Iron Deficiency Anemia Treatment with Chronic Kidney Disease Renal Diet
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- Опубліковано 15 лип 2024
- Episode 50: Iron Deficiency Anemia Treatment with Chronic Kidney Disease Renal Diet - How I cured my anemia thru diet. With these anemia treatment foods, you can produce more red blood cells and hemoglobin to prevent & cure anemia. This natural anemia treatment diet can be done at home as part of your CKD diet. Relieve iron deficiency anemia symptoms quickly with this anemia treatment diet and preparing your foods using cast iron cookware.
Anemia is a common chronic kidney disease symptom and usually appears in stage 3, stage 4, stage 5, and during kidney failure. CKD patients usually need anemia treatment due to an iron, B12, and folic acid deficiency. Anemia symptoms include fatigue, confusion, headaches, and other serious complications.
Shop Amazon for Cast Iron cookware: amzn.to/31werjy
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Kidney Function: Optimizing your RENAL DIET to beat CHRONIC KIDNEY DISEASE and avoid KIDNEY FAILURE
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Potassium And Kidney Disease Diet: What you NEED to know to avoid kidney failure
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• CKD stage 5 RENAL DIET...
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IMPORTANT: I AM NOT A DOCTOR. Patients should always be under the care of a physician and defer to their physician for any and all treatment decisions. This video is not meant to replace a physician's advice, supervision, and counsel. No information in the video should be construed as medical advice. All medical decisions should be made by the patient and a qualified physician. This video is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE.
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DADVICE DO YOU EAT EGGS WHITE OR EGGS FOR BREAKFAST I DONT KNOW WHAT TO EAT FOR BREAKFAST IM A DIABETIC AND I HAVE HIGHBLOOD PRESSURE
What does a high Creatinine and a high Hemoglobin (HB,A1C) what need to be change in diet
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! Aaww q
@@trudy7344 sesßßsssssßs
i LOVE SEEING YOUR VIDEOS THEY KEEP ME ENCOURAGED. YOU ARE LOOKING GOOD.
thank you - and I feel AMAZING!
Thanks David God bless you. Honestly your videos are so helpful.
I just found out Thursday, I have done nothing but cry, plan my funeral, cry, try to breathe though the tears and trying to find what I can do on the internet. My precious daughter, found you and sent me the link. Oh to feel like you do again, I would be so happy. God bless you for giving of yourself to others. I'm exhausted, I'm scheduled for transfusion on the 13th.
Jenny - Sorry for what you are going thought. I hate to say this, but this is completely normal (and it should not be). The Internet is mostly highly general, incorrect, and dangerous info. What is important is to manage your underlying cause to stop further damage, then work on your diet. The good news is the diet is so much easier than it sounds! A renal dietitian is your best resource - and you’ll learn a lot about that from the videos I have created. You will also find the community here on Dadvice TV to be positive and supportive! Your daughter did you a huge favor - you are in a great place now to focus on what really matters to kick kidney disease to the curb!
Prayers going up for you! 🙏🏾
Pls don’t give up. Think positive and get started, small steps even. Do what you can now and don’t think too far ahead. Things can change for the better. We just found about my Husband too so I get where you are coming from.
I'm going to give myself 1 year to change my diet and get off of dialysis
Am on the same mission
have you started?
Updates?
Your information is AMAZING!
Thank you, I was suffering with devastating anemia, glued to the bed, no energy, I considered B complex and folic acid.. I did not think about Iron until I saw you video.... noticedmy body was also craving Iron foods.. !!! you rock
Folic Acid is synthetic and not readily absorbed. I might suggest getting tested for blood mutations by a Functional Medicine Practitioner.
So happy i found you . Have both problems and learned so much just in this video . Thanks i feel like there is some hope now
My dad has CKD stage 3 and also severely anemic. I'm ready to hear this.
Thanks for the help. Take care.
I would NOT recommend those ‘fortified’ foods. THEY ARE HIGHLY PROCESSED FOODS.
What a great video!!!
As for spinach, if it's raw then yes it's high in oxalates but when cooked, it is not anymore!
All the best,
I have CKD and elevated PTH. My calcium level is normal. Have you heard of PTH in your blood labs? I am not too optimistic that diet can help. I drink vegetable smoothies, I eat wheat berries, eat some red meat in 3 oz. portions. I do intermittent fasting to reduce my food load on my kidneys. My gfr has improved by a point over the last 47 days to now 20! Thank you for inspiring us with your journey!
