How to Lower Protein in Urine: Tips for Kidney Health
ฝัง
- เผยแพร่เมื่อ 29 พ.ค. 2024
- Dr. Hashmi and Michele discuss medications, supplements, diet and lifestyle tips to help lower protein in the urine. A must watch episode for people with kidney disease or at risk of kidney disease!
⚡️Connect with us on Social Media:
Michele Crosmer, RD CSR
plantbasedkidneys.com/
/ plantbased.kidneys
Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
www.instragram.com/seanhashmimd
Disclaimer
The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.
you've been such a big influence for my Glomerulonephritis , thanks!!
We're so glad to hear that!
Thank you for this information. Very clear and good.
So glad to hear that!
Thanks for the information. I am on amlipedine and losartan. While on maintenance avastin my gfr is low and I have protein in my kidneys.
Thanks for talking about an important topic. Dr Hashmi intake of half tsp of turmeric is helpful in overall kidney health.
We're glad you found it helpful!
Thanks again for another great video. I am on amlodipine and spironolactone and furosemide. Should Finerenone be added or replace one of these? I do not have diabetes.
You will want to discuss medications with your nephrologist! A lot depends on if what you are on is working for you or not!
@@PlantBasedKidneyHealth Thanks, I always discuss whatever information you present to my nephrologist on my next visit. My question was in an effort to reduce preteinuria. My labs display as +3. I was just wondering if that medication was something with mentioning to my nephrologist.
I am taking 20mg enalapril since last 4 weeks, before enalapril my creatinine was 1.14 but after taking it for 15 days my creatinine jumped upto 1.43, will it come back?
Thanks. I eat two to three teaspoons of almond butter per day. I had stage 3, normal now thanks to God and Mediterranean diet without eating carbs much. Just some brown rice now and then. Are almonds ok to have daily? I heard they are high in oxalate. I do have some foam in my urine sometimes, protein.Thanks
Glad you have seen improvement with eating a more Mediterranean dietary pattern! 3 teaspoons of almond butter is only 1 Tablespoon! Almond butter is generally ok for CKD, portion just depends on individual needs. We have a video on oxalates and kidney disease that you can watch here: th-cam.com/video/_RjBhIaOybM/w-d-xo.html
ACE inhibitors are good however they tend to cause an increase in potassium. Many kidney patients have elevated potassium so ACE inhibitors cannot be used due to risk of death from high levels of potassium.
lol, did you make that up yourself 😂
What kind of wise crack was your comment meant to be?
Fibrinol? Can I get the correct spelling so that I can talk with my nephrologist about it?
@@barrycameron8469 You made a sweeping statement that the ACE inhibitors can not be used due to risk of death because they increase potassium level. In fact they are the first line of defence when some has just started CKD and doctors decide whether or not ACE inhibitors are good for individuals based on several test including GFR. You are a prime example of spreading scare on social media because of your half baked knowledge!
ACE inhibitors can raise serum potassium levels. Their use will depend on the individual and their lab history, stage of CKD, etc. Many people with CKD are on them and don't have issues with potassium though!
Can you eat too much plant protein and cause an issue? I sometimes get 70g a day of plant protein. I know that plant protein doesn’t all get absorbed like animal protein. I guess I just wondered if higher plant protein could have a negative impact like animal protein. And is 70g too much? Need extra due to muscle loss.
For reference, I had proteinuria and a gfr of 82 when I was keto (for medical reasons) Gfr fluctuates between 95 and 114 now on a plant based diet. Haven’t rechecked proteinuria yet. Will do that in Sept. Thanks!
For earlier stages of kidney disease, a lower protein diet isn't as crucial. And when it's more plant protein it isn't as hard on the kidneys. The general recommendation is to avoid excessive protein intake in earlier stages of CKD which would be not going over 1.2 grams protein per kilogram body weight.
@@PlantBasedKidneyHealth Thank you so much!
