Ep:110 KIDNEY STONES: BIOLOGY V BELIEF - by Robert Cywes
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- Опубліковано 8 лют 2025
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#kidneystones #biology #belief #carbs #humanbiology #keto #fat #diet #weightloss #obesity #diabetes #diabetic #calories #vegan #healthy #carnivore #protein #lowcarbUSA #ketogeniclifestyle #humannutrition #fat #carbaddictiondoc #LCHF #metabolism
I've never lived so well.i just turned 50. Thanks, Dr.Cywes
SPOT ON! I had kidney stones, gallstones (gallbladder removed), gout, metabolic syndrome and more!! Switched to keto (now ketovore) over 7 years ago and am completely CURED!! No meds. no issues. A glucogenic diet is poison! Thank you so much Dr. Cywes for helping so many!! God bless. ❤
Love the dose of humor in those videos.
Plus the moments of suspense. One of the most interesting, informative and entertaining channels I’ve ever seen.
Jesus Christ can we have 2 doctors that agree on something .. I just watched 10 videos saying to reduce my sodium for kidney stones
I’M REELING and confused after watching this! Firstly, I love Dr Cywes’s vids. But this all flies in the face of what I was told..,obviously. I’m 55, never had stones issues, until now. 9mm stone removed in ER visit a month ago. For most of my life, diet was a mix of SAD and healthy. Four years ago, was what I called “mostly vegetarian “. Then two years ago, I started moving in the keto direction-not full blown keto, just adding butter, beef, intermittent fasting in and decreasing bread…etc. then BAM a giant stone. I would LOVE to believe a more keto lifestyle broke my stones up, not that it caused them. But how can I know this for sure??
I had a pseudo gout episode a while ago. My VA Dr. was pushing prednisone. I got some barefoot shoes and worked it out.
Our health is in our hands. 🙏
Thanks for addressing overdoing supplements! This video was FULL of many insightful truths! Thanks Dr Cywes! - RNY FEB 2016
My sister, Linda, is dealing with a kidney stone right now, and she said that the pain is horrible. Thank you for the information!
As one who suffered a few kidney stones, this was SO refreshing! There have been times I was afraid to eat some foods because I was afraid of getting a kidney stone. I don't like being afraid of food. :)
Thanks, Dr. C. I love your no frills, common sense advice. After years of trying to “drink enough water”, I figured out a few months ago that wasn’t the problem. Like I eat only when truly hungry, I drink only when my body tells me to. And I’m much better for it.✌🏻
Also, some other doctor a while back said that it's not the water content you should be worried about it is the liquid Contant of your diet. I eat a lot of soups in the winter time from squash soup to broccoli soup to stews, and all of that liquid is counted as part of your liquid need. A smoothie counts as part of your liquid also.
I got one 10 years ago after a vegetarian experiment. Ended up in the ER. Terrible pain. Not sure it there was a connection but I switched to a more keto diet and haven't had another one since.
You always make me think, Dr. Cywes! In fact my mind is always blown by something you say! I just wish I had had access to your infinite wisdom and knowledge years ago! Thanks for sharing with us☺️
24 hours of the most excruciating pain I have ever felt. Something the size of a BB turned me into a crying mess!
Good info though! Thank you for all the great info!
I always wondered how was I overweight when I ate "healthy " food like rice and oats and fruits , thanks to Dr cywes I dont need to go to the toilet too much and feel better with a proper human diet .
You were overweight because your kidneys were clogged from all the animal protein. Effectively making you retain tons of water weight every time you ate carbs.
@@KenWang2 Garbage. Even on a sad diet people eat mostly plants and thats pseudoscience nonsense. Thats not how it works. And carbs make you hold water in an of themselves
@@KenWang2 You don't know that. Don't make shit up!
@@tanyasydney2235 Your mom told me after last night
I was a 455 lb. Vegetarian and now I'm a 210 lb. CARNIVORE 6'2"
Phd Cywes, you didn't mention about kidney protein protecting against stone formation. This protein is called nephrocalcine. For many decades physicians thought that it was evolutionary remnant broken unfunctional protein. But now we know, that in order this protein to function it must have provided specifically vitamin K2. K1 does not work....
