Decrease Urine Protein and preserve kidney function
ฝัง
- เผยแพร่เมื่อ 7 ก.ค. 2024
- Episode 262: Welcome to our enlightening session, "Decrease Urine Protein and Preserve Kidney Function," a must-watch for anyone looking to slow the progression of Chronic Kidney Disease (CKD). We are honored to have Dr. Rosansky, a distinguished nephrologist and kidney disease expert, sharing his valuable insights and practical strategies to help you manage CKD more effectively.
In this video, we delve deep into the importance of decreasing urine protein to preserve kidney function. Dr. Rosansky discusses how certain strategies and treatments can help reduce proteinuria, thus aiding in slowing down CKD progression, prolonging life, and possibly delaying the need for dialysis. This video is an essential resource for those living with CKD and those wanting to understand more about kidney health.
Main Discussion
1. Importance of Proteinuria:
* Proteinuria is the best predictor of future kidney function decline and should be the main focus of treatment.
* Reducing protein in the urine is more significant than minor changes in eGFR for slowing kidney disease progression.
2. Understanding Proteinuria:
* Protein in the urine, particularly albumin, indicates glomerular damage.
* Measuring urine protein accurately is crucial. Dipsticks are a simple way to monitor it, and specific gravity helps understand urine concentration.
3. Measuring Protein in Urine:
* The most accurate method involves sending a urine sample to the lab to measure albumin and creatinine levels.
* Persistent protein levels above 200-300 mg/day are worrisome and indicate a higher risk of kidney disease progression.
4. Factors Affecting Proteinuria:
* Certain conditions like fever, intense exercise, severe dehydration, and emotional stress can cause temporary proteinuria.
* Orthostatic proteinuria (protein in the urine when standing) is benign and common among young individuals.
5. Impact of Proteinuria on Kidneys:
* Protein in the urine is likely directly toxic to the kidneys, causing scarring and glomeruli damage.
* Reducing urine protein correlates with slower kidney function decline and lower risk of cardiovascular diseases.
6. Treatment Strategies:
* ACE inhibitors (ending in 'pril') and ARBs (ending in 'tan') are effective in reducing proteinuria and slowing kidney disease progression.
* These medications can decrease the risk of kidney failure by up to 50%.
* Other measures include lowering salt intake, taking statins, controlling diabetes, and quitting smoking.
Order the home test strips Dr. Rosansky recommends to detect protein in the urine at: amzn.to/3SkINzU
Get Dr. Rosansky's helpful book "Learn The Facts About Kidney Disease" at go.dadvicetv.com/book
Dr. Rosansky is a highly respected nephrologist and an esteemed author of the book "Learn the Facts about Kidney Disease". With an illustrious career dedicated to the field of nephrology, he has made a significant impact on countless lives through his clinical practice and his insightful writing. His book has served as an essential guide for many patients navigating kidney disease, demystifying complex medical concepts and providing practical advice for managing the condition. Dr. Rosansky's commitment to patient education and his deep expertise in kidney health have firmly established him as a leading authority in the field of nephrology.
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IMPORTANT: This video is intended to be informational only. It is not a medical consultation, nor is it personalized medical advice. This video is not meant to replace a physician's advice, supervision, and counsel. For medical advice, please consult your physician.
#KidneyDisease #CKD #DecreaseUrineProtein #PreserveKidneyFunction #KidneyHealth #DadviceTV #DrRo
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Thank you for your support! I'm still going strong without Dialysis or transplant.
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Hi James have question please. Mom 73 with diabetes type 2 and Asthma and she does not have kidney disease. Tested her and gfr was 52 and creatine was 92. We repreated the test again thank God her Gfr became normal again at 92 and creatine 51. Also, urine protiean/creatine test was normal. My question for you is, what can caused that fasly low gfr dehydration maybe? We were concerned before we see her gfr rturn to normal.
Ordinary folks like me would not understamd those medical terms, please just tell people how to reduce protein in the urine.
Do we have to buy your book to know how?
K1
How does protein get in kidneys?
I eliminated soft drinks, energy drinks, and all alcohol 2 years ago. Went strictly H2 0. My labs have improved significantly.
Who wants to drink only water all the time, how friggin boring.
@@philiporourke7896 ppl who want to live longer?
@@hereweare9011 yea, but not enjoying it.
@@philiporourke7896 someone that wants to live without dialysis.
