Safest bowel prep for eGFR <15?

A) Sodium phosphate

B) PEG

C) Magnesium citrate

D) Picosulfate + Mg

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The answer is

B) PEG

Polyethylene glycol (PEG) is iso-osmolar, non‑absorbable, and does not cause fluid or electrolyte shifts. It is the only safe option in severe chronic kidney disease (eGFR <15) or dialysis patients.

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