Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl!Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow SegmentsTime stamps refer to the ad-free versionCreditsWriter and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Timothy Yau MDSponsor: Rocket Money Cancel your unwanted subscriptions by going to RocketMoney.com/CURBSponsor: FreedYou can try Freed for free right now by going to freed.ai And listeners of Curbsiders can use code CURB 50 for $50 off their first month.