Your so encouraging, please know this. Truly a blessing ❤️
Thank you!
Wow! Thank you for sharing this life saving information. I've been struggling with severe anemia and my husband struggles with kidney disease and I am learning how there is a correlation to both. Your videos have opened my eyes. We are making immediate changes. Thank you, Thank you, Thank you from the bottom of my heart ❤
Hi, I have been diagnosed with stage four breast cancer, which has spread to my bones, and my left kidney. Please, can you advise the best course of action? I also suffer from low iron. Thanks and God bless🛐🙏🙏🛐🙏🙏
Mine weighs 12 pounds. I love it! It looks a lot like the one you have in the video.
Thank you 🙏🏼 will try it for sure 🙌🏼✌🏼God bless all 💐
This was so informative ..I'm stage 4...it's really difficult to figure some of this out..the iron skillet is genius..thanks
You are halarious You are helariously funny. Keep up the great work. Up here in Canada, vitamin D can be a problem. Sitting in front of a sun lit window only allows the ultra Violet light through. You will turn brown, but it won't be the type of sunlight your body needs to metabolize into a usable vitamin.
With the grace of God, I have been able to hold off dialysis two years. Not bad for having diabetes, high blood pressure, and congestive heart failure.
I remember when I started watching your videos from my hospital bed May 2019. Bless you and your family. It really looks like you are having fun making these videos. XO
Another great video James! Thank You
you sir, are a Godsend. thank you for all your advice
So nice of you. Everything I share I learned from my health care team.
I’m a diabetic some of these food I can’t get ... I love Liver.... if I don’t drink at less 1 cup of coffee if I don’t I really get a bad head so what do I do about the food cause I’m a diabetic
you are very correct, you hit the nail on the head!!!!!!
thank you ..i m happy you tell us all
Thank you so much. Great info when you’re feeling like crap and didn’t drone on like some do!!!!
Thanks for the info
You bet
That is awesome about the iron frying pan of skillets awesome news and awesome information. Thank you so much.😊
Thanks James.
I use Methylfolate and Methylcobalamin. I never eat synthetically fortified foods. I'm 66 and have a 57 GFR. Suggest being tested for MTFHR. Best of health to you.
You have addressed all my kidney and anemia issues! Thank you somuch!
I'm so glad!
Awesomeness! Ty my friend,!😄
Hi Dadvice. Am glad to have come through your video today. My 10yrs daughter was diagnosed with CKD stage 5 nine months ago. She is low on HB 7.9. Please give me a list of things(foods) to give her to improve on her iron. Thanks
I hear Buckwheat is a good source of iron and good for kidneys. Pls look it up
Very nice information thanks
Hi! You have a great Jolly Personality! Just wondering what is a good app to track micronutrients?
I've been dealing with anemia and ckd . I thought my kidney was the one aggravating the blood cancer that causes anemia. Thank you for explaining. It feels good to listen to somebody who knows what we are going through. I like the idea of having one meal a day for anemia. Thank you very much.
My hemoglobin lekhk is 8.5 i want to increase how much it took to increase
I'm anemia and so tired following thank you
Even better than the first version (which was already pretty great)!
Very happy my dialysis dietician told me i am no longer anemic.
Much improved a month after doing a low carb, low phosphorous diet.
Health is slowly improving.
Even the dietician was impressed.
Said I was so close to having surgery prior as my phos and potassium levels were super high.
Congrats, what did u eat to fight it?
@@ochiengjimmy5866 keto diet
How is your kidneys now?
Chicken liver and gizzards I cook them together with lemon, soy sauce, black pepper, and lots of garlic. Yumm!
Hi james im diagnose with ckd stage3and i also got anemia thank you so much for the infomation that you give us
I repeat ,s sir u r God send. thank u very much for the advice.
YOUR DOCTOR WHO SAID YOU ARE HOPELESS I ACTUALLY ONLY WANT TO PROFIT FROM DIALYSIS SESSIONS !!!!
YES THERE IS SUCH THING AS REFERRAL COMISION $$$$ !!!
Jamezzzzzzzzz dear. Three eeeeemazing PROTEIN PER DAY????????
