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Remember, people with stage 3 or 4 CKD who develop SHPT cannot convert vitamin D into its active form within their own kidneys. Experts suggest that these patients with stage 3 or 4 CKD and SHPT take an activated form of vitamin D medication-which is available only by prescription-to correct their vitamin D deficiency and thereby treat SHPT. Managing SHPT lowers risk for bone loss or fracture, cardiac complications and dangerous mineral and hormonal imbalances. You may know that the sun and certain foods are good sources of vitamin D. But did you know that due to chronic kidney disease, millions of Americans can't convert the form of vitamin D produced by the sun or found in food and over-the-counter vitamins into the active form of vitamin D used by the body? This means that even if you're taking vitamin D pills, getting adequate sunlight or eating foods rich in vitamin D, your bones and organs may be at risk due to a deficiency in "active" vitamin D.

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Chronic Kidney Disease.