Low protein diets are not needed in XXXX .

@entity1 @entity8 @entity1568 @entity6 @entity177 @entity2265 @entity3147 @entity1381
Low protein diets have been used for a long time in the conservative management of @entity177 as they have a beneficial effect in preventing the appearance of symptoms. However, with the exception of the beneficial effect on @entity2265 of the very low protein diets supplemented with ketoacids, they have no proven effects on the other aspects of the @entity1381 . Moreover, the weight of the evidence suggests that the effect of these diets on preservation of GFR, if any, in @entity1 with nondiabetic @entity8 is small and of little clinical relevance. There is very little evidence in the literature of its role in @entity1 with @entity6 . The nutritional safety of these diets is still suspect. @entity1 with @entity177 have low energy intakes, which is further reduced when these diets are prescribed. Metabolic studies predict that these @entity1 would be in negative @entity1568 balance and in fact, even nutritionally sound, nondiabetic @entity1 enrolled in the Modification of Diet in @entity8 Study developed subclinical signs of @entity3147 . It is possible that the nutritional decline may have been more pronounced on longer duration of follow-up. Finally, these diets are difficult to follow, leading to issues of compliance and exert a great toll on the time of the dietitians. Hence, we conclude that low protein diets are not necessary in @entity177 .
