Understanding GFR & Chronic Kidney Disease: Stages, Strategies, and Better Kidney Health

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  • Опубліковано 29 вер 2024

КОМЕНТАРІ • 61

  • @tracygreen7888
    @tracygreen7888 Рік тому +15

    I have received more education from your videos in these past 2 weeks than I have had with my nephrologist in 2 years. I appreciate your wisdom and your willingness to share with us.

    • @tracygreen7888
      @tracygreen7888 Рік тому

      Can we hear a conversation about beans and kidney health? Which beans and how much? Please & thank you!

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +2

      That's so kind of you to say. Thank you! And yes, that's a great topic!

    • @raymondkummerfeld9946
      @raymondkummerfeld9946 Рік тому

      Doctor, have ever helped a stage 3B patient move to stage 1 or less?

    • @bhajjibhajji5847
      @bhajjibhajji5847 5 місяців тому

      ​@@raymondkummerfeld9946
      You can improve you gfr, and you can slow the progression of CKD. Remember that as we age our health declines. So look after your health and enjoy life.

  • @SuperFriday
    @SuperFriday 6 місяців тому +2

    eGFR is confusing. I've seen shifts in my levels throughout the years. My eGFR was the highest at 112 in 2016, and the lowest at 69 in 2017. In 2017, my creatinine was high at 1.430. I remember being more active in the gym around this time. However, I was taking a pre-workout supplement called SuperPump 250 with DMAA almost 4 days a week. SuperPump contained creatine. When I ran out, my eGFR kept rising in the high 80s and 90s each year until 2022 when it was 107. May 2023, it was 83. October 2023 it was 89. What was I doing differently in 2022? Despite taking a new pre-workout supplement with the similar ingredients, called Dark Energy, it did not contain creatine. I believe the creatine supplement contributed to my low eGFR in 2017. I also weighed 30 lbs less in 2022, which is what I weighed in 2016 when my eGFR was 112. I noticed my eGFR is better when I keep the extra weight off. Nevertheless, in 2016 and 2022 , I practiced intermittent fasting, and consumed less meat, possibly 2x a week at the most. When I ate meat, it wasn't fried or processed. For a snack, I'd drink low sodium V8 juice. I'm going to test this again and do labs again before the summer.

  • @2trustgod
    @2trustgod 5 місяців тому

    The best explanation of GFR. Thank you very much

  • @mohammadaminkawosa2544
    @mohammadaminkawosa2544 Рік тому +1

    Doc. It is first time I chanced upon your videos. I am lucky to know it. My problem is that I feel the urge to urinate as soon as I drink water and urinate too frequently , even during night. I came down from 3 liters a day to just half a litre water a day. It certainly reduced the frequency but not the urgency to urinate and as well as leaky droplets of urine, Can yo advise.

  • @ingelopez9829
    @ingelopez9829 Рік тому +7

    Thank you very much for providing us with this information. I’m hoping that in future videos you will talk in some detail about the comorbidities that occur with chronic kidney disease such as insulin resistance, cardiovascular disease, anemia, dementia,dislipidemia etc.
    and if what we eat makes any difference in outcomes over time. We get zero feedback from the nephrologist.

  • @faridahhanim7000
    @faridahhanim7000 Рік тому +1

    I like your vedio very good info

  • @liewinarto5115
    @liewinarto5115 Рік тому +2

    Doc, could you please tell us whether Goji Berry is good or not for people with CKD especially those in Stage 3 ? Why (not)?

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +1

      In general golgi berries are safe and help a number of things. However, there really isn't much data in kidney disease. Also, they interact with a number of medications and can either increase or decrease the effectiveness of them.

    • @adventureabroadseanatureshipan
      @adventureabroadseanatureshipan 6 місяців тому

      ​@@SELFPrincipleMy Egfr 75. How to increase it sir?I have upset stomach. I eating too much chicken meat,egg and fish.

  • @vernaxxx8940
    @vernaxxx8940 9 місяців тому

    The kidney stuff was interesting and authoritative but the diet stuff is a bit dubious. There's alternative advice out there which does not support eating a wholly plant-based diet. I note this guy's qualifications but he does not back up his point of view by citing any studies. Can't see any on his website either. I don't like personality-based schools of thought, they tend to depart from what mainstream science suggests.

  • @anitashakya6169
    @anitashakya6169 3 місяці тому

    How can we balance the GFR? Does drinking enough increase it?

  • @CapricornSunSagRisingLibraMoon

    This is an EXCELLENT video! Thank you Dr. Hashmi.

