How do you balance the benefits and risks for thiazide diuretic use in patients with recurrent nephrolithiasis and hypercalciuria in the setting of Bartter syndrome?

Bartter syndrome is a rare genetic disorder causing excess urinary losses of sodium, potassium, and chloride. Assuming the patient is a calcium stone former, I would be inclined to start potassium citrate first. If the patient continued to show evidence of metabolic activity on follow-up CT scanning...