I have a resident with ESRD on HD. He has an unstableable ulcer on his heel as well as an open wound on one of his toes. The toe now has necrotic tissue with bone probing. He is getting liquid prot shops twice a day. Also super cereal and double portion eggs at breakfast. He typically eats 100%. Just got his dialysis labs back and his alb is low (3.4) however it has steadily improved each month since admission in May. He meets his needs via P.O. route with the listed interventions. Has hx of refusing nepro. I’m unsure if I really need to increase his supplements. If a patient is meeting their needs via PO how can you determine if you need to further maximize PO intakes esp in a case where add’l supplementation is already in place? His BMI is normal (20) by the way. Thank you!