There are 2 other formulations for kidney problems. One costs more then Pro Renal and doesn't have the nutrients that the pro renal does. The other one is cheap but is pretty much not a multivite but a b complex vite. Sometimes its a case of the vitamin having too much of something in them for kidney patients. Talk to your nephrologist. I'm seeing a price of $17 for the proRenal. for a month.
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