3 oz?????? PER DAYYYYYY???????
PLEASEVREMIND ME THE NAME OF THAT FANTASTIC BOOK THAT YOU PROMOTED..." ALL YOU WANTVTO KNOW ABOUT KIDNEYS?. SOMETHING LIKE THAT
CORRECT!!!!----THANKS
CORRECTED!!!!!---THANKS.
Thank you so much 🙏,
You're most welcome
Dear Mr James,
Thank you very much.
I love you.
Anemia diet is wonderful.
Hameed Jilani.
Lahore.Pakistan.
4.55 p.m.
3.10.2019.
I watch your videos again and again to absorb YOUR excellent words of wisdom.
Thank you Hameed for your kind words and support! What stage are you at with your kidney disease?
Hameed sahib,may I contact with you?I ,m passing through a severe mental agony while facining this disease.sweet Allah shower all his blessings on you.
Hameed, your sweet and loving reply made me cry. 85 year old from Washington State.
Hey there I loved your bonus tips, but tuna melt dont like alot but the others I can go for that. Again, great bonus tips hope you have more concerning iron. will that help with my dizziness that I am having?
Hi James. I recently discovered you and am in complete awe of your energy, positivity and perseverance. You are truly admirable and I absolutely look forward to new uploads from you. I had a few Qs: what was the lowest your Hb has ever been? In your journey to relieving anaemia, were you ever advised to take EPO injections? I know this is common in stages 4 and 5. If so, and I’m guessing you refused as it would seem you used diet as your main weapon, I am full of hope that diet can resolve anemia deficiencies. My mum is stage 5 and her HB is 8.6. We’re resorting to diet and a cast iron skillet thanks to you! We’re also working towards improving her creatinine. Please keep doing what you’re doing. God is certainly most Merciful 🤲
Thank you for your kind words. I don't have all of my labs going back to when I was diagnosed, but I did get fairly close (after a month of treatment) and my Hemoglobin was 9.9 - and I did take EPO injections for a short time when I was first diagnosed - this 9.9 was well after getting the injections. I wasn't aware that diet could help me in the beginning - those first 3 months or so after getting out of the hospital were difficult. Even though it was only a year and a half ago, there was so much less information online to help. there was no alternative to my channel - it felt like a void of doom and gloom. But once I really focused on nutrition (and I wasn't a believer at first) I got my anemia under control and things just got better from there. It took time - but every day I felt better...better enough to FEEL it. Then one day (and I noted that day in a video) things where so much better - the anemia was gone and so was the pain from my kidneys.
I have stayed up with my Iron (cast iron), a Super B-Complex vitamin (with some C) and haven't had a hint of anemia since. When you get anemia under control - it is life change, majorly life changing. Even when you are suffering from it, you don't realize just how much it is holding you back and how exhausting everything is. I would tell me wife it was difficult to walk from the bed to the bathroom - and I somehow overlooked how tiring it was to sit up in bed, or to stand up from a chair. We overlook those small issues due to the larger ones before us - but suddenly, almost as if overnight, ALL of that goes away. You no longer have to PUSH yourself to walk down the street. It's something I wish doctors understood so that they would focus more on treating anemia right away. While fighting anemia, it's hard to improve much...your organs are in need of oxygen. If we focus on anemia right away, I believe (and I'm not a doctor) that we will then have the energy we need to improve faster overall.
Also check out the Iron fish - you use it in a regular pot/pan or put it into a large contain with tea. amzn.to/2ANrjJW It makes cooking easier since it doesn't weight as much as a full cast iron skillet.
Dadvice TV - Kidney Health Coach that is awesome to hear - thank you so much for the thorough response. Doctors believe EPO injections are the only way but NEVER advise on dietary changes at ANY point! I think we’re going to start with diet, supplement and a few EPO injections. Then move to diet and supplement alone. FYI we found this wonderful supplement www.amritanutrition.co.uk/products/quikplus-iron-5mg-59ml - a little pricey but we’ll be using until I figure out the iron cast skillet. My first attempt at cooking in it was an epic fail. I think it needs a lot of seasoning thought it’s supposedly pre-seasoned. Iron fish? That’s sort of weird but what a fantastic and simple concept! I have to sincerely agree with you re making fighting anaemia a priority to compound benefits to stopping and improving CKD. Modern medicine has a long way to go. But people like yourself bring hope to so many and hope alone is so important. Thank you once again. Keep doing what you’re doing. God bless.
