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The submitters stated that the consequences of poor oral health are worse for ESRD patients than for the general population due to ESRD patient characteristics such as advanced age, higher prevalence of comorbid diabetes, polypharmacy, and impaired immune function, and that medically necessary dental care may improve the clinical success of the dialysis services

Adequate B-12 levels can improve focus, lift mood, and combat feelings of fatigue

Patients with chronic conditions may run more frequent cycles under clinician supervision

Hormonal changes can impact metabolism, energy levels, body composition, and the ability to maintain a healthy weight