I stopped all soda's & tea's (but not the herbals). I start the day w-16oz lemon water, next 16oz celery juice, next an apple sauce, next a decaf black espresso, next a soup or stew. later a Chicory coffee. Some herbal teas, like rosemary etc. I *never* drink plain water and believe me, I get more than enough liquid
Dr. You hve calmed me down bcse my albumin is 6 and I was frightened. My bilirubin is up too. Thank u James for doing this programme for us all.
Why can’t you just tell us how to lower the proteins in our kidneys instead of spending an hour on telling us how to test it?🤷♂️😢😢😢
Reduce amount of protein you eat. Stop sugars and go ketogenic
You are right 💯✅️
1- Coriander juice.
2- Raw honey with onions or onion juice
These 2 things can heal the kidneys
All they do is talk talk talk but no good solutions to how to lower it. So I stay away from a lot of know it all videos.
@@user-ww7ln3ht9o I have the coriander spice in my cabinet and I eat lots of raw honey and onions but I looked on Amazon for coriander juice and they want $185.00.
Really looking forward to the next streaming video! Great info!
Thank you James for helping us 👏👏🙏
VN Vet Heart bypass patient living in Vietnam with CKD 3 age 75. My eGFR 50 negative on protein/glucose in the urine in addition all negatives on the urine test. , thanks for your presentations as I depend on your information on a daily basis as here in Vietnam. I have yet found a renal dietition in my area of HCMC surburb but until I find one I depend on your video's. Thanks a million for your time.
Sad these doctor's don't recommend dietitians.
Sad...renal dieticians are not readily available
THANK YOU for helping us to work out the UK RATIO FOR Albumin.
Thank you both. 😊 It is appreciated.
Thank you for your support!
great video. one of the best ive seen yet
Dr Rosansky and James Fabin are saving more lives than a battalion of fire fighters. I have both of their books and am studying them like I was preparing for final exams in college.
Thank you for your kind words and support.
God Bless the 2 of you for having this very informative discussion.
For what? They just trying to sell a book😏
Fantastic presentation to kidney patients.
We’ve been eating a plant based diet for 12 years and kidney function has stayed stable at 31%. Protein urea has improved to a trace from 400.
Awesome!!!!!!
Can u pls share ur diet I am having creatine of 3.4 protein leakage
I have 3.2 protein leak microalbumin
do you mind if I ask you is the plant based diet restricted to only particular vegetables and fruits or can you eat all of them
@@reshmaspice2553 check out Mastering Diabetes and The Starch Solution. Done wonders for me.
learn new things every time i watch !
OK I just bought your book off Amazon. I’m an old senior so I must assume I’ve acquired the usual degradations on my body and organs SO I will change my diet to help my kidneys and live more healthily. I’ve already deleted all processed foods. Thank you. ❤
You need to get to the topic on hand a lot quicker too much repeating yourself over and over and taking too long to get to the subject
Please tell us what to do! My albumin and bilirubin are normal. Have 3+ protein
I bought the dipsticks and your book! I love using the dipsticks. I noticed I had no protein in my urine at all--until I broke my sugar fast! Trace amounts. AND my microalbumin went off the chart! Lesson learned -- don't do that again, AND I've gone from 175lbs about 8-10 weeks ago to 163 today :) sugar fast, more veggies, more outdoor walking now that the snow is gone. I love my progress!
Outstanding Progress - Congrats on the amazing job!!!!!!
can you provide the title name of the dipsticks and where can you get them? I don't know if you are able to proveide a direct link? thx,
yeah-great job, congrats. The dietary information in this country sucks= refined sugar, refined foods, processed foods are all garbage. There is NO NUTRITIONAL VALUE IN THEM AT ALL. Only empty carbs-calories. The body requires vitamins/minerals to function. And on top, there are genetic predispositions that make matters even worse. Doctors suck-they don't tell you anything at all = except what chemicals to take. Do your own research is best.
@@rosalynntavis6985@rosalynntavis6985
Which one did you buy?
So happy with this video. Constantly stressed about my markers for over 5 years. Unsuccessful at getting appropriate explanations from my PCP who diagnosed my score at 3.4. I believe this was based almost strictly on a GFR of 44. I have recently been prescribed Farxiga and that number was improved to 51. My Creatinine is high at 1.5. Albumin slightly lower than normal. One test have not heard mention was a Renal Function Panel. I had one done recently came back in normal ranges.
Anyway thank you for lowering my stress level. {which I just learned from this video can affect my markers😊)
This is a great resource!
This is really really great book! Thank you!