Well that makes sense. I am on a carnivore diet for about 4 mos. now. Eating a lot of lean grass beef, and guess what, about a month ago I had a kidney stone. The stone was 10mm in size, so there was no way I was going to pass it. They had to go in and physically extract it. I guess I need to put some fat in my diet, maybe fry the meat in butter or ghee, because it is hard to get grass fed, grass finished beef that is not lean. I also had a stone about 25 years ago, but back then I was doing a lot of long distance running which probably caused my urine to become concentrated, because I know I was not drinking enough water during my runs.
You are so smart Dr. Cywes!! I love listening to you! I love learning too!
My entire life I've been carb addicted, lots of chips, lot's fast food, lot's of Soda, lot's of fake food.
I become over height, almost diabetic, High pressure blood, and strangely no bad cholesterol at all.
Started an ketogenic diet, based my entire food in good fats, and then suddenly, i start to suffer from Kidney stones.
Now my question!
Was the ketogenic diet the guilty for creating kidney stones, or was the ketogenic diet the guilty from expulsion the already created kidney stones?
When we cut the carbs our body loses lots of water, and the capacity to hold water, can this be a cause?
I’ve had the same experience. I salt my water in the morning now and hydrate more throughout the day.
Kidney stones take years to build up and manifest. They most likely built up prior to keto. Keto is probably what helped to break them down
I’ve heard that from Dr. Boz that keto breaks down kidney stones. It must be a big shock to the body going from a std American diet to a low carb/ketogenic diet.
Great question. Happens when you start keto completely in one day and are insulin resistant. Body cant use fat so turns protein into sugar.
But u may have had a stone from before that passed when u started keto
Duh of course it was Keto that created kidney stones u moron. Dont you know Dr Atkins died from kidney failure. His weight ballooned up 30 pounds in 1 week because his kidneys got clogged then he died. The Carnivore diet and Keto diet is the same as the Atkins diet with a different name. He tried both high fat and high protein and both diets failed.
Fantastic advice, eloquently delivered. Thank you!
Well. You pretty much described me here. And my kidney stone problem started when I added extra amino acid supplements. Tonnes of Meat and adequate level of carbohydrates/sugar. But I do eat a high saturated fat amount as well.
You make loads of sense, Dr. Cywes. Thanks for posting!
Wiil you please talk about appropriate amount of magnesium ect?😷
Coming up
Idiot
420 mg for Men and 320 mg for Women per day
You are my favorite doc!! I love listening to your wise words
Yes i love hearing good news about my bad habits too
More gold Rob
We love you
best of the best
My patients always did the armadillo...curl up into a little ball.
It hurts
I always learn something important!
Great video. Interesting how many of the “truths” we believed in is because of excessive carbohydrates. If you are fat adapted your body works differently. It doesn’t have to cope with food it was never meant to.
As well as kidney stones, the lack of water intake has also been blamed as a trigger for heart attacks. The theory is that heart attacks occur most often in the night or early morning when we are most dehydrated. Any thoughts on this?
Ok back to basics. Thanks doc. I needed this one.
I have passed two stones in my life and yes, I would equate them to childbirth. It is the worst pain ever. I pray I never have another. Hopefully going keto will help make that true.
Funny how everybody here on the comments has kidney stones and they are all on either Keto or Carnivore and they don't see the connection.
@@KenWang2 Funny how some people commenting on a video about kidney stones talk about their past experience with kidney stones. Amazing and unexpected!
Thank you thank you.
WOW perfect timing for this video. I am having kidney stones and have been wandering if it was caused by my diet keto/carnivore. Thanks love your videos
Funny how everybody here on the comments has kidney stones and they are all on either Keto or Carnivore and they don't see the connection.
@@KenWang2 What an absurd logical fallacy Ken. Almost everyone here IS on keto and following this channel. If your point is to slag keto and carnivore you missed.