  • @maomama5980
    @maomama5980 Рік тому +2

    Another great Video thank you Dr Hashimi
    The information you put out here and plant based kidney is gold compare with many junk on UA-cam this days
    You are the model of all Dr should be:
    Knowledgeable
    Open minded
    Compassionate
    Helpful
    Don’t forget a great speaker

  • @ManojDas-dt8nl
    @ManojDas-dt8nl 3 дні тому

    Really helpful 🙏

  • @justinarazo8857
    @justinarazo8857 Рік тому +1

    I have a GFR of I think 68 and my creatinine has been high for the past 2 years but my Dr's say nothing. My main health problem is epilepsy, but it is manageable. I am 37 now and I have been paying more attention to other health issues bc both my parents died from heart disease and my mom also had diabetes in the end. I'm wondering if my kidneys could be getting bad because I have been on seizure meds for the past 20 years? Especially Lamictal and Topamax. My neurologist says nothing about my blood tests but I know something is not right.

  • @MBaihaki
    @MBaihaki Рік тому +1

    Really clear and understandable

  • @annacouture7212
    @annacouture7212 Рік тому +1

    Hi Sean, My husband just got diagnosed with stage 3 kidney disease. There are so many people I know being diagnosed with the high blood pressure and kidney disease problems. A lot of people are saying since the covid Vax, their family has developed these problems after getting the Vax. Could there be a relationship with these problems with the spiked protein and all these new cases.

    • @dogsense3773
      @dogsense3773 Рік тому +2

      It's all the bad food you have been eating all your life

  • @teelughale8681
    @teelughale8681 5 місяців тому

    Hi doctor
    I am from Nepal
    I am at stage 3 a and my blood pressure is 130/90 under medication . And recently my doctor recommended Tolvaptan 15 twice daily. How long I can take the Tolvaptan and is there any possibility that I can remain stage 3a for another 10-15 years?🙏

  • @gracekelly2810
    @gracekelly2810 Рік тому +1

    I am 58 yo and I just found out I am stage 4, GFR 22. I am so incredibly grateful to have found your website. Thank you for sharing all of your knowledge.

    • @blakeaaron5698
      @blakeaaron5698 Місяць тому

      My grandma was just diagnosed w/ GFR of 25. How have you been doing? Any recommendations?

  • @LieWinarto
    @LieWinarto 7 місяців тому

    Thanks doc for your amazing videos. Is there any particular advice on how to increase my e-GFR 39% (creatinin 1.96) to 60%, please?

  • @niyaza70mohamed50
    @niyaza70mohamed50 6 місяців тому

    Is stage 3 is revesible , my GFR IS 56 AND creatine is 1.49 , dr says due to kidney stones in urine bladder, need to do a surgery

  • @ddutton4716
    @ddutton4716 Рік тому +1

    Which anti-inflammatories at low doses are the least stressful on the kidneys? What is the current thinking about selective and semi-selective COX-2 inhibitors? Thanks.

    • @SELFPrinciple
      @SELFPrinciple  Рік тому

      Cox-2 inhibitors are not recommended in kidney disease given their risk of causing acute kidney injury. Unfortunately, not a whole lot of options in ckd. Tylenol is used (albeit not an anti-inflammatory)

  • @justjulie37
    @justjulie37 Рік тому +1

    So, is C-Statin GFR test more or less accurate? My normal test has me at 50 and my C-statin is over 60

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +1

      Cystatin C is good when the person has a lot of muscle. However, cystatin c is affected by age, inflammation. So older folks and higher inflammation may see higher levels. Each test has pros and cons and we base the decision on the individual patient to see which one to use.

  • @motivationalmeditations2875

    Hi! Can you do a video on medulla sponge kidney? I have this, and my doctor is a little concerned about my GFR. It's not really bad, and my creatinine levels are good, but my GFR is consistently at around 70 to 80 over time. This was found when I was about 36. I am 49 now. My GFR varies. I've had many kidney stones and at one point it caused hydronephrosis. I'm wondering if that caused my lowered kidney function or if it could be from having medulla sponge kidney. Thank you for your video's!

  • @ManishChauhan-zj7mu
    @ManishChauhan-zj7mu Рік тому

    Appreciate all your video and valuable information
    My Creatinine 1.37 taking ketoanalogues and probiotics for last 6 months, my urine is very foamy and bubbly , however i have done the urine protein creatine ratio and it is normal
    I want to know any other reason for foamy urine and is there possibility of improving my creatinine and gfr

  • @angelinegeorge275
    @angelinegeorge275 Рік тому +2

    Can foamy urine be treated. Im on losartan ned for my blood pressure but i am still having foamy urine. What can i do.?