@@DADVICETV god bless you for your good work. I'm going to cook with a iron cast skillet .
Guy did any one drive semi truck with stage 5? Please share experience if you did 🙏
That's exactly how i felt yesterday i cry because i can't eat how o use to since i have anemia
Thanks ❤
Hi my husband has stage 5 kidney disease we've been watching you and you've helped us a lot we learned a lot from you and we're still watching but we like to know if you have anything more update like 2021 we'd like more information and something newer Tony and Nancy
It's a big shame the doctors and hospitals don't guide you in this way .
The reason we don’t tell you about cast iron because we don’t know how much of a dose you are getting. I actually do tell my patients about it and variables that affect how much iron they’ll get but also do caution them to be careful because iron overload is dangerous too.
Thanks, Dad. Appreciate it.
Any time!
Thank you so much. I follow Sir.
You are most welcome - glad to have you in our community!
Liver and onions is good
Great video
Thanks!
Thanks for the informative show. Wat makes ckd patients to grow thin? And how can we maintain the normal weight.
I sleep for 13 -16hr. Im f**kng tired of being tired.
😂 😂 😂 My doctor told me that I’m anemic. I found out that eating Kidney Beans NOT Red Beans, BUT KIDNEY BEANS is an excellent source of iron. Eating Turkey, Spinach, Broccoli,
@@tashalee1999 Kidney beans are red
15 Tips to REVERSE KIDNEY DISEASE: ua-cam.com/video/LNma5qX539A/v-deo.html If you enjoyed this video, please give it a like and share it with your friends fighting Kidney Disease! 🙂
Thankyou Thankyou very much needed this I suffer chronic fatigue
Good luck managing it. It was life-changing once I got it under control for myself.
Thanks sir
My iron is 5 and I was freaking out, been doing my best with my diet
How are you now
Good afternoon from the Bronx and thank you to all of you out there who are fighting the good fight. So early today I watched video number 50 about Anemia. I was very hopeful after watching it and want to move my hemoglobin level from a 7.1 to at least a 10 to avoid hormone treatments , of Epogen, or red blood transfusions. Then i went to see my nephrologist. To sum my visit up in one word... devastating! She said that within one year or less I would be on dyalisis and I can NEVER go from a stage 4 to stage three CKD due to my loss of protein . The only things left to do were to learn about becoming a dyalasis patient, and getting on the transplant list. So I just got home. Did not know what to do . I feel so angry. i dont want to give up but information is overwhelming, and the health care provider I depended most on has flat out rendered a death sentence. I am so sad.
How are you doing now?
It’s not over we can change things back too 2 or 3 with a struck diet keeping watching James 🙏
Well, it's a FACT that doctors are not educated in diets or any foods. I learned that right off the bat! YOU are your own Dr. from there on out... All they want is to read your labwork,& scare you into believing you'll be on dialysis. Dialysis makes them more $$$.
P.S. DadVice is the best of any information I've had for CKD. I'm 87, Stage 3a, healthy, active, live alone , & my Dr. said I was probably the healthiest patient he has!! WooHoo!! By the way.... I crave dark chocolate!! Can't help myself.!
Very good video！
Thank you very much!
just got my labs back rbc 4.06 down ...watch your video now i have some help on what to do!! thanks alot...your AWSOME
I'm a little new on your channel. So, I got a question? How long does high creatinine levels of 3.46 have to be lowered in protein? It started this past Tuesday or Wednesday, and I have low hemoglobin, and I went from Stage 3 to Stage 4. Trying to avoid dialysis. I'm wondering.
James it's a great video. I am a little confused about beans. Jean Hernandez talks about plant sources being better than animal sources of protein and they have less absorbable phosphorus. Yet on your video it was mentioned that beans are not renal diet food
Hi Mr. James, can I also boil water for hot juices on cast iron pan. Will that work on increase iron? Thank you in advance 🙏🏼
1 high iron high b12 high folic acid meal a day “anemia meal”
Wow... I never even thought of even using an iron skillet even for boiling water... I had no idea it helped so much with iron deficiency.
Enjoy your teachings so much thank you . I'm really going to stick to your recimmended diets . But if you should come accross an ailment for which the cure includes steak , ice cream , chocolate and cakes I'd appreciate you advice .
