Insights into Nutritional and Inflammatory Aspects of Low Parathyroid Hormone in Dialysis Patients Abstract In people with advanced chronic kidney disease (CKD), secondary hyperparathyroidism is associated with high-turnover bone disease. A low serum PTH may not necessarily be due to hypodynamic bone but another facet of the malnutrition-inflammation cachexia-syndrome (MICS). A recent 5-year cohort study...