What advice do you offer to patients with recurrent nephrolithiasis who are on a tube feeding diet and seeking stone prevention guidance?  

As always, it is important to know their stone composition, so that you tailor the invention appropriately. Regardless, I have seen many such patients with calcium oxalate stones. It is important to get detailed information about their tube feeding formula and dosing, because tube feedings can vary ...

That is an interesting question. I do not remember encountering such a patient. The first thing I would like to know is the composition of the patient's previous stones. I would then work with my nutrition colleagues to modify the tube feedings to make the urinary milieu unfavorable to that stone ty...