Kidney Disease Treatment: Dr. Rosansky's tips for what to do NOW for all CKD stages
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- เผยแพร่เมื่อ 13 ก.ย. 2024
- Episode 295: Join us for a pivotal live broadcast, 'Kidney Disease Treatment: Dr. Rosansky's Tips for What to Do NOW for CKD', where Dr. Rosansky, a renowned nephrologist, shares the latest guidelines, tips, and best practices for managing Chronic Kidney Disease. In this session, you'll gain invaluable insights into slowing the progression of kidney disease and reducing the risk of associated heart disease. Dr. Rosansky brings his expertise to the forefront, offering practical strategies for every stage of CKD. This broadcast is essential for anyone looking to enhance their understanding of kidney disease treatment and seeking actionable advice to improve renal health and overall well-being.
Here are some of the blood pressure medications Dr. Rosansky spoke about to help with reducing protein in urine (proteinuria or albuminuria):
1. ACE Inhibitors: ACE inhibitors work by blocking the action of the enzyme responsible for the production of angiotensin II, a hormone that narrows blood vessels and increases blood pressure. Some common ACE inhibitors include:
Benazepril (Lotensin)
Captopril (Capoten)
Enalapril (Vasotec)
Fosinopril (Monopril)
Lisinopril (Prinivil, Zestril)
Quinapril (Accupril)
Ramipril (Altace)
2. ARBs: ARBs block the action of angiotensin II by preventing it from binding to its receptor. This helps relax blood vessels and lower blood pressure. Some common ARBs include:
Candesartan (Atacand)
Irbesartan (Avapro)
Losartan (Cozaar)
Olmesartan (Benicar)
Telmisartan (Micardis)
Valsartan (Diovan)
3. SGLT-2 Inhibitors:
Canagliflozin (Invokana)
Dapagliflozin (Farxiga)
Empagliflozin (Jardiance)
Ertugliflozin (Steglatro)
Sotagliflozin (Zynquista)
4. Aldosterone receptor antagonists:
Eplerenone (Inspra)
Spirinolactone (Aldactone)
Finerenone (Kerendia)
5. GLP1 agonists:
Dulaglutide (Trulicity)
Exenatide extended release (Bydureon BCISE)
Exenatide (Byetta)
Semaglutide (Ozempic)
Liraglutide (Victoza, Saxenda)
Lixisenatide (Adlyxin)
Semaglutide (Rybelsus)
Get Dr. Rosansky's helpful book "Learn The Facts About Kidney Disease" at go.dadvicetv.co...
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.
#bloodpressure #KidneyHealth #KidneyDisease #ckd #DadviceTV #DrRo
I am SO relieved watching this! My provider said no special diet needed. I’m 68, 3a, gfr 52, had urine checked last Spring-neg. Dr Rosansky confirmed no diet yet. I didn’t trust my provider when she said that. Would not refer me to a dietician. Hearing him say that confirmed what my provider (CPA) was saying. 😊 thank you for a great video!
Hello there, I'm almost 50 with no issues and I'm using this channel to prepare for my future and to help others. Thank you for sharing. 😀
Hey, how y'all doing. Saw my Nephrologist recently, we were talking and i brought up Dr. Ro and his book, he was kinda familiar with but had not read the book yet, i gave him a copy of it and he was grateful. I have a great doc
l was diagnosed with stage 1 a year ago , my egfr was normal but l had protein in my urine for a year but l cured myself and l now have normal urine protein and my doctor says l no longer have kidney disease, l used to eat lots of dairy food, milk, youhurt , icecream cheese, l totally gave up all dairy food and instead had a plant base diet, with almond milk and oat milk and coconut bases youhurt and soy incream, totally stopping all dairy and l also stopped red meat and it seems to have worked and l no longer have protein in my urine. lm starting to think its not normal for humans to have lots of dairy food and it does the body and kidneys harm
I am going through the same issue . It would be really helpful if you could tell me what medicines you took and Have you checked with a dipstick about negative protein or Albumin/creatinine ratio ? I am getting trace protein in Urine . Do you still get bubbles in the urine ?
@@imviiku I'd like to know that too
Thank you for this 🎉
I bought your book and read it in one night.
I am a 43 year old male. I have hyperlipididemia, hypertension, proteinuria and hematuria after having blood and urine tests. I have plans to see a cardiologist and urologist. I was wondering, is there a diet plan that is both kidney and heart friendly? I really want to find out.
74yofreezing all
The time stage 3. Furnace at 73 gotta wear a hat to keep warm. Tired all the time backs killing me. Love you kids ty for the info. Got afib but got the Watchman in so not too worried .hope gp sends me to a nephritis soon.
This was great.
I’m a 56 year old without any major risk factors (that I know of) and get a yearly physical.
