Optimizing Hemodialysis: How Low Dialysate Flow Alters Adequacy and Patient Recovery.

Inclusion Criteria

• •ESKD patients more than or equal 18 years old, on maintenance HD thrice weekly for more than three months and each session lasts for 4 hours.
• •All patients will receive HD via an arterio-venous fistula.
• •All patients will receive HD via the same type of HD machine and the blood pump will be set at 300ml/min.
• •All patients will receive the same type of HD membranes and every effort will be made to achieve the dry weight of the patients.