Hi, james, so so depressed, been watching all of the stuff and i am stage 4, off balance walking and my doctor to push the kidney dialysis .
I need a list and what are those plant based muffins you mentioned.
Sardines with Raos marinara (this sauce doesn't have the toxic veg seed oils like rapeseed, soy, sunflower, cottonseed, corn, canola, etc
I had no idea that my extreme fatigue was due to my CKD(22% function) . I’ve always been anemic, Drs don’t know why. But I appreciate your videos soo much, you’ve helped me a lot to try and figure some of this out. I feel hopeful now instead of dreading the worst. Thank you 🙏🏾
Honey it is not because of 22% kidney is so awesome they can give you high energy even with 6% working!!! You’ll be shocked it is all about food!!! I’m high level athletes now competing in Chicago national grappling competition with 6% of kidney function! My kidney fail and now slowly coming back when I fixed foods. Also I’m working on carnivore diet with very low carbs and I feel a lot of energy. Sugar zero only from fresh fruit im in progress all ready 15 days i was anemic and now I see I’m slowly getting back. I’ll post more until I finish my experiment so far very positive result just in 10 days my blood got back to normal level.
This time I'll use woo&pep recipes to learn about diets more :)
U have a strong gentle way of doing things
Thank you. My style and delivery developed over time. It will come as a shock - but I used to be shy and quiet. At some point I broke out of my shell and have kept going. :-) Whenever I turn on the camera, I look into it as if there are people I know on the other side - people that I care about. Thanks for your kind words and support!
Im stage 3, 44 percent function. Just recovering from aniema with iron tablets. No diet advice from uk doctors at this stage. I have eaten like this before and it does work but sometims i give in and eat what ever and start to feel lije shit again. I find it so hard to eat well for my kidneys at work. This video is amazing. Thank you for sharing.
Did you know what iron supplement did you take? I have low hemoglobin
Thank you soo much
You need to UA-cam search Curry Liver and Gizzard Trinidad Recipes.. trust me.. you would be shocked at how many people in my country eat this nearly every morning for breakfast...they taste soooooo good 😍😍😍
Beef Liver curried with a little Geera.... you making joke man... try the recipe... they taste so great... once I ate Geera Chicken Heart...omg😍😍😍🤤🤤🤤🤤🤤 I still waiting to get enough hearts to make it again....sooooo delicious
I eat liver about twice a month. I like liver.
I don't it is horrid.
I wish I could eat it *shudder* 😖
Long introduction.,good advice
I'm a Ckd patient (Filipino) and I'm adding Moringa oleifera to the veggies I am eating. I just boil it mix it with other vegetables and it is just great and delicious helps me with my Anemia.
That is great to hear. I am not familiar with Moringa though a few people mention it from time to time.
@Bench Marker. Im a Filipina.. Saan po makakabili ng moringa tea? And ano pong mga vegetables at fruits ang kinakain mo po? Salamat po..
Hi Bench Maker, how long have you been using moringa and how much of it does your stomach digest. I have been on and off moringa diets in the past, and I am just beginning a new cycle. Which blood indicator do you use to monitor your progress? Have you tested your HB count to see if has gone up?
Isn’t it high in Potassium and protein? We have a Malunggay tree but am not sure if I should give it to my Husband who has CKD
musta na po ang husband nyo
Can I please ask you a question I understand that plant protein is better than animal protein for kidney and to reduction of phosphorus. So what is better to eat beans or meat for the kidney patient?
I am a recent CKD 3 patient with all important nutrients and minerals in border or better except for my HB, Creatinine which are low and high respectively. I am diagnosed with Anemia as expected but now with a further diagnosis I have Thalassemia too. I am not sure which veggies or fruits to eat since iron consumption has to be limited along with the Potassium, Phosphorus, Protien and Sodium. In a dilemma and confusion 🥺😒. I am a vegetarian, with them only animal protein being milk (100-200ml) max in a day every other day. Please advise 🙏🏼🙏🏼🙏🏼🙏🏼.
Hi dad james..what fo you do to treating anemia..pls help me,im a filipinaand not fluent in english...
