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Ca > 10.5 mg/ dL

Calcemia corregida. Ca < 10.5 mg/dL. Ca > 10.5 mg/ dL. Actitud expectante (PTH) 1º año/Control activo PTH después Repleción vitamina D nativa Análogos VD/AsRVD (en ERC 3,4,5). Cinacalcet Retirada de VD. No respuesta. Paratiroidectomía (>500).

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Ca > 10.5 mg/ dL

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  1. Calcemia corregida Ca < 10.5 mg/dL Ca > 10.5 mg/dL Actitud expectante (PTH) 1º año/Control activo PTH después Repleción vitamina D nativa Análogos VD/AsRVD (en ERC 3,4,5) Cinacalcet Retirada de VD No respuesta Paratiroidectomía (>500) La dieta, el aporte de calcio, corrección de acidosis y el eventual uso de captores del fósforo será el que corresponda, según Guías SEN, a su estadio de función renal, como si no estuviera trasplantado Figura 2. Control de la calcemia y la PTH postrasplante renal

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