Chronic kidney disease patients are at risk of metabolic acidosis. This is a condition in which the body can no longer reduce the acidic load through the normal excretion process of the kidneys. The acid that is considered waste, remains in the body. It occurs as a result of the decrease in salt blood levels, a special salt that helps control our acid base balance. The normal range of bicarbonate is 21-28 mEq/L/. Restricting dietary proteins would reduce the metabolic activity and help increase serum bicarbonate levels. Bicarbonate supplementation may improve nutritional status and slow the progression of chronic kidney disease.