From left to right, the Albumin values are 3.2, 3.4, 3.5, 3.5, 3.2, and 3.4, being the most recent. The rationale for stopping IPN treatment should jump out of the above graph. When I started IPN on July 11, my nearest lab had albumin at 3.5. It was 3.5 in Aug, then 3.2 in Sep, with Oct 3.4, lower than when we started.

We are getting nowhere except expending lots of energy and funds.

Not a way to run a railroad. My dialysis nurse has asked me to stop by and has something else in a bottle for me to try, perhaps LiquaCel. This is what Perplexity has to say about this magic in a bottle:

LiquaCel is a liquid protein supplement composed mainly of hydrolyzed collagen. It provides 16 grams of high-quality liquid collagen protein and 2.5 grams of arginine per 1 oz serving. It is designed for individuals who have difficulty swallowing or digesting solid foods, such as renal, bariatric, wound healing, or dialysis patients. LiquaCel is available in various flavors and can be taken straight or mixed with beverages. It offers flexible administration options, including oral intake or via enteral feeding, and is beneficial for muscle preservation, wound healing, and addressing malnutrition. It is low in potassium and phosphorus, sugar and gluten-free, and has a moderately thick consistency according to IDDSI standards.mckinhealth+4

Here is the Amazon link to LiquaCel: https://www.amazon.com/LiquaCel-Concentrated-Protein-Packets-Variety/dp/B0B5FBQYTB/ref=sr_1_1?adgrpid=1330409643026272&dib=eyJ2IjoiMSJ9.bG4g9FjNJMC50cUJmxNeaC6Po09D6C9vGbbrh747JqYpcy1iKkvOZgEAombLa0dYJpmGhTNTQss-Ug3XjMcseOGHxBx95lg16eZ_VOBocstEilkbecjPBnKracOM2FzgYGp8Y4dBYz7HFqyTBTnerHi8uIDGrpzST0rF-eRRebJJatYnZ31nOz0Zl36QYW-FAJG1eJ1jswhm4R-ZR78QtvDDr4mssophSTIQ_G9iUtBs01hXYvXQdEFBDTWCAi5nMM7Fpx1Irt7NYnzufVpNOQU8hv0hofrHzLt8YiieiOY.EG-3Tm0RgAeQXHs18Mf_f6jhAc-fldYm77MYuWgyq6M&dib_tag=se&hvadid=83150841222992&hvbmt=bb&hvdev=c&hvlocphy=65300&hvnetw=o&hvqmt=b&hvtargid=kwd-83150967505093%3Aloc-190&hydadcr=21881_13321961&keywords=liquacel+protein+packets&mcid=c7f4f7c5fe9a32678d769519cd035607&msclkid=bf75e8d1ab9a1afd1bfb80336842c4c3&qid=1759691742&sr=8-1