Trypsin-Chymotrypsin Dosing for Intervertebral Disc Bulge with Considerations for Patients with Nephrolithiasis

Dietary and Fluid Intake Recommendations

• The American Urological Association recommends high fluid intake, targeting urine volume ≥2.5 liters daily, to prevent kidney stone formation in patients with a history of nephrolithiasis 1
• The National Kidney Foundation suggests limiting sodium intake to 2,300 mg daily, as high sodium increases urinary calcium excretion and stone risk 1
• The American Urological Association advises maintaining dietary calcium at 1,000-1,200 mg daily from food sources, as adequate calcium intake reduces stone formation by binding intestinal oxalate 1