Low Protein Diet For Kidney Patients with Chronic Kidney Disease Stage 3
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- เผยแพร่เมื่อ 28 ส.ค. 2024
- Episode 218: Low Protein Diet For Kidney Patients with Chronic Kidney Disease Stage 3. The topic of low-protein diets and their effect on kidney function has been a hotly debated topic among kidney specialists since the first randomized controlled trial on the issue was published in 1994. When all the published studies are put together, there seems to be some benefit to low-protein diets to slow the decline of kidney function for nondiabetics. Dr. Rosansky, the author of Learn The Facts About Kidney Disease, helps shed light on this in this discussion about a low protein diet for kidney patients with a focus on CKD Stage 3.
📚 Purchase Learn The Facts About Kidney Disease by Steven Rosansky at go.dadvicetv.co...
Learn The Facts About Kidney Disease by Steven Rosansky written for the average reader, offers useful information for patients with very mild Chronic Kidney Disease (CKD) to those patients who need to plan for dialysis or kidney transplant. It offers scientifically proven ways to slow progression of Chronic Kidney Disease, including a chapter on a Smart Diet for all Chronic Kidney Disease patients. This diet not only can slow Chronic Kidney Disease progression but can also help patients to live longer and better. It offers the best treatments for the medical problems that can come with a diagnosis of Chronic Kidney Disease. For most patients this book will alleviate concerns about having Chronic Kidney Disease and for some patients with advanced Chronic Kidney Disease it offers an approach that can delay the start of dialysis for many months or even years in some cases. It explains why low and very low protein diets, promoted by many kidney books for patients, is usually not beneficial and may even be harmful. It provides the latest recommendations for treatment of Chronic Kidney Disease that comes from international kidney doctor organizations. The book is organized in a way that provides information for all patients with Chronic Kidney Disease in the first part of the book and has information in later chapters for patients whose Chronic Kidney Disease has progressed.
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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.
#DadviceTV #kidneydisease #kidneyhealth #kidneyfailure #ckd #kidneys #chronickidneydisease #kidneywarrior #kidneydiseaseawareness #DrRo
1. Stop smoking
2. Exercise
3. Low salt
4. Control blood pressure lower than 120.
5. Control cholesterol
6. Control sugar
7. Less focus on less protein.
Minoxidil ?
8. Plant based diets.
9. Avoid Trans fat.
10. Fruit & vegetables
11. Reduce carbs
What should be in the plant based diet
Can you describe please
11.reduce REFINED carbs.
I had kidney failure in 2016 due to puj obstruction. My right kidney failed and left kidney at 3%. I had a nephrostomy in my left kidney and 11 nephlologists got together to discuss my treatment. They all wanted me to go on dialysis except one. The one who disagreed came to my hospital bedside and explained why, he said 3% is still a chance and due to my age and the reason for my ckd he truly believed my kidneys will do better without dialysis. I agreed not to go on dialysis, within a week it went up to 9 then went up every 3 months. In 2018 i had a pyeloplasty surgery. The year 2020 my gfr was 46 and still at 46 in 2021. I do not have high blood pressure, diabetes or protein in urine but from last year i have been suffering with severe muscle and joint pain. Walking is hard and i can't just stand up and walk, my muscle and joints have become stiff and painful. I also have severe eczema, asthma, insomnia, anxiety and depression. I'm trying my best to hold it together but it has become very hard. I always pray for the nephlologist who disagreed with the other nephlologists.
I know you said you don't have high blood pressure but are you on BP medication for your kidneys? I only ask as when I was on losartan I could hardly walk. My knees and soles if my feet were agony. Also maybe try going gluten free. That helped with my inflammation. Wishing you all the best.
are you on any BP meds?
I’m sorry to hear about your decline in the past year. Are you saying it might be time for dialysis? (Asking because my mom has similar symptoms)
You need to balance your diet
Wishing you continued perseverance and manageable health. Awesome testimony.
This was yet another really helpful video. Thank you Dr. Rosansky and James.
Glad it was helpful! Dr. Rosansky is great.
@@DADVICETV
James I am from Pakistan viewer of your video.plz guide us can kidney patients of protein urea can take a egg a day
Thank you for providing this important issue. Dr.Ro, Your re so generous in giving vital informatio n to all of us with ckd issue. Thanks James. From the Philippines
Dr Rosansky, love your book
M eGFR with Creatinine is 32, with Cystatin-C its 66, I was able to compete in a bodybuilding show and increased my eGFR 9 points, I've not done a low protein diet. You can live with CKD
thank you so much for creating these helpful videos. Two days ago, I was diagnosed with stage 3 CKD and have been shocked by it all. thank you for providing such helpful and reliable information that is HOPEFUL. Thank you!
Glad to help!
@@DADVICETV is barley water and barley is good for kidney? even though barley had gluten?
