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Joel Topf

@kidneyboy.bsky.social

821 Following7.6k Followers

Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis.

COI: https://pbfluids.com/about/

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@hswapnil.medsky.socialSep 13, 2026, 9:53 PMReposted by @kidneyboy.bsky.social

You want a ticket to the hottest event of #KidneyWk?

www.nephjc.com/news/2026/9/...

Consider a donation to the fall #NephJC pledge drive

@kidneyboy.bsky.socialSep 5, 2026, 4:57 PM

Come for the anti-androgen effect. Stay for the anti-albuminuria effect

@kidneyboy.bsky.socialAug 31, 2026, 2:45 AM

Yup I have a few in my clinic. Again, like in treating acne, patients tolerate these higher doses with shockingly little hyperkalemia. I have one such patient and they have shockingly little albuminuria despite pretty bad metabolic syndrome. I suspect the spiro is one of the reasons

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