Chronic kidney disease (CKD) is primarily caused by long-term damage to the kidneys, often stemming from conditions like diabetes and hypertension. These underlying health issues can lead to progressive impairment of kidney function. Additionally, certain lifestyle factors such as smoking, obesity, and a high-sodium diet may contribute to CKD. The ketosteril, a medication containing essential amino acids and keto acids, is prescribed for CKD patients to help manage the metabolic imbalances associated with kidney dysfunction. While it doesn't directly address the root causes, it plays a crucial role in supporting renal function and mitigating complications by reducing the workload on the kidneys.