I kept hearing “reducing the level of proteins in urine”. We all know about this but how is what we are here for. Direct to the point and get to the how
This guy talks and talks but he tells us nothing, we need to know how to stop proteins in the urine?.
He wants you to buy his book thats why.
@@astragreentake ACE or ARB plus SGLT 2!!!!
WHINER!
i listen to bothof u asmuch as i can
Thank you for your support as I have gone over 4 years without dialysis (and still getting better). Watch the latest videos and learn how you can slow or even halt the progression of Kidney Disease at th-cam.com/video/VHyn2IZSdQs/w-d-xo.html
Is farxiga safe? My GSR went from 42 to 36 in three months so my NP put me on farxiga ($1300/mo)! Thank you so much!!!!
Did Dr R tell you what test strips to get >- -Nancy C Thank You
You Guys look happy and well
Thanks so much for helping us out of this stressful problems 🙏
Hello from Spore. Very interesting n easy to understand. Thank u.
I am hearing no talk from the Dr. about whole foods to reduce protein in the kidneys instead of meds/drugs. I know in those days of Med school, they did no teaching of natural healing from eating certain foods...healthy real foods. not processed foods. That's sad.
Hi James I have CKD and I am so scare I don’t no what to do I found you and here love that you are here to help others, I just don’t understand a lot, can you tell me what I need to do for my kidneys.I need someone to telll me step by step please help me ,thanks for what you do
Order the home test strips Dr. Rosansky recommends at: amzn.to/3SkINzU
The next Broadcast is Oct 12 - New Medications to decrease urine protein, slow kidney function decline and prolong your life
The last 2 times I had blood work the Dr said my kidnys aren't functioning well shou,should, I be concerned they didn't seem to worried 😕
S
Thank you so much i will looking forward to see you guys on Oct 12
What it means in a day if sometimes I have very foamy and sometimes completely clear. I drink a lot of water and take supplements. Take lisinopril twice a day and insulin fir diabetes. Have graves also
How about blood in the urine could you please discuss I want to know
Voice too very good and effective. बड़े आराम से समझ आया । ठीक से समझाया । thank you.
I told you a year ago that I was hospitalized with stage five kidney failure. My GFR was down to 11 they came in and told me already dialysis and the transplant eventually within three months I got my GFR up to 57 resonators back down to 27 I am frustrated, but I have not given up on when my GFR was 57 I got a deer by eating tons and tons of vegetables, supplements, etc!
now what is your GFR
Could you please advise us about your eat type
What supplements did you take?
Yes please interested in exactly what supplements and diet
The best information, and the most engaging and direct presenter. Number 1 go-to for health
Wow Dr i have kidney problem this is good advice
thank you for this great info. proteiniuria is a huge issue for me and many others.
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😢
I had to watch this show 3 ,4 times to totally understand everything. Thank you.
Man I’m knew to this kidney level 2 disease I have pre diabetes too 😔
The first 30 minutes has me confuse. I thought I was going to hear how to stop protein in my urine.
Great CKD discussion.
Just want to say, I grew up with the metric system and then had to learn to convert when moving to the US. When questioning the US system, an engineer friend of mine explained to me how it was actually advantageous for the US to remain with its system. He said it gives the US an edge over the other countries with metric system. I had to agree!
Sharing is caring
Thanks so much for this video!
Question: My husband has stage 3 kfg. He also has diabetes, HB pressure and weak heart. He had two heart attacks and he's waiting to have a pacemaker. He's on a lot of meds including Entresto, which is hard on his kidneys and furosemide which is a deuretic. Are there any other meds to replace the Entresto that won't damage his kidneys ?
Hi James my egfr is 77 no protein in urine am on ramipril for hb also had heart scans for harden of the arteries is puffy eyes and face sign of CKD am from the uk
Very informative, keep up the good work, thanks 👍
Hi,i am from Indonesia God bless 2 of you
Thank you both soon much for this helpful video. It was so great I'm going to watch it again and again, to remember everything. Bless you both.
I EAT FERMENTED VEGS WITH THREE EGGS DAILY WITH NUTS AND BLUE BERRIES AND KAMUCHA IN THE FERMENTED VEGS AND MY REPOTS FOR THE FIRST TIME HAD ZERO PROTEINS.
Thanks a lot for useful information.
Do research on side effects and deaths for BP meds , I was on one and felt horrible, dizzy, nausea, went off , felt like a human again.
