Clinical Research Directory

Inclusion Criteria: * Patients (and replacements) will be randomly selected by a raffle. * All participants should be 18 years of age or older and agree to participate in the study after due clarification. * Patients with end stage kidney disease (ESKD) on regular hemodialysis for more than 3 months. Exclusion Criteria: * \- Patients with neoplasm, severe cardiovascular, cerebrovascular and liver diseases. * Females with polycystic ovarian syndrome, those on hormonal replacement therapy and pregnant women. * Patients with infection or autoimmune diseases.