Effects of Royal Jelly Supplementation in Chronic Kidney Disease

This study tests whether royal jelly — a natural substance produced by honeybees — can improve health outcomes (such as inflammation, nutrition, and blood vessel health) in patients with chronic kidney disease who are on hemodialysis (regular dialysis to filter blood). **You may be eligible if...** - You have chronic kidney disease and have been receiving hemodialysis for at least 6 months - You have an arteriovenous fistula (a surgically created connection between an artery and vein) as your dialysis access site **You may NOT be eligible if...** - You are pregnant or breastfeeding - You are a smoker - You have taken antibiotics or antioxidant supplements in the past 3 months - You have autoimmune or active infectious diseases - You have cancer, liver disease, or AIDS Talk to your doctor to see if this trial is right for you.