What's the problems relating to Ammonium, Albumen and Ureum/Urea in your blood or urine?? Is it related to Proteins in the urine/blood??
Thank You! Very Informative
Glad it was helpful!
My Kidney Doctor suggest that i double up on my Lisinopril 10mg to protect...Blood Pressure Medication.
Thank u!!! Great talk I missed what the doctor said you should be taking along with the blood pressure meds? Thank you!!
Would a person with one kidney follow the same guidelines as ppl with ckd?
talk about diet with kidney disease
Congrats on your book way cool
I, have been on dialysis, sense 2013! I, have hard artery, need your book! I, don't make any, urine!!!
Love this and very informative. Does drinking caffeine effect your kidneys if your egfr is 57 and there is a sign of protein in your urine.
Thank you for the valuable info. God bless you guys for sharing.
Thanks for watching!
When are you going to tell us how to decrease the protein? Taking so long to get to the topic.
Then watch something else
Thanks
Right, that why i stopped here too
@@nomadicrecovery1586 omg why so harsh, I too wondered when will you discuss the Topic
l take urine test during the day, when l have a full bladder and weak diluted urine lighter color its always negative but when l have not drunk much and its more concentration or more yellow l always get either trace or 1+ l have never got more then 1+. Should l be worried, do l have a problem
In our country we boil the corn hair and consume the water Also we eat a lot of asparagus.
Yes it's good to remove kidney stone .
I ordered the book.
I came across your site, incredible information. I’ve have had a transplant for close to 40 years. Just recently in the last year my protein level has skyrocketed from 11 mg/dl to 446 mg/dl, BP has gone up also a little and Albumin in the urine from 10.8 mcg/mg to 5276.1 mcg/mg (normal 29.9 mcg/mg) definitely something is going on! Will follow your guidance and your information to improve current situation!
Thanks for such a valuable information!
I also have high albumin protein in my urine. Are you taking supplements? This doctor said not to take supplements if you have high protein in your urine, but at my last appointment, my nephrologist told me to keep taking them. Confusing on what to do when there is so much conflicting information out there. What meds does your nephrologist have you on?
@@M00159 my vitamin d is low , I'll have to take that supplement
Does reducing animal protines help as well ?
Thank you so much.
Very nice discussion. Thank you very much for your humanitarian efforts to inform the public. Most foks cannot get this kind of information because,
1. They can't ask their doctors to much because the doctors are limited on timing schedules between appointments.
2. They don't know what to ask their doctors.
3. Some doctors just keep them in the dark about this disease as they treat high blood pressure and diabetes.
I'm getting the impression that everyone living on Western diets have high protein in the Urine. I assume it may be because of so much sodium in our processed foods used as preservatives. Heck, it could even be caused by the other wild preservatives you see on the labels.
Anyway, thanks again.
That’s exactly how I thought my nephrologist is, so disappointing.
New rx Kerendia. Do you like it
This channel is so inspiring and very entertaining.
Thank you!
Very educative! Good to know! Thanks a lot!
Glad it was helpful!
Thanks
Very helpful. I need to watch again and take notes. Then share.
Thanks a lot. It has been very informative. Just bought the book from Amazon.
Regards from Denmark 🇩🇰
Glad it was helpful!
What book where can I get it please!!!😊
@@ajja4038 look for it under Description. And the author is this Doctor speaker and the title is mentioned in the first few mins of this video. 🙃🙃🙃
My blood pressure medicine name is TRIAMTERENE plus water pill name is HCTZ is that good or bad.?
When you have protein in the urine should you continue to eat protein foods
Very helpful information. Thank you!
Excellent discussion! I have heard the supplement Carnosine has a protective effect on the kidneys. 500mg 3x per day if I remember.
have you tried it yet?
where can I purchase it?
Check what the science says about Carnoustie.
I've read other material saying that Bloob Alnunum,levels and Acid Load arer the two mahor things that they shgould key . Keeping the stress down on the Kidney is highest priority, Animal protien shgould be voided NND KEEPING the acid level. The Kidney high priority is kepping the PH levels with in limits Producing Amonina to kepp the Acid levels low is very stressful,
If you have ammonia taste or smell in your mouth. Go to see a nephrologist today. Do not wait . Once you have been diagnosed from your doctor that you have kidney disease get letter from your doctor and take to social security office so that you can get medical for treatment. This video is great information. Never miss treatments.
Is the social security administration will help with kidney treatment? Thanks but let me know how it works
Ss nowadays still deny you every which way until you are dying then you'll get it.
