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  2. The kidneys have two main ways to maintain acid-base balance: their cells reabsorb bicarbonate HCO3− from the urine back to the blood and they secrete hydrogen (H+) ions into the urine. By adjusting the amounts reabsorbed and secreted, they balance the bloodstream’s pH.
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    The kidneys monitor the body's blood pressure to help maintain homeostasis. When blood pressure is elevated, the kidneys can help to reduce blood pressure by reducing the volume of blood in the body. The kidneys are able to reduce blood volume by reducing the reabsorption of water into the blood and producing watery, dilute urine.
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    The kidneys catalyse the final reaction in the synthesis of active vitamin D that in turn helps regulate Ca 2+. The kidney hormone EPO stimulates erythrocyte development and promotes adequate O 2 transport. The kidneys help regulate blood pressure through Na + and water retention and loss.
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