Ketograce Sachet contains Alpha Ketoanalogue (NA), a specialized nutritional supplement primarily indicated for patients with chronic kidney disease (CKD) to support renal function and delay the progression of renal failure. Alpha Ketoanalogue serves as a nitrogen-free analog of essential amino acids, providing the necessary substrates for protein synthesis without increasing nitrogenous waste, thereby reducing the metabolic burden on compromised kidneys. Ketograce Sachet is typically used in conjunction with a low-protein diet to optimize nutritional status while minimizing the accumulation of uremic toxins. This formulation aids in maintaining a balanced amino acid profile, promoting anabolism, and preventing protein-energy malnutrition commonly observed in CKD patients. The sachet form allows for convenient oral administration, ensuring ease of use and adherence. Ketograce should be used under medical supervision, with dosage adjusted according to the patient’s renal function, nutritional needs, and dietary protein intake. It is contraindicated in patients with hypersensitivity to any component of the product. Common adverse effects are rare but may include gastrointestinal discomfort. Regular monitoring of renal parameters and nutritional status is recommended during therapy. Ketograce Sachet represents an important adjunct in the management of CKD-related malnutrition and metabolic complications.