My eFGR has been measuring anywhere between 75 and 64 over the past 7 years. One year 68, the next 73 etc.
But last month it came back at 59.75. Was somewhat alarmed.
But it had been a bad four months, with an injury, some diet slip ups and I am prone to forgetting to drink water some days.
So from todays interview it sounds like I need to get it retested (and probably again in a couple months)
And there is a good chance it will be back up where it has been previously.
Sound about right ?
Most of the people posting comments on here have not bothered to read Dr Rosanski's book. Reading the book can keep you from having to go on dialysis. This is very sad. Kidney disease can kill you.
I've had a kidney transplant I was born with PKD and I am stage four right now my GFR is 25 I got my kidney transplant 18 years ago
Check out all the recent news about a low carb diet and PKD - the latest study was just released last month and the results are extremely positive. Your doctor or dietitian should be able to tell you if a low carb diet may be right for you. I am likely to have a show about it in January.
Thank you for an amazing information
Can same one make conclusion for this video please i can't understand he speak quickly im arabish
What a wonderful thing this is! Thank the both of you so much for your time and your knowledge. Just got labs back and the urine test and I am a little confused. EGFR was all time low of 49 but the micro albumin/ creatinine ratio was 7 so I know something is going on but not sure what . I just turned 56 and Iab’s have been steady efgr 58-59&60 with creatinine at 1.30 for 10 years . Guess I am just in denial about having ckd. Thanks again guys!
My kidneys is diagnoise functions at 5 percents, my latest creatinine reading is 835, shall i go for dialysis?
When you're not in the last stages,(or fairly normal) are dip sticks recommended?
What are they called?
Hello greetings from Belgium
Hello there!
James, can you ask Dr. Ro at what EGFR level should Farxiga be prescribed. I'm 70. Thanks!
Hi Dr. and James my doctor toll me my kidney work only 10% I need dialysis in one week what should I do
Its interesting you mention fasting. The Dr reply mentions about a ketogenic diet, which I believe is a different thing. What about actual water fasting, both intermittent (12-20hours) and even longer perids like 3-7 day fasts? By fasts i mean zero calorie intake, just water and some electrolytes.
PLEASE EXPLAIN. HOW IS IT MY KIDNEYS LOOKS GOOD AND MY BLADDER LOOKS GOOD NO TUMORS CYCTS OR ANYTHING. HOW CAN I HAVE KIDNEY DISEASE. PLEASE EXPLAIN. THANKS.
Please tell me how to get out of dialysis
James, I know how much you love (but have to limit) edamame! Can you tell me how you prepare/eat it? You made it is sound soooo good!!
@James How can we consult Dr Rosanky for ckd 5 patient.
A1C is at 6.3
Why low plant ased protein?
How does taking magnesium affect your kidneys ?
My nephrologist told me to stop taking magnesium because it can build up in your heart. If you take too much at once you can have a heart attack.
what are your creatinine level now sir
I am PKD stage 4-5 and have C-diff also. Living on antibiotics for 3 months. Stomach going crazy. pls help
please tell me how to get out of dialysis ckd 5
please when the dr refers to older or younger folks, can you please ask to address the middle aged too.
When Dr. Ro says younger folks, he is talking about people 55 and younger. While near the border, I am still a “young” person in his eyes.
I have -400 sometimes over the number protein in my urine but my kidneys test was normal and I don eat meat. How can I lower my protein in my urine. Thanksgiving my doctor KD want to do a B -test on my kidneys
I need advice, my gfr is at 16 and my doctor says i need dialysis or a transplant.
Great discussion. I have bad acid reflux that causes damage. Dr put on 40mg Prilosec. But I have stage 3B CKD. This is concerning since PPIs can cause kidney damage.
No one should be on it more than 30 days. During that time start doing searches like 10 worst foods for acid reflux or 10 best foods for acid reflux. Or same searches for heartburn etc.Write a list for each. Write your own list of what you are that gave you reflux etc. Stop eating those foods. Pills just treat the symptoms but not the cause. Then slowly lower the amount you take. Instead of 2x a day try just in the a.m. for a couple weeks or so. Then try just one every other day. Then none. Be careful what you eat. This is what I did. I've been off that stuff for more than a year. If I do have a little occasionally I eat a few TBS of yogurt . I like Nancy's which I get at Sprouts store. I do still keep some Tums in my purse and occasionally I bite off a half of one. Wish I'd known this in the beginning.
@@kathycorcoran1589 thank you.
I ran into something recently that may be important for you, too... my doctor tested for blood acid levels, and they were pretty high, so she has me taking sodium bicarbonate! You may want to ask your doctor about it....
Take black licorice the candy stop drinking coffee or tea .
It works amazingly
Low sodium Falafel mix ..Or you can make your own .
