At this time, however, the available randomized evidence for cinacalcet does not support the current Kidney Disease: Improving Global Outcomes clinical practice guidelines suggesting that people with CKD treated with dialysis and elevated or rising PTH levels (beyond two to nine times the upper normal limit) receive vitamin D compounds or calcimimetics or a combination to decrease serum PTH levels to within the suggested range [11]. Here, PTH is linked to kidney disorder.