Johnny, I HAD stones prior to going ketogenic, I don't get them any more! It's possible that those who have them now are surfing You tube videos for info. and stumbled on Dr. Cywes video here. All I can say is that I am proof positive that Dr. Cywes is correct! Blessings my friend.
Keto promotes DETOX with can trigger passage of stones which formed from the PRIOR SAD diet
Very informative dr. Do you mind to talk about liver cyst and kidney cyst.
Another great lesson in biology! Thanks!
Wow, just wow!
thank u sir
Just had my sixth kidney stone over a ten-year period…. been on keto for the last four years having two kidney stones in the last 2 months; Could it have been from the high doses of vitamin C I took during Covid? Things that make you go hmmmm.
Guess what my urologist told me to do after this last two…Drink a lot of water and cut down on the salt.
I used the Carnivore lifestyle to improve my health. Dr. Ken Berry recommends the Carnivore or Keto diet.
Totally not related to this video but would love to see something on Mody diabetes😊
Thank you,!!👍🌹
Great video again.
"lets step back from the Evangelist and look at the biology folks" love it
Makes a lot of sense.
I can’t refute what you said because I’m not a doctor. All I have is my anecdotal story of my kidney stone. I was following a plant based diet for about 2yrs and started having flank pain. After finally getting a CT scan done, I found I had a 1.1-1.2 centimeter kidney stone. I went keto and have been for more than 2yrs. The pain subsided so I didn’t have anything done until yesterday (ESWT). So, doc, other than me eating a high oxylate diet (spinach, lentils, beans), what caused my first and only stone at age 68?
Michael, I would guess that your plant based diet was also high in carbs. /sugar and low(er) in protein = the perfect set up for stone formation; that is exactly what happened to me. I changed to a ketovore diet and haven't had any stones since (7+years)! Blessings my friend.
Thank you!
Very rightly described thanks a lot
Love your tell it like it is style!
Great stuff!
So when I prepare a steak, I cover it in olive oil before adding salt and pepper. I then pan-fry it in avocado oil at pretty high heat, turning once only and adding a knob of butter on every turn. The weight of the steak is normally around 300g, or 10 ounces. I mostly have this with a mixed salad, which always contains avocado's (when available), and the salad drizzled with lemon juice and olive oil. That is typically my main meal of the day. I would swap out my steak with fish or chicken, but the basic use of the oils remains the same. Would you care to comment on how you would rate these meals with regards to fat and protein intake?
You should stay away from seed oils, is what I have researched and found. Use butter or ghee or beef tallow. Yum
Sounds delicious.
@@catrinaitaliano8755 Olive oil and avocado oil are not seed oils. They are fruit oils and don't have the Omega 6 PUFA issue that the seed oils do. Also the oils are more easily extracted from olives and avocado. No heat, high pressure, solvents, deodorizers, coloring agents. Unlike seed oils.
Excellent!
@@timmjackson my avocado oil says 2g polyunsaturated fat. Maybe not a lot but more than butter. I tried to insert a picture but I do not know how.
Awesome information Dr. Cywes but I'm curious; what about those that are on a carnivorous diet? (nose to tail)
Very healthy as long as high fat
Is a lack of salt the reason magnesium and calcium stones form is because the kidney will use those minerals instead of sodium? And those minerals more easily bind to the acids in the urine?
Partly. Mostly the anion thoufh
Thanx doc! I just recently had my first kidney stone experience at 67yrs old. I had been trying to get healthy by changing my diet and followed what I thought was a healthy vegan diet. I had a pretty standard American diet before that. I blame my kidney stone on the change to veganism and the radical increase in vegetables, especially spinach (which I ate almost everyday). After my surgery to remove a 10cm (oxalate) stone I did some research and decided to go carnivore since it eliminated pretty much all sources of oxalates. But still I was a bit worried because my urologist advised I avoid red meat. After listening to this video I feel more confident that I am not doing anything to increase the possibility of another stone. However, I have had signs of my kidney stones returning. I am not overweight but I do have some visceral fat in my abdomen and because I am now in ketosis it seems to be waning fast. Could this breakdown of visceral fat produce what I've heard called "oxalate dumping"? And is there anything I can do to mitigate it?
