Slowing CKD Progression: Latest Advancements and International Kidney Experts Recommendations
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- Опубліковано 6 вер 2024
- Episode 291: In this enlightening episode, I am joined by the esteemed Dr. Rosansky, a renowned figure in the realm of nephrology, to delve into the crucial topic of managing and slowing down the progression of Chronic Kidney Disease (CKD). The content shared is enriched with the latest findings and recommendations from the International Organization of Kidney Experts, making it a valuable resource for those seeking to enhance their understanding and management of CKD.
Dr. Rosansky, alongside myself, navigates through the discussions with a clarity that renders complex kidney health concepts easily graspable. As we dissect the latest advice from international kidney authorities, viewers will find a wealth of knowledge to aid in their CKD management journey. Moreover, Dr. Rosansky generously extends his expertise to answer viewers' queries, shedding light on common concerns and offering a personalized touch to the learning experience.
This episode is a part of our ongoing endeavor to foster a well-informed kidney community, armed with scientifically-backed knowledge to make empowering health decisions. With the guidance of experts like Dr. Rosansky, we aspire to demystify CKD, making the path towards improved kidney health an attainable and enlightened journey.
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. GLP1 agonists:
Dulaglutide (Trulicity)
Exenatide extended release (Bydureon BCISE)
Exenatide (Byetta)
Semaglutide (Ozempic)
Liraglutide (Victoza, Saxenda)
Lixisenatide (Adlyxin)
Semaglutide (Rybelsus)
5. Aldosterone receptor antagonists:
Eplerenone (Inspra)
Spirinolactone (Aldactone)
Finerenone (Kerendia)
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
Dr Rosanski and Dadvice James, Thank you so much.❤❤❤ Over this past year, following your advises, my EGFR has gone from 30s and 40s up to 97. All my CBC labs are great finally! Also, I have gotten my pre-diabetic sugar and Albumin to Creatin levels in normal range. I eat NO sugar, carbs, starches, gluten, alcohol, fast foods, or processed foods for 12 months nearly. I lost from 150 to 125 pounds. My Blood pressure has gone from 203/99 with 2 meds, down to consistent 125/76 with Lisinopril (my ACE). I eat a totally different plant based protein diet thanks to you both, and Dietician Jen Hernandez. I also found where my giant 7mm kidney stones were coming from Oxalates and (calcium not going to my bones causing ostioprosis) and have not had a stone in 12 months! Also, i now drink 3 fluid liters of water per day. My Nepherologist said you are great for me. I LOVE YOU BOTH. Thank you. I believe you have slowed my CKD significantly. Sadly i lost my left kidney before finding and following you both. Great Team you make. ❤
How did you control your BP teresa
My urine protein / urine creatine ratio is 1.12 EGFR is16 i am reading your book
I am olga
👏👏👏
That's awesome!!! Keep up the good work & watch your numbers as much as possible. 🎉
My bp was hitting 220/165 with kidney failure. I was on Losartan that wasn't helping. I quit taking bp meds against my doctor's wishes. It is now 117/75 steady. I also had afib that has since went away. I noticed you cut out most of the inflammatory foods. Another one to consider is cutting out high FODMAPS. I am full of kidney stones. Just passed an 8mm sized with the help of flomax, but have a 7mm stubborn stone. Found out that stuck stones can cause ckd. I have moderate hydronephrosis in my left kidney due to kidney stones. I am autoimmune though which isn't helping.
Hi, saw my nephrologist today11/15, was talking to him about Dr Ro's book, said he didn't get to read it yet but I had it there and gave it to him, he really appreciated it
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’m so glad I found you!!!
So much great information 🙂
Hey guys, Dr. RO IS AWESOME. Met with my nephrologist 11/15, everything looks okay. Discussed Dr. Ro's book with him, he said he hadn't got to read it yet then I gave him a copy. He's good doctor , listens to you. Discussed a RND with him and he said didn't need one, I still tho learn from Jen &Michelle the two I know of. I belive ge has that test done when I do bloodwork. We do bloodwork every 6months. Thanks for everything, James, u are awesome sir& DR. Ro thank you too
Outstanding that you have a great doctor!
