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I would advise against taking Keto ACV gummies with CKD stage 3. Here's why:

Apple cider vinegar supplements can be harsh on kidneys that are already compromised
The magnesium (32mg) needs monitoring since CKD affects mineral balance
Pomegranate and beet juice concentrates may have high potassium levels
Instead, discuss with your nephrologist about safe supplements for your specific condition. They can better assess if any components would be harmful given your current kidney function.