@@DADVICETV what should someone at stage 2 eGFR 64 should be doing? start with low animal protein diet? and starting plant based diet?
Thank you very much for such a valuable information.
GOOD INFORMATION
Why is there NEVER ANY RESPONSES TO THE QUESTIONS IN COMMENTS????
love your ways to explain things. I am 72 , Canadian M with multiple diseases like panhypopituitarism , prurigo nodularis , severe vasomotor rhinitis not responded to clarifix procedure. have zero testosterone and I developed a severe allergy causing very painful wounds all over my body and they bleed. now responding to ketamine plus gabapantine , ultracain. trying to ge dupixient for my skin. I am on oral steroids , growth hormone etc. was diabetic for 2 decades but now I am not diabetic but have BP , thyroid etc. is there a connection between zero testosterone and iron profile , anemia eventually renal failure. I started getting high creatanine , low eGFR. healthcare in Canada is not good at all. need help
Short sweet excellent science based advice for all 🎉🎉
Glad it was helpful!
Free nephrologist appointment. THANKS! :)
Enjoying this, but got to go... I'll pick up the last half later. Thanks!
It’s such a good advice right from the doctor that not to avoid the protein. It is building block of the life
Does anyone know if getting a stage 3 diagnosis from a lab test taken when NOT fasted could affect the result?
What about high Oxalate in the vegetables?
Sorry missed this one today, James. Watching now
Great to have you here!
My blood pressure runs around 100/60
No diabetes or other diseases.
No red meat, mostly fruit and veggies. Intermittent fasting, exercising 5x week.
Still wonder about what I should be eating.
Watching
Any advice for a transplant recipient due to glomerulinephritis currently at stage 3b with 1plus protein? I eat mostly a vegan diet, should I consider some meat in my diet? I’m 11 years post.
When Dr. R talked about 1+, 2+ and 3+ protein in urine, was he referring to just Albumin, or the Albumin/Creatinine Ratio? And I'm assuming 1+ means 100+, 2+ means 200+ and 3+ means 300+? Thanks for ANOTHER great show!
Most dipsticks don’t tell you the type of protein only that it’s protein. I believe 1+ and 2+ aren’t that accurate only that it shows you have SOME protein and more than is normal (negative or trace). 3+ is I believe over 3g-5g but again it’s not an exact amount
James is too interruptive, I'm sorry to say. Once he does that, the doctor drops the point he wants to make for another issue. I think he should jot down his questions until the doctor is ready to answer questions.
hi james ,i had labtest this morning.6 months ago my egfr was 59 and today it climb to 73😊😊😊. My creatinine is always in normal range.Pro renal vitamin helps
what have you done for your egfr to climb to 73?
@@anwarsyahmanmohdshukri1979 ,lemon juice,pro renal vitamin,no meat at all,lots of water,plant based diet too,fish once in awhile,walking
What pro renal vitamins did u use?
Awesome Doctor ❤😁
I agree! We need more doctors like him (and he reminds me of my family doctor). A doctor who really cares and is open to keep learning can really help make living with CKD so much easier and less stressful.
My skin itches so bad all over my body, I can't sleep, t's unbearable. I think I'm getting too much phosphorus from my diet. I eat five eggs daily. I'm going to go back to just eating the whites and see if that helps.
thw white part is inflammatory
@@risktaker281 Thank you, I probably need to cut out eggs.
@@EminiMagic Get pastured eggs, it`s the best option.
@@risktaker281 I've been eating five pasture raised eggs every morning for the past six weeks. I've also been drinking a lot of lemon juice (doctor recommended), about that same time. It was so bad last night that I wanted to scratch my arms and legs until I reached my bones. So scratching I learned is a waste of time. It isn't on the skin like poison ivy, it's deep, probably why none of these anti itching lotions work at all. I'll just give up eggs and lemon juice for one month until I see my doctor and he can give me something experimental to try.
This sounds like uremic frost. When serum urea gets high, some crystals can form on the skin,often you can feel dust like granules on your forehead and elsewhere. I think your PCP can recommend something for the itchiness. Good luck
I never miss Dr. Ro.
Great to hear that! He is fun to have on and I ALWAYS learn something new from him. Low Protein Diets was an eye opener for me - and it aligns with just what my doctors had me follow (focus on overall health and be heart healthy).
If your creatinine is a little high do you need medications to bring it down
Ckd 3b, diabetic, Male. 68, high potassium, proteinuria: neph put him o. 55 grams protein. Is this appropriate?
I lost 60 pounds, my gfr was 19 now it's 42
Good for you
Do you use medication? Or just healthy lifestyle.
Do bp medications hurt the kidneys? I read Losartan can cause kidney failure? I take this . I have cysts on my kidneys.