Interesting to note. I went on the carnivore diet 1 month ago. No carbs, no veggies, high fat. I had a blood test 2 months ago and another today. I had been adhering to the vegetable protein approach and taking the prescribed meds. No noticeable progression or improvement for 2 years. Last blood test showed creatinine at 185. Today it is 163, A drop of 22 points. My eGFR was 38. Today it is 45. A huge 7% improvement. Blood glucose dropped from 106 to 95. Dropped 10 pounds in the process. This in only 1 month! All other markers had slight improvement as well. Any comments?
interesting, thanks for sharing.
I started drinking alkaline artesian water c force brand. took bloodctestv2 months later ,gfr jumped 15 percentage points , 29 to 44 percent. stable for a year and half, I have high uric acid so maybe the alkaline helped offset that. may not work for everybody. helps gout also
The carnivore diet is taking the medical establishment by storm. Thank you for sharing this and continued health, my friend!
Losing too much weight on prediabetic ckd diet, starving
did you do cell therapy?
Your channel is the best source we’ve found for CKD!
What do you put in your water to improve flavor? We keep rewatching and missing where you mention it.
I add either True Lemon flavoring (which is dehydrated lemon, raspberries, strawberries, etc) or I blend in some black cherries and lemon.
Thank you both as always! Love your book Dr. Ro!! ❤
Thank you too!
I’m 82 and was given a cat scan with dye, egfr went to 19. Saw a kidney doctor and a year later it was 60, another year later it’s 48. Anyway, I I’ve had PVD for 30 years and hanging in there but also have diabetes type 2 . I have been taking Losartan and just recently am taking Farxiga. Am I going to die of heart disease? I feel well and I’m active.
Hi Maggi for what is worth watch some of Dr Eric berg videos.regarding type two diabetic . Maybe you can get off medication 👍
Thank you so much 😊 both of you, you guys are angels🙏🙏. God bless you both
So, Dr. Ken Berry is wrong about red meet and kidney disease? I'm confused
Thank you both for your good works. ❤❤❤
Thanks for watching!
Thank you so, so much for this very vital information Dr Rosanski and James. Highly appreciate your presentation on Dadvice show. I'm following you from Papua New Guinea. Ultrasound Scan reveals presence of Stones in my Kidney and Gal Bladder, and I'm attending consultation with Doctors.
I am 83 years old I have symptomatic hypotension Irbesartan changed to LOSARTAN OPINION AS to what to do
Excellent video Gents! I have Dr Roes book and both your brother James! Your soul sister in the struggle😋😍❤❤❤😟🥳👍🏾👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿
Thanks for being here with us in our amazing community!
Thank you for all your info. I have been getting higher than normal but not crazy high CK levels for probably over 12 years and slightly high rheumatoid factor but cant find any other probs. I am healthy in all other ways , weight, etc. I do have very bad arthritis at 45. I am still in fear or kidney disease later on.
What autoimmune diseases do you have for an elevated RA factor?
Why does peoples with CKD have trouble with they potassium
Thanks
What is the brand of the dipsticks that the good doctor refers to
Great
My husband has a Egor of 13 his albumin is in range 4.4. However is creatinine is 4.64 . He is 74 . And they said he will have to go on dialysis soon. What can I do to get his creatinine down
I'm concerned but it doesn't seem like my kidney doctor is my GFR was 43 in July, September my GFR was 41, last week it was 39 . I have had UTI since June off and on may this be affecting my numbers
I would be concerned if it continued to decline - it may bounce around between 39 and 43 which would be considered stable. Make sure to check for protein in your urine - Dr Ro talks about medications to reduce that and the importance of watching it.