I love beef and chicken liver with loads of onions peppers and garlic and a little tomato sauce but I am not diagnosed with CKD
Foods high in vitamin C like strawberries, or lemon, lime will help with absorption, foods with beta caratine , apricots red peppers also help with absorption
quant turtle he said everything in moderation and this had clearly been working for him and me and our function has gotten better so do as fits yoyv
why many doctor saying your hopeless? dialysis is the answer..your kidy can not be revive? and yet the news study that kidney can reverse its own.if be proper nourish proper care ..
@@tessamontano9493 ads this to your comment. If thet treat you aggressively ans address the issue at hand.
Love your energy! Wooo lol
If this video looks like a re-run it is because I noticed several errors in it and had to re-upload it to correct them. This version no longer starts with the robotic voice from the 80's (which reminded me of roller skating to Electric Star's hit No Parking On The Dance Floor)
Hee.
Hey, James - Stage 4 new subscriber here. What are the apps that you mention? I am an Android user and I haven't got a clue... Mahalo
Other then controlling my blood pressure by a doctor do I have to go to the hospital to tell me what I gotta do. Like dialysis and having them open me up. Can I fix this at home by myself. I’m scared and don’t want to go to the hospital. Please help me.
Dear Mr James,
Thank you very much for your video on anaemia.
We love you.
You're a very great man
You're better than a doctor.
My GFR improved form 60 to 84 to 99.97 in 3 months.
I am diabetic since 1987.
Thank you very much for your generosity.
Hameed Jilani.
Lahore.Pakistan.
age 83
3.10.2019
How did you improve your GFR. What Routine do you have sir. Thank You
hameed jillani how did you do it ?
Hello from Nigeria, I love organ meat, quite delicious in barbecue served with rice and green beans.
Looking healthy mate
Thanks - I continue to get better and better.
Hi Kidney warriors from the Bronx,
looking for any information regarding iron cast cookware. So, is all cast iron cookware have to be enameled, and non stick? Which brands, that are not super expeensive can you Kidney warriors recommend? What does pre seasoned iron cast cookware mean? Dont have any cast iron and was also wondering for a beginner what are the most important pieces to own?
Thanks you guys, you keep me strong and I feel so blessed to be part of this community
Always Ada Soto
PS. may sound silly so to get your replies where do I go?I know, I am that not so informed computer person.
Preseasoned means when you buy your cast iron skillet, wash with soap & water when you get it home, dry it thoroughly then pour some oil into the skillet, enough to brush it over the whole interior of the skillet. Put the skillet, empty, on a low burner & let the oil seep into the iron. THIS is what keeps food from burning or retaining water. If you use the skillet often, you should season it again in a couple of months, to prevent sticking and from absorbing water. Good Luck.
Fun fact. Heart is considered a hard working muscle meat.
How do I get the foods for stage 4 kidney disease.
Cook with / in Cast iron skillet 🍳 + increases iron!
Terrible and toxic advice sorry to say but these big pieces of iron is not the iron you want. You’re copper deficient. Research Morley
U
@@prudniksthumb3781 oh wow copper deficiency has a lot of the same symptoms. I don’t have insurance but I think I need a blood test to be sure what I’m lacking since they are so similar in symptoms. Thanks never thought of copper. Are you saying we shouldn’t use cast iron?
@@prudniksthumb3781 never heard of cast iron pots being bad.
@@alesiagilda morley Robbins
Wow man. Is this you in real life?
Thank you, for this video DadTV this is great information for me because I'm on dialysis and my hemoglobin is fine and the doctor keeps giving me Epogen 4000 mg worth. And I found out HIV patient's and Cancer patient's take this same drug Epogen for anemia patient's with low red blood cells.
I personally dislike additional medication so I try to use diet as much as possible to limit medication to just what is absolutely necessary. It may be helpful to talk to your doctor about how much Iron you should get each day, along with Folic Acid and B12 (both are B vitamins) to see if you can manage your Hemoglobin and RBC through diet without the Epogen. No guarantee, but if you could that can save some money and less medication. Good luck!
I saw the video. Yes. I have anemia and I go in every few months to my doctor and he tells me if I need iron or not also if I need the shot for the red or white blood cells. Sometimes I get the iron , sometimes I don't because my readings are high enough not to have it. I'm not on dialysis yet but I might be soon they tell me. Do you know if you are on dialysis and you are doing better when would they take you off of it? What would the signs be? I forgot to say I'm stage 4 close to stage 5.