
Substantial Discrepancy Between Fluid and Weight Loss During Acute Decompensated Heart Failure Treatment - PubMed
Considerable discrepancy between fluid balance and weight loss is common in patients treated for acute decompensated heart failure. Awareness of the limitations inherent to these commonly used metrics...
pubmed.ncbi.nlm.nih.gov
September 20, 2025 at 3:53 PM