Mr. James Fabin: Your Renal Diet Food List contains Strudel, Strawberry Shortcake, Muffins,Vanilla Cupcakes, and quite a few other surprises. Muffins, as far as I know, have lots of sodium. Bagels? Hamburger Buns? Maple Syrup? Cotton Candy? These are all okay for the kidneys? However, no brown rice just white rice? I must say this is all very confusing to me.
Those things are very bad for insulin resistance which is bad for the whole entire body and occurring an epidemic levels.
My dok let s every 6 months have a htec op
Dadvice..did you get your Gfr up so you are now Stage 2. I saw you mention that this was your goal.
I got to stage 3 and have gone with no symptoms or need for dialysis for over 5 years now!
Hi im watching from philippine my husband just diagnose stage 5 ckd i dont know what to do anymore im so stressful can you help me
Don’t eat beef . Keep blood pressure low . Drink lots of water . Don’t worry .
See a specialist (nephrologist) as soon as possible.
Dont get too stressed out, do what you can do. Our nepheo has cljnuc in nkti.
My husband has ckd4 since 2017. His efgr has plummet down because he had the flu twice.
Hello! Have you already done or maybe plan to do a video with the doc on glomerular disease and the prognosis? I have recently been diagnosed with Stage 1 kidney disease. My albumin/ creatinine ratio was 263 in June, 2023. In November, 2023, it shot up to 1,319! 5x the increase over what it was in June, 2023! I am on an ACE, Lisinopril, and also a statin, atorvastatin. I return in 3 months to see if the meds are helping. By the way, I’m a 62 year old female. My nephrologist thinks my CKD is due to an autoimmune disease called Sjogrens Syndrome ( which I’ve had for over 20 years), and my immune system is attacking my kidneys. It seems to be progressing fast. At my last appointment, my nephrologist didn’t talk about my prognosis, maybe because it’s not good? I think it’s a whole different ball game when you have kidney disease caused by an autoimmune disease. It’s a challenge to try and treat a progressive autoimmune disease. For me, my nephrologist said it’s not my diet, but the Sjogrens. So I can’t even control it with diet, although I’m trying to only eat anti- inflammatory foods since inflammation drives Sjogrens Syndrome. I also have an appointment with a rheumatologist coming up. I’m interested in one of your videos, or a future video talking about CKD caused by an autoimmune disease, and the prognosis. Thank you!
l was diagnosed with stage 1 a year ago , my egfr was normal but l had protein in my urine for a year but l cured myself and l now have normal urine protein and my doctor says l no longer have kidney disease, l used to eat lots of dairy food, milk, youhurt , icecream cheese, l totally gave up all dairy food and instead had a plant base diet, with almond milk and oat milk and coconut based youhurt and soy incream, totally stopping all dairy and l also stopped red meat and it seems to have worked and l no longer have protein in my urine. Why dont you try what l did and give up dairy and red meat, see if it works, theres nothing to lose
@@johnschannel449 The thing is, I already was on a plant- based diet before my numbers increased. No animal protein, dairy products, just fruit, vegetables and tofu for protein… and my numbers still increased. I was on vitamin B 12 and since have stopped it because I read B 12 can cause more protein in the urine. Maybe it was the B 12 that messed me up. I stopped the B12 and added another Omega 3 capsule and a Curcumin supplement. Curcumin is a good ant- oxidant and anti - inflammatory supplement. I don’t know what else I can do. I do have to increase my exercise if I can find the energy. Maybe increase the dose of my medications if my nephro. will agree to it. I’m only on 5 mg. Lisinopril. I don’t think 5 mg. will do much. I’m also scheduled to see a rheumatologist in January . Maybe she can prescribe something for the inflammation. I’m glad you’re doing better now. Hopefully I can also turn this around. Was your CKD due to an autoimmune disease? Thank you for your suggestions.
I believe EVERYTHING CAN be cured with diet.
How much weight did you gain?
EGFR 39
Good morning to all please I need everyone support advice of what to do, I'm 45years plus nd I have issues of swelling in all over my body then I went to the hospital for check up test the results analysis said I have high cholesterol also have protein in my urine now have be directed to medication like, lasix, kanrenol 100mg, triatec 5mg, please I need everyone advices because the swelling come and go, and I have been suffering from thyroid for the pass 6 years could that be the problem of my please your advice we help me writing from Italy yours mathew.
Cholesterol is not the bad boy it's made out to be in fact he keeps your brain from drying up.
Your brain even has to make its own cholesterol to stay alive and working
I am stage 3 or 4
Some of this info i question
Wat can y do to get Doune my blood pressure 14 over 12 .. Some 17 13 . Mi dok give me pils but I get si6 of dem
Y am 67 jear oud
🎉😂