I’m thinking😀
Wow!! Thanks of this wonderful information Doc. That was great !! Love ya !!
Cushing's disease with elevated cortisol will lead to kidney stones as well?
Usually not
passing a stone brought me to my knees seeking God....on a pain scale of 1 to 10, it was a 12....10 minutes of agony and it passed....
High fat keto solves that
@@robertcywes2966 Im am doing that ....your videos help...thanks
Funny how everybody here on the comments has kidney stones and they are all on either Keto or Carnivore and they don't see the connection.
@@KenWang2 Funny how everyone eating a high-fat keto diet who is commenting here used to eat something else that gave them kidney stones.
Problem is excess salt makes me thirsty.. Sometimes to a point it's boating & seemingly water restensive
It’s probably carbohydrates that are making you thirsty
Doc, I'm curious to know your GKI, fasting insulin and C-peptide? Thank you for the videos. I'd love to shadow you in clinic for a few days.
Glu usually 65 to 75, ketones 0.5 to 2.0, insulin
I was curious when you brought up C-peptides. Is that a test I can get on my own or does it require a visit to my doctor or a clinic? Thanks!
What was the third thing? I couldn't make out his words.
Sounds like gallstones: getting stabbed with a screwdriver...
I never thought my kidney pain may be from vit c
Doctor what about fructouse? Is it a cause of kidney stones?
Does this work for bladder stones as well, or is that a different mechanism?
Usually yes
I have had kidney stones before. Mine were calcium crystals due to hyperparathyroidism. Thankfully they broke down and I was able to pass them.
This might not be related to this video, but I would like to have your opinion on whey fluid. Just made cheese from milk and sour milk and do have whey. Can I use it? Does have carbs!
Primarily protein and carbs. Ok but rather use cream or whole milk
My Dad had chronic kidney stones when he was alive. Multiple kinds. When he died, his kidneys were completely full of stones. He had a genetic mutation that caused it.
He suffered a lot. I wish something could have been done for him.
Yes, there are other rare causes
He ate lots of animals so that's what he gets
@@robertcywes2966 Do you block comments from aggressive, nonsensical trolls who contribute nothing of value to discussions? If so, "Ken Wang" is a prime candidate.
PKD?
Been there done that and never want to do it again. It was 0' dark 30 when it announced. Emergency surgery. Permanent damage. If child birth is akin to the pain of a stone and if I were a women - No way in hell would I give birth.
"It's very painful for men. For women it's akin to childbirth." Since when is childbirth not painful as hell? My stepdad has been to the hospital for kidney stones and while he was there he spoke to female patients who had previously given birth and who were there for kidney stones. They said kidney stones were more painful than childbirth!
We are a different species when it comes to pain, in my opinion. Childbirth is extremely painful, but we know we are getting a miracle at the end. Who would want to give birth to a piece of stone? Nothing to gain with that. hahaha.
That was the point. Ironic understatement.
My sister has been pregnant twice and had a kidney stone once. She says basically the same pain. Its going to be a bit subjective, one would think.
That's true, kidney stones pain makes hard-bearded men cry!!!
I had 2 children then an emergency gallbladder removal. The pain of gallstone blocking the tube had me panting in pain and in another world, I guess like shock from a painful injury
Learned to practice the breathing techniques for childbirth, but the breathing for pain was a natural body response. It was like I was watching someone else experience it.
Childbirth, not like that for me
Fu#king Brilliant!!!
Hey Doc 😊. What do you mean by a lot of salt?
3 to 5 g
How much vitamin C can I supplement? Should I stop? I'm on keto. TY
Wedge or 2 of lemon or lime in your water daily
The citrates in lemon are also helpful to reduce stone formation.
What would be a good fat to protein ratio??
60:40 by grams
@@robertcywes2966 .. Thanks doc!!!
@@robertcywes2966 THANK YOU!!
What if one has calcium deposits above the pyramids?? Can we dissolve them with proper carnivore diet?
