What are "middle molecules" and why do they matter? Middle molecules are larger waste products thatcanbuild up inyourblood when your kidneys arenotworkingwell.If thesewaste productsare not removed, theymaycauseswelling or irritation in thebodythatcan worsen otherhealth issues. They may also be linkedto symptoms likefeeling tired, joint pain, anditchy skin.
How is Expanded HD different from conventional hemodialysis? Theonlydifference is the filter. Expanded HD uses an advancedfilter that can removelarger waste products. Regularfiltersmaymisssome of this larger waste.This new, advanced filter fits into the same machines and uses the same treatmentsteps as regular filters. So, the treatmentand care from your teamwilllookand feelthe same.
How might Expanded HD change how I feel? BecauseExpanded HDremoves morewaste, somepatientssaythey feelbetterdaytoday.Benefits mayinclude:
-Feeling less tired after dialysis
-Sleeping better
-Less itchy skinand/or restless legs
Is Expanded HD safe? Yes. Expanded HD uses advanced filters that have been studiedin many countries. These filters areFDA approved. Studies show Expanded HD isa safe and effective way to cleanmore waste from theblood.
How areExpanded HDand HDFdifferent? Expanded HD and HDF arebothadvanced dialysis options.HD means hemodialysis. HDF means hemodiafiltration.
Both helpremovelargerwaste products, called “middlemolecules,” from the blood. This mayhelp you feel better andsupportyour overall health. The main difference is howeach treatmentremoveswaste.
Expanded HDuses anadvanced filter that works withthedialysismachineand process you are used to.HDF needs special dialysis machines, extra replacement fluid, and sometimes higher blood flow during treatment.Researchshowsbothoptions mayoffer similarhealthbenefits and symptom relief.Expanded HD may be easier to offer to more patients because it does not need special machines,lots of fluid,or changes to blood flow.