Hi ..good morning sir James.. where could i buy the book of Dr. Rosansky. Thanks.. im from the Phil.
because my husband has CKD 5 .
It's available on Amazon, and any local bookstore can order it. I always support the local shops when possible.
Farziga dropped my GFR from 40 to 26 in one month. Now I am hoping it comes back up but it’s been 2 months and only went back up to 29😔
…mmmh…strange…are you sure it was Forxiga?…anyway it can happen at the beginning as ACE and ARBS…but then on Time they should improve everything
@@Umbertomanens yes it was definitely the Farziga. I had been stable in the 40s for over a year. The only change the month prior to the drop was Farziga. The nephrologist said it was the med.
@@kellidodson3943 so are you actually stopped Forxiga? Did also proteina in urine went worsened after Forxiga?
@@Umbertomanens yes Dr stopped it the day the lab results came in. Urine protein hasn’t been rechecked. No urine protein prior to Farziga.
…IMHO i think:
1) it’s a simple coincidence without cause-effect relation with Dapaglflozin ( Forxiga)…or maybe only temporary
2) - you were not well hydrated when checked ( if you did only once)
3)- SGLT2 are way long under scientific trials considered safe and effective
4) every person is different and can react different to the same drug
5) I ‘m sure everything will gonna be alright with you 👍🤗
6) Please let me know news about …i’m also a kidney patient and also an MD Doctor in Italia 🇮🇹
What about astragalus root , does it help kidney health ?
What are the best foods to eat my egfr 38 my creatinine 1.1 what do you suggest please go to the back What’s the best diet plan face? My doctor said I need to gain weight
Is the keto diet OK for CKD 3?
My Blood pressure meds were switched to Metoprolol, I don't see it on the list you have, they took me off Lisinopri because it was giving me crazy headaches.
I’m taking metoprolol am and lisinopril in the pm
What if you already have low blood pressure and low sugar ?
How does urinary track infection impact micro albumin in urine?
Thanks so much. The good Doctor said you would list the max doses on the notes here. Is that possible? Or where might we get this info? Thanks again
What foods can replace all this drugs if possible
My albumin creatinine rario is 75 &my GFR is 57. I'm 79 yrs old. Whats your advice
Why the doctor doesn’t recommend Keto?
Can you advise if my gfr is 13 & i m a senior aged 74. My Dr has advised me to go on Dialysis & i m not too sure.
Do I have irreverseable ckd4? I took lithium for 25 years?
Is Sglt2 recommended in ADPKD?
MY GFR IS 12 AND PROTEIN IN THE URINE SHOULD I CONTINUE LOSARTAN 25MG?
My name is erum mubaraz and my age is 53 yrs old and iam from Pakistan I ave iga nepropathy since 1998 last month I have creatinine 6.2 and urea was108 now this month I have creatinine level5.6 and urea is 48 gfr 6.2 potassium 4.8 and iam taking medicine sodamint nebil bonone lophos go uric iam afraid of dialysis my doctor is talking about dialysis plz give me ur opinion wat to do and wat to eat
@@user-fq7zv3zl8y take ketorite tablets
James when you have ckd then you have protein in urine if yes then how many milligrams plz reply
Dr has prescribed lowest dose of arb but blood pressure drops and I feel dizzy so I've stopped taking the arb I am still taking sglt2 should I go back on blood pressure meds?
My albumin creatinine ratio is 17. ?
You forgot chronic elevated blood sugar as major player for kidney disease
What took so long for him to bring up this test?
How do I contact you, iam in Africa, I need the book also
How about merendiate.
Thanks!
Am on sglt2 am having side affects 3plus of sugar in urine I have type 2 diabetes hba1c is 46 am from the uk
Circumin can reduce PROTEINURIA.
Spirinolactone made me sicker than a dog on lowsartan now and .lassix CAnt. g et warm with Thi s anemia. Had 3 strokes
. already . Wonder if anemia caused them.