Sometimes. May need lithotripsy then prevent more on carnivore
I stayed keto or close to it for a couple years and my main snack was pecans. This year I had multiple stones(approximately 8 total) and had two litho treatments to bust them. I have always got a single stone usually every 3 years or so. Was it the pecans or the keto diet or a combination of both? I tried ketosis to help with migraines and it was very successful so I hate to give up this way of eating.
I love pecans so I hope they aren't the reason! When you say snack are you saying eating pecans during a feeding window or just throughout the day?
I would have them in between my morning meal and evening meal so basically I skip lunch and the pecans were good for curbing hunger.
Nice, I just had some with my dessert. I hope stones aren't in my future 🥴
Hi Dr. Cywes,
Is there an appropriate urine colour so I know that I`m not drinking too much/too little water? Or it doesn`t matter.
So why do people on keto, both adults and children have a much higher prevalence of uric acid kidney stones than the general population. There's several observational studies on this, which you could say are not ideal, but this is 1 variable here and a strict diet.
I always feel pain in the lower right side of my stomach after I eat ..it last for hours and affects my sleep. Does anyone know why and what’s the solution?? The pain comes with bloating as well
I have a question about consuming salt... you say (others too) that we should not be afraid to consume salt when we are in fat adapted ketosis..... But what about someone who has Meniere's disease, where they recommend low salt diets to control the vertigo? What would a person do in that case. I've looked many places, but can't find the answer to that question. Would just the fact that we're in fad adapted ketosis be enough to help that condition, even though we are still eating salt in our diets?
Sorry about the typos... but I don't see an edit button so I can fix them .
My anecdotal story is that my vertigo (also my high bp) seemed to reduce when I went low carb and keto. When I was undiagnosed type 2 diabetic I had some episodes of vertigo that were very debilitating.
I am now on carnivore and feel great but prior, on the ketogenic diet, I probably was high protein and not enough fat but I did not consume high carbs. I still have a kidney stone. Is that from just high protein?
I believe that's what he said. High protein and/or carb diet leads to kidney stones
Likely yes. Also IR
Funny how everybody here on the comments has kidney stones and they are all on either Keto or Carnivore and they don't see the connection.
@@KenWang2 I breath too much air so that must mean that it causes kidney stones too. Correlation is not causation
@@KenWang2 had the stone prior to keto. Finding out today via CT whether it’s still there.
It hapens to me
Had a friend who tested for Sudafed in his stones, does that make any sense?
Not really, but I understand the logic
Have you knowledge of the work of Prof. Richard Johnson, who is exploring and putting out studies which indicate that our bodies are capable of creating fructose from high glycemic sources like potatoes, rice, breads, and also from salt? I would like to see other people in the low carb/keto community, comment on and examine this ... With our hearing that fructose is so dangerous, contributing largely to insulin resistance and metabolic dysfunction issues, it seems a bit unnerving to think our own bodies are capable of "creating" this fructose. I'm just hoping more people out there begin to check up on this topic. .... Sorry for this being unrelated to kidney stones ...
Fructose is not the problem. The problem has always been animal protein and animal fat causes diabetes and insulin resistance.
@@KenWang2 .... the problem that points ever more strongly at TD2 and other metabolic dysfunction is more like too many highly refined carbs, sugars, grains, and seed oils. Tons of scientific evidence backing this up. Fructose is a major contributing factor ...
What you describe is known as the _polyol pathway._ If you avoid fructose in your diet but eat too much starch (glucose), you'll get the fructose anyway.
en.wikipedia.org/wiki/Polyol_pathway
I recently learned this about the glucose/fructose activation pathway ... interesting info, and certainly needed by those who are trying to avoid glucose/fructose overload by greatly reducing carbs from whatever source.
@@KenWang2 The problem is actually vegan trolls like "Ken Wang" who go around to all the LCHF/Keto forums they can find, spreading unsubstantiated nonsense in order to mislead people and cause harm. Fortunately he's not very good at it.