Bad idea… They will only drug the hell out of you… stop consuming sugars (juices and carbohydrates) go keto and reverse kidney disease. Also include vitamin k2 (m7)
I believe you can apply for Social security disability-bc of kidney failure
I just got the Drs book on Friday.
Excellent!
thanks for video.I have a q, My father is 75 and he has ckd stage 3 and DM for 30 years and recently he started low carb medium protein and kidney friendly diet and his kidney functions improving, I would like to know is ok for his blood sugar to spike upto 170-190 2hrs post meal then gradually it comes down in 3-4hrs below 150??? and his his fasting ranges bw 110-135? should he be more strict or that is acceptable ???
I've given up animal protien so veggies how much protien should we have
What do you think about the drug Farxiga to slow kidney function decline?
Mashallah. Useful
Stop with the damn numbers! How do you stop the dumping of the protein!
In 2016 I was diagnosed with stage 3 CKD (Iga nephropathy). I also have protenuria. I only take 2.5 mg daily Lisinopril due to low blood pressure. I wish I could take 5 mg Lisinopril daily to protect more my kidneys but I can't unfortunately. Since September 2022 I started taking 10 mg Dapagliflozin daily even though I am not diabetic. I am hoping to see reduction of protein in my urine with this new medication on my next hospital appointment. All the best everybody!
Is lisinopril can reduce protein in urine??
@@mercycruz9267 hi, im very surprised but yes. i only know by nephrologist like a month ago , they never say to you i guess, im taking 5mg now 10mg , i get better numbers at begnining because lisinopril now seeing this about protein, at begining i was 10mg but swith after two months to 5mg because wanted avoid drugs stuff.
@@andresmsuarez5718 you mean lisinopril good for the treatment of kidneys & to lower protein as well? Thanks for the information
I'm a bit confused❓Lisinopril aside from lowering blood pressure is also good for the kidneys, proteins? Thank you
@@mercycruz9267 its what nephrologist says No me
I got an increase in protein in my urine because over a year , I have been working as a sales position standing in one place for over 6 hours no sitting or walking around. And what he said with regards the standing up cause in the military.
Is drinking more water than eating meals(intermittent fasting) lower creatinine and lower protein? Thank you in advance for the answer.
Thank you so much I just found your videos! I will order the doctor's book!
Great to have you here! There are over 300 videos of helpful advice, tips, and personal experience all free here on TH-cam. Dr Ro and renal dietitian Jen Hernandez are here each month LIVE - make sure to catch some of those to ask your own questions directly to them.
@@DADVICETV Thank you for the welcome. Yes I've started watching the videos, great information and I thank you for them.
Thx so much f the great health info
Hi James have question please. Mom 73 with diabetes type 2 and Asthma and she does not have kidney disease. Tested her and gfr was 52 and creatine was 92. We repreated the test again after two weeks thank God her Gfr became normal again at 92 and creatine 51. Also, urine protiean/creatine test was normal. My question for you is, what can caused that fasly low gfr dehydration maybe? We were concerned before we see her gfr rturn to normal.
buy his book, an honest book no bs just info
Easily the best book I've found for CKD
After kidney transplant his urine so many protein leak,any advice?
Hi, which supplements are we not able to take?
What does
Utra sounds do for your kidney? What questions should I vask?
Loved your video & thank you for sharing this informative & amazing interview.
When the Renal panel, Complete Blood Count with differential & urinalysis are all WITHIN NORMAL LIMIT but there still intermittent BUBBLES in the urine & what's it SIGNIFIES?
Blood & Protein in the urine
1+, 2+, 3+ or 4+ , with diffused PAIN in the RIGHT UPPER QUADRANT of ABDOMEN that radiates to RIGHT SHOULDER.
What's the ROOT CAUSE & significance of the above ???
I'll APPRECIATE your dire response!
GOD BLESS!
I had that which turned out to be a sluggish bile duct. I cleared it up with TUDCA form of purified bile salts
many thanks to you both from the UK...
I will read the book. I am new and normal protein level so this was a bit over my head.
What if you have low blood pressure? My systolic ranges from 87 to 115 and diastolic ranges42 to 65
I missed the live stream! watching from the philippines
Thank you.
Good afternoon Doc is the book available in the Phil?
You are not answering the question in your title? 🤔
Yes she did
@@imbrakingthrough2152 minimally
Sometime out of topic
How do you reduce protein or get rid of it. Stage 5.
How about Cordyceps?