Anyone on dialysis

should read this article from today’s Times. I’m looking at you @Beckdawrek:

https://www.nytimes.com/2025/05/02/well/stomach-pain-dialysis-thiamine-beriberi.html?unlocked_article_code=1.GU8.6Ad8.ijFro_SDEd0Q&smid=url-share

Basically, dialysis can have the effect of removing thiamine from the system, causing a deficiency that can lead to abdominal pain. This is one those medical mysteries tales.

I’m reading it now.

Yeah, baby.
Beck has had the bad, bad, bad Beriberi.

I take a full b12 injection, Thiamin added, every week.

At dialysis I’m often crampy and uncomfortable.
I have waves of nausea. I can usually keep the food in.
I’m so brittle and it’s not like I’m not doing my insulin, tracking BG, eating right. I excercise, walk with a purpose, when I’m ambulatory. I try.

The diabetic end of life scenario is not pleasant or something I’m looking forward to.

I knew that people on dialysis are routinely given iron and erythropoetin, and derivatives of vitamin D, but specific thiamine supplementation is something I hadn’t seen, not there anyway. People on detox are DEFINITELY given megadoses of thiamine.

The kidney also produces hormones that stimulate red blood cell production, and enable the body to more efficiently use vitamin D. It had long been known that CRF (chronic renal failure) patients had anemia and osteoporosis, but only more recently did we find out why. Dialysis is hard on the body regardless of the method used; my cousin did a home dialysis method where he hooked himself up to a machine 6 nights a week, but his wife is an RN and he was a veterinarian so they were able to learn what to do. The dialysate was delivered to their house regularly.

Thiamine deficiency can also cause Wernike-Korsakov disease, a brain disease which causes the separations between the left and right lobes of the brain (and to a lesser degree, the frontal and dorsal) to expand at the expense of brain matter, and immediate short-term memory loss, but over the long term, also longer period memory.

I have it, it is not fun.

I take huge doses of thiamine every day.

Thanks to Ivy, you get no shortage of Rawhide, either.