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Among HDS users, seven patients perceived worsening CKD from HDS, such as river spiderwort, kariyat and wheatgrass.Additionally, 72% of respondents did not inform their doctor about their HDS use mainly because their doctor did not ask (46%) or would disapprove of their HDS use (15%).The top three most often reported reasons why respondents used HDS were family and friend’s recommendation, followed by expecting to gain benefit from HDS and wanting to try them.Perceived beneficial effects on renal function from HDS were reported by around 10% of HDS users.

Conventional medication adherence was measured using the Thai version of 8-Item Morisky Medication Adherence Scale.

Four hundred and twenty-one eligible patients were recruited.

The prevalence of HDS use in the previous 12 months was 45%.

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