What advice would a physician likely give to a CKD patient with a low calcium level?

For a patient with chronic kidney disease (CKD) who presents with low calcium levels, the recommendation to take calcium supplements along with active vitamin D is particularly relevant. In CKD, the kidneys are often unable to effectively convert vitamin D into its active form, which is crucial for calcium absorption in the intestines. As a result, patients may develop problems with calcium absorption, leading to low serum calcium levels.

Calcium supplements are indicated to directly address the deficiency and help restore calcium levels, while active vitamin D plays a significant role in enhancing calcium absorption and maintaining bone health. This combined approach is important in managing mineral and bone disorders commonly associated with CKD, as it can help prevent complications like secondary hyperparathyroidism or renal osteodystrophy.

This option aligns with the clinical practices recommended for managing low calcium levels in CKD, reinforcing the need for careful monitoring and the supplementation of both calcium and vitamin D as part of the treatment plan.