Would it be common to have a lot of urine bubbles when I exercise (hike, bike, weights) for a few days but if I have a week of not doing much the bubbles are smaller and much less. Protein in my urine but GFR ok.
Exercise can induce short term proteinuria (which is why you may see bubbles only when exercising more intensely). This does not mean that exercise is harmful though and should be avoided. If you abstain from moderate-high intensity exercise for 24-48 hours prior to bloodwork/urinalysis you can get a more accurate picture of kidney function.
@@PlantBasedKidneyHealth thank you.
What’s the name of the vitamin d that we should take?
Vitamin D3 is generally what is supplemented over the counter and can help maintain normal serum Vitamin D levels. In this video, Dr. Hashmi discusses Calcitriol which is an active form of vitamin D. It is often prescribed in people with kidney disease that have hyperparathyroidism. It is a prescription and not everyone with CKD needs/should be on it so definitely talk with your doctor about it!
@@PlantBasedKidneyHealth thank you for the information! 😊
Can you tell me if HRT(estrogen, progesterone and testosterone) is harmful to the kidneys. I want to do everything I can to NOT injure my kidneys anymore than they are.
Thank you in advance
At the beginning of our most recent Live Q&A we touch on HRT and kidney disease. You can find that episode here: th-cam.com/users/liveHyKQIWxdycg We will likely need to do a full episode on it though!
Thank you. yes i think more information with using HRT would be wonderful.
@@PlantBasedKidneyHealth I listened to the video and I did not hear anything about HRT.
Does the proteine in urine level fluctuate?
Definitely!
Niacin good?
My P.A. prescribed jariance but my insurance won't cover it so its too expensive.
So I just stay with metformin.
I have been going to the gym for a year and now try to eat 1g protein per pound instead of per kilogram. Meanwhile i've lost 20 lbs and my a1c has dropped below 6.
That and proteinuria are the only things showing asterixes in my latest battery of blood tests.
Congrats on being consistent with the gym and losing weight/improving A1c! Those are so important! For the proteinuria, avoiding excessive protein intake is important. It is generally recommended for people with CKD to not go over 1.3 grams of protein per kilogram body weight. Would definitely recommend working with a specialized renal dietitian so they can look at your labs, stage of CKD, body composition and work out to make an individualized rec to help lower the protein in the urine. plantbasedkidneys.com/resources/#dietitian
@@PlantBasedKidneyHealth Thank you,
hello I just finished listening to your pod cast on Proteneria,. It is a little confusing becase at the end very quickly was mentioned about eatinglentils, nuts, seeds. Not so fast many of those products will react differently to the kidney for sure. Just check out chia seeds not good for the kidneys. Plus if you are going to mention a product that is highly recommended how but spelling the name of the product and suggesting how much to take. Rattling the names off does not give anyone a chance to even write the name down to even ask your Dr or the pharmacist.
Hello! Chia seeds are definitely not bad for the kidneys are can be part of a kidney protective diet...we aren't recommending any specific product in this video. Just discussing that getting more whole plant foods in the diet (fruits, veggies, nuts, seeds, legumes and whole grains), especially in place of animal protein can help kidney health and proteinuria. Of course everyone will have different nutrient needs and need different portions.
Fibrinol? Can I get the correct spelling so that I can talk to my doctor about it.
Finerenone is the generic name for Kerendia that Dr. Hashmi mentions!
Is urea the same as protein??
Nop, is not the same
It is not! Urea is a waste product of protein breakdown. The kidneys are responsible for eliminating urea from the body.
Turmeric gold is organic and grown the US and marketed from Georgia, USA. Not from India
Thank you for sharing!
My 300 mg creatinine, and cloudy urine.
WHAT WAS THE CAUSE OF THE CLOUDY URINE?
300 mg 24 hours is high in my urine plz tell me
Watch our other video on proteinuria where we discuss what numbers are normal and what the goal is for people with CKD! th-cam.com/video/lFs6jHBMnOM/w-d-xo.html