Dave, I'm PKD and my eGFR 41 I'm 35 y. O.. Am I need to limited my protein? I have HBP but it controlled and now 120/80, my creatine 1,90.. Do live with healty lifestyle can improve my eGFR? My nefrologist told to meet him 3 months again.. i don't have any symptoms..
Oh ya I have albumin on my urine (+1) and all the component is negative
What are you considering "lowl low protein" - what grams?
My Bp is Normal with protein in urine and underweight but my kidney functions are going down. I’m 69 yrs old. I’m taking Ace snd arbs. My microalbumin urine spot is 66.6 mg/dl
Hello james,how to order the book??im from philippines😊
You can order his book on Amazon (they have both the print and e-book) at go.dadvicetv.com/book - it is an amazing and helpful book!
What about the plant base marketers
Instead of grams , why don’t they use measuring cups
James I need an advice for my husband is gift is already 8 and they want to start on dialysis is that normal ?
Thanks for being there for us. Is Cavedlol and Ace or Arb?
It's an ACE- Inhibitor. I have taken it for years.
I heard Corn silk helps a lot. I do believe 00 Kidney (Katherine) isnt trying to give dishonest advice. I love hers and yours channel!!!! Have you heard about corn silk?
No spinach, almonds, etc
Is there any charter online how to read lab, or what are normal numbers ?
Too much protein is not good for you And can cause other problems I will be switching to a manly a raw and vegan diet
Based on what evidence?
What if your end stage Renal disease?
If you are allergic to an ACE. Cab you take an ARB.
sir james, did u have protein in ur urine? how did u get rid of it?
I had some when I was stage 5, but my doctors got me on blood pressure meds, which got it really low. Then my dietitian did a test and discovered I have an allergy to soy, so I greatly limited the amount of soy in my diet (I used to eat a LOT of it), and inflammation was reduced, and no more protein in my urine. I've been leak-free for over 5 years now!
Doctor Rosansky, I have foamy urine for the past 14 months. I GP has tested urine twice and so it was negative for urine. The RT also checked my foamy urine and said my urine was negative for protein. My urine is still very foamy. What should I do" I am on an ACE Inhibitor for a month now.
I have been reading that many times in the beginning protein may not show up on the tests. Too early to detect?
@@thomaslevine405 still have foamy urine after more than 3 years
I started vegetarian diet recently with my CKD 4.
Same here. Gfr is 14. I have started vegan keto. It is hard going but I am determined not to go on dialysis. Wishing you all the best on your kidney journey.
@@jkm8741 Do not overeat nuts, leafy greens (too many oxalates, bad for your kidneys,especially spinach), do traditional keto instead.
This is so helpful!! Thank you so very much! I’ve been struggling with stage 3. No protein in the urine.
Great to hear no protein in your urine! When I learned how key that was it made me feel so much better about my low kidney function.
I have a hart transplant and my egfr dropped from 52 to 45. Hold I be worried? With in two months.
Depending on what you see on your next lab, you may actually be stable, fluctuating between 45 and 55 or so. Your eGFR will change a little throughout the day and you may have just got it on a higher reading, then a lowering reading. Your next labs will show if it really is trending down or just holding. As far as how serious this is, you need to take your age into account - this is something your doctor can discuss with you. In the meantime, focus on cutting any bad habits, staying active, managing your blood pressure, and eating heart healthy.
I just ordered Dr. Rosalyn's book. Thanks
Sorry for the spelling Dr Rosansky
So keto diet is out???
Hello James,
I knew a person who is 44 years old, diabetes from past 10+ years. Recently had uncontrolled diabetes, now doctors said he is in stage 3a. His egfr fluctuating from above 60 to 46 based on the creatinine change in the blood. Observed protein leaks around 3 grams per day. What he has to do. Please guide. It will be much helpful.
Great information. I have been put on a low protein diet. About 110 gems per day. I am not diabetic, and my blood pressure is always 110 or 120 top figures, I keep it in a low count. I am stable and am in stage 3 . But my question is . You said that our count of proteins is important in the urine . And I went to look at mine. In my urine I am in the normal count. Except I the 24 hour count then I go over. I am in another country so the figures are different, but does this mean I don’t need any medication to prolong life to eliminate any proteins...? In my blood I have over the normal limits proteins in my blood ..... ? So does this mean I don’t need those medications the Doc, mentioned...? Pls advice..if it’s possible .
First time I've actually been able to see anything LIVE... 😁
Awesome!
Collareral
What about starches?
They are natural sugars, just be careful with sweet potatoes because of the oxalates, cheese reduce the oxalate, combined with high oxalate plant foods.
Egg whites can be eaten daily
Whole eggs are better for you.
All you all do is talk talk talk about. But I don't tell the people what to do. You want them to buy your books? That is not fair if you open people, tell them what to do.
Only YOUR personal healthcare team can tell you what you need. I encourage you to make an appointment and have a conversation with your healthcare team, they know you best and can provide the best information.