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +1

      If you are spilling protein in the urine, losartan (ARB) is one of the drugs used to lower it. Other things are low protein, plant-based diet, controlling sugars, tight blood pressure control, weight loss. Its important to find our why you are spilling.

  • @ninamarie8654
    @ninamarie8654 Рік тому +1

    Thank you dr. You've helped me so much already and I continue to watch all your videos to learn as much as possible.

  • @randallhandles
    @randallhandles Рік тому

    Hello and thank you , I am a 35 female who grew up vegetarian/ almost vegan eating Whole Foods, with high protein in urine. I am not obese, not diabetic, no high blood pressure. My biopsy showed large filters in kidneys. What can I do different? What happened to me? Could I control with my diet? I feel like I already eat okay enough. What questions can I ask my nephrologist?

  • @goldieleyva3002
    @goldieleyva3002 Рік тому

    I have stage 3 A. was at 3 A I don't know now. My left kidney has shrunk by half it's size and pain in the right kidney. I asked my nephrologist what we could do about about and he told me point blank there was nothing he could do. So I stopped going to see him. Thank you for all the information.

  • @gracevasinedca
    @gracevasinedca 3 місяці тому

    Thank you, Dr. sean hashmi, you are amazing!

  • @ktakeda217
    @ktakeda217 Рік тому

    Can a whole food plant based person SOS free with eGFR of 69 raise their eGFR to normal?

  • @Braisin-Raisin
    @Braisin-Raisin 7 місяців тому

    Is wheat bran good for kidneys?

  • @mcfarley6528
    @mcfarley6528 Рік тому +1

    Very good information. Thank you

  • @sandramurkerson9041
    @sandramurkerson9041 Рік тому

    Speak about msm and biotin please thankyou

  • @Health-And-Diabetes
    @Health-And-Diabetes Рік тому

    Thanks very much Dr Hashmi

  • @bhanupratapsingh-ln9of
    @bhanupratapsingh-ln9of Рік тому

    CKD stage 4 creatinine levels 3.2

  • @IrelandHickman-iy2bz
    @IrelandHickman-iy2bz 3 місяці тому

    Thank you so much Dr.

  • @FelixMartinez-s1i
    @FelixMartinez-s1i Рік тому

    Thank you for sharing this information Dr. Hashmi. How does prolonged (+2 years) use of OTC nasal sprays with Oxymetazoline HCL 0.05% impact kidney health?

  • @praisingann4him
    @praisingann4him Рік тому

    Dr Hashmi, is non alcoholic beer ok to drink with CKD or should it be avoided?

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +1

      Keep in mind its not just the alcohol but also the sugar that becomes problematic in CKD

  • @georgedonatelli4962
    @georgedonatelli4962 Рік тому

    Does glutinous have any effect on gfr

    • @SELFPrinciple
      @SELFPrinciple  Рік тому

      Its actually the opposite. Often we find gluten free foods have higher potassium, sodium and phos. We don't have any good data to support restricting gluten in ckd yet.

  • @chotinganar5159
    @chotinganar5159 Рік тому

    Thanks

    • @SELFPrinciple
      @SELFPrinciple  Рік тому

      That's very kind of you. Thank you for your support!

  • @LilliesPad05
    @LilliesPad05 Рік тому

    New subscriber here my Dr informed me this week that my blood work indicated my kidneys were working at 45 dropping from 55 to 45 in the last 6 months also my potassium is high I'm a soon to be 61 year old Native American also morbidly obese, I will be seeing a kidney Dr soon but in the meantime I have started trying to change my eating habits my question is it safe to have oatmeal for breakfast and also is it safe for me to have a serving of rice or pasta with my vegetables for dinner...sorry for the long question but I just want to do what I can right now to begin helping myself as much as possible also was diagnosed with MS in 2020...thanks in advance

    • @SELFPrinciple
      @SELFPrinciple  Рік тому +1

      The answer is yes, oatmeal, brown rice are okay as long as you are getting regular potassium checks. You need to work on potassium control. High potassium is extremely dangerous to the heart. Sometimes we give binders to control potassium. When it comes to weight loss, it's important to start tracking how many calories you are eating and then decrease that number by 500-750/day.

  • @ernestkola0
    @ernestkola0 Рік тому

    What is best blood pressure medication sir.. l have l have 90 gfr but my high blood pressure is given me problem with my kidney.. l have most of the symptoms.. am on ramipril for 10years now ... but am using telmisartan now about 3month .. l have formy urine and smelling urine but formy reduce now but still smelling urine.. pls l need advice sir????🙏 my Gp is not taking me serious