What is a high protein amount for a 40 y.o. woman with 20% body fat? I live in Texas. :)
He did a video where he talked about that within the past week or so. From what I recall, he said to pick a weight that will put you into the normal BMI range, then calculate protein intake somewhere between 0.5 and 0.8 times your weight in KG’s.
Need to know your body weight to determine an appropriate amount. For example, I weigh 80 kg. I can have up to 160 g of protein per day because that’s 2g per kilogram of my body weight. I would say that’s high and may be too high. I’d say between 40 g and 100 g of protein per day is plenty for me.
If I get more than 160 g of protein per day it’s like pouring gasoline in my car even though the gas tank is already full. The body can’t use it
@@WholeLottaLoveHandles
You should eat 1 gr protein per kg of your weight.
So your quota per day is around 80 gr protein.
Your body only needs those 80 grams to rebuild, the rest is used as fuel or fat,
Is not as bad as carbs, but to loose weight you need more fat.
A 2000 cal Keto diet is...
5 % carbs = 100 cal of carbs = actually 25 grams of carbs by weight
20% protein = 400 cal of protein = 100 grams of protein by weight
75% fat = 1500 cal of fat = 166 grams of fat by weight
Do your own calculation for a 1750 cal diet per day
(1 gr carb is 4 cal 1 gr protein is 4 cal 1 gr fat is 9 cal )
Watch Dr berry Dr Ken berry and Dr ekberg on youtube.
They are some horrible things for sure.
💚
👍
Every day you dont publish a video i dive into a pool of sugar.
Instagram every day....thats ur paddlepool
eat bacon instead :)
LOL
"Knocking on wood" isn't scientific, but I'm still knocking and super grateful not to have experienced stones.
You are saying consuming lot of salt & other hand you are saying don’t drink too much water. How’s that possible?
when he saying don't drink too much water I think he's implying that you should only drink it when you are thirsty. When you increase your salt intake you are going to get thirsty more and your water intake will level out with the salt. "Too much salt" has variables
Some people achieve it by putting salt on their _food._
Look I have a lot to wade through and I'm compiling information from most of the health gurus that I will be releasing on my alt channel, but you by far blow their content out of the water with explaining the phenomenon that is affecting so many people in an unhealthy way. Emphasis in unnecessary amounts of protein and sugar are the driving force of poor metabolic health. While protein seems less severe, neither one should be taken lightly. I believe we'd do better to reassess our macro ratios for optimal health
Yes! Yes! Yes! First thing my deceased husband’s nephrologist did was to limit his fluid intake to a liter a day! Of course, he was in kidney failure. Nevertheless, the nephrologist stressed that it is ridiculous how much water people believe they should consume.
Yeah my SO drinks so much water and has to pee every hour.
Hmmm, but if you are eating MASSIVE amounts of oxalates you are adding to the overall oxalate burden? So if MOST people have say 60% from liver, how about a VLC keto person eating tons of oxalates? I was doing that. Fat-adapted keto, had gout. Went carnivore -- no gout, no arthritis.
Usually not enough fat. But massive xs anything is usually not good
@@robertcywes2966 Thank you for the reply. Funnily enough on keto since 2015 I loved vegetables and ate a great variety of them, and salads (no grains, lots of fats, butter not margarine, no seed oils in my life, no soft drinks or sweeteners, no deserts), along with mostly red meat. But now on carnivore I just don't miss them. I can look at plant food the way I always looked at the supermarket aisles full of stuff in packets -- with genuine detachment. Arthritis pain in hip gone, "fettler's thumbs" gone (that was pretty much a constant -- I do a lot of keyboard work). Ambulatory gout and constant grumbling pain (tenderness in an ancient big toe injury gone). I'm not fanatical and I will snip a few chives into an omelette, and civilized amounts of red wine (no change in this, and not by the gallon) and coffee (by the gallon). So the only change has been from VLC keto to carnivore. Now I just have to persuade my doc I'm not crazy. But this really should be in the GOUT vid , not the kidney stones one. Feel free to delete it as off-topic.
@@T-aka-T Sure buddy we believe you