Abstract: Upon finishing part III of my metabolic acidosis/potassium series, I had every intention of writing part IV right after. However, as the time came to write part IV, I decided that, while there is still a large volume of research on this issue that I will be reviewing in future newsletters, I needed to take a break from this subject for a short period of time. Why? during the last few months a literal avalanche of research on another grossly underappreciated issue in the treatment of chronic illness, loss of muscle mass and the need for increased protein intake, has been published. Some of these papers, in particular the two I am about to review in this and the next newsletter, are, to me, so compelling and so desperately relevant to the needs of today's ever-growing volume of aging chronically ailing patients, that I felt, in good conscience, I could not delay writing about them until I had finished the metabolic acidosis/potassium series. Therefore, to start the new year, I want to re-emphasize the need to consider muscle mass and increased protein need for literally every chronically ill patient, particularly those who are aged 50 years and older.
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