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add Gut supporting ingredients to support gut-kidney axis Gut-supporting ingredients to support the gut-kidney axis Pre-, pro- and postbiotics and soluble fibres Increased intake of prebiotics (beneficial fermentable fibres), probiotics (living beneficial bacteria) or postbiotics (fermentation product with dead microorganisms, cell fragments and beneficial metabolites like SCFAs) can help restore a balanced and healthy microbiota, strengthen the intestinal barrier and lower the production of metabolic uremic toxins, reducing intestinal permeability and systemic inflammation, and can be an important part of the management of CKD