Diuretics And Kidney Function - How Diuretics Impact Your GFR

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Episode 57: Diuretics And Kidney Function - How Diuretics Impact Your GFR.
What is a diuretic
Commonly known as a “water pill”, a diuretic stimulates the amount of water and salt expelled from the body. These come in a number of forms, including prescription, over the counter, and natural.
Why use a diuretic
• Control blood pressure
• Control Potassium levels in people with elevated potassium
• Fluid Retention (sodium)
POLL - Do you currently take a diuretic?
Are diuretics safe for CKD patients?
Always check with your doctor first - it is important to never get dehydrated and proper hydration is important when taking a diuretic. For those with CKD, dehydration is even more harmful. That said, there are cases where doctors will recommend a diuretic for a patient with CKD. These including treating high blood pressure, Edema (swelling), release sodium, and to help lessen fluid restrictions.
How does a diuretic work?
Do diuretics help flush toxins from my system?
Technically yes - to a small amount. But do not see diuretics as a boost to your kidney function. They do increase the workload on your kidneys and by doing so, they can help a slight amount at expelling more toxins, but for most people they are not…they are just diluting the concentration within your liquid waste. Diuretics do help flush potassium, sodium, and chloride.
Can a diuretic increase my GFR?
In certain cases there can be a bump in a persons GFR, but for the majority of people, extended use of a diuretic can actually cause your GFR to decline and your BUN to increase.
Should you avoid diuretics?
No - but don’t prescribe one to yourself without consulting with your doctor. When properly used at a doctor’s direction, they can be beneficial in helping control blood pressure, reducing swelling, and allow a person to lessen their fluid restriction.
When it comes to living with Chronic Kidney Disease, balance is the underlying key to a successful treatment strategy. From eating a balanced healthy diet, to finding the right range for your blood pressure. The more things we can get into the right ranges, the right balance, the less our symptoms will be and the better we can enjoy our lives with CKD.
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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.
#DadviceTV #KidneyHealth #KidneyDisease #KidneyFailure #FightCKD #KidneyDiet

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7 сен 2024

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Комментарии : 178

@DADVICETV 4 года назад

If you enjoyed this video, please give it a THUMBS UP and share it with your friends fighting Kidney Disease! And a BIG Congrats to Oleysia for being the first person to comment on this video! 🙂

@oleysiaogren1192 4 года назад

Thanks pal.

@misaeldanny3561 3 года назад

i realize I am quite off topic but do anybody know a good website to stream new movies online?

@hollowingfast 4 года назад

Just wanted to thank you for all the work you put into your videos. I'm 27 and recently found out I'm stage 4 ckd. Your story is an inspiration

@rafaelvalderrama6141 4 года назад

Hey man that sucks you're 27 I'm 38 and I'm 23 % mine was from partying when I was younger.

@rosemarie-wl5ps 3 года назад

You can find out on urinalysis?

@jemdahunk 4 года назад

I always watch you when I feel down...

@DADVICETV 4 года назад

I'm glad my story helps you when you feel down. Living with CKD can be overwhelming at times - the uncertainty, the restrictions, and seeing others who are not doing very well in their fight against it. Even I face these same demons - none of us are completely immune to it. What keeps me excited is my family and friends. I keep myself busy, love sharing what I learn on my RU-vid channel, and absolutely love meeting new people who have CKD all around the world. We are part of a very unique and special community - I find nearly everyone is very supportive, helpful, and we all have this instant friendship. I have an ask for you - I really enjoy your videos on RU-vid - how about making a short little video saying hi to everyone and telling us where you are located and what stage you are. I really want to feature short video clips like this in my future videos to encourage people to meet more people in our CKD community. You can even mention your channel and encourage people to check it out. You can email the video to me at james at dadvicetv.com

@jemdahunk 4 года назад

@@DADVICETV hi. Thanks for the reply. Sure. I will keep you posted once i start to make videos again😁

@roseannebyrne7233 4 года назад

Hey James. I said I’d report back when I got my next bloodwork. Last bloods my creatinine was 190 and my Egfr was down to 22. I switched three months ago to a whole foods plant based low oil, sugar and salt diet. This week my creatinine is 142 and my egfr is 34. Not great for many but that’s back up to where it was before my heart issues two years ago. I’m really happy.

@DADVICETV 4 года назад

Any improvement is reason to celebrate! Congrats on getting back to stage 3! There are new renal diet recommendations getting ready to be released and they recommend eating a plant based diet far stronger than in the past. With your improvement (which was about a 50% increase) you would probably benefit from a renal probiotic like Renadyl. You take it for 3 months straight before it starts showing results, but it helps to metabolize (break down) toxins in your gut so they pass in your bowl movements instead of getting into hour blood and needing your kidneys to filter them out. I have been using it off and on during my improvement and currently am doing a case study with it. I got new labs and then started taking it daily and will get another set of labs after the 3 month period (late January). I will then share my results with everyone to encourage them to add it to their treatment strategy. Here is a link for info on it and how to get a discount from the manufacturer www.dadvicetv.com/renadyl

@rhondasternberg2881 4 года назад

@@DADVICETV Are you on a vegan diet now?

@DADVICETV 4 года назад

@@rhondasternberg2881 Not exactly but very close to one. I will eat some egg from time to time and occasionally a small amount of cheese. I got new labs at the end of October and am on a very specific diet right now with a probiotic and will get labs at the end of January and post the before and after results (including exactly what I have done). I'm expecting my BUN and Creatinine to drop and GFR to bump up. I feel AMAZING and it is taking everything I have to keep from talking about it before I get the labs to show the results of 3 months following a plan. You can see what I'm taking to help at www.dadvicetv.com/renadyl - also recommended in the December issues of the AAKP Renal Life magazine.

@stankwho 4 года назад

@@DADVICETV Good to hear, what plant sources do you get your protein from? Can you do a video of a typical day of what youre currently eating? My mother has CKD and she is improving with diet but she eat alot to get all her nutrients

@roseannebyrne7233 4 года назад

mr.mixleplix can I answer? All plants have protein. You don't need animal sources. Just eating a broad range of plants is fine. See anything on whole foods plant based eating.

@strawberry1025 4 года назад

Most understandable explanation of the mechanism of how diuretics work. Thank you.

@DADVICETV 4 года назад

Thank you. That was my first time drawing something like that and walking through it. I wanted to do it as practice for an upcoming video about blood pressure and how it impacts kidneys both good and bad.

@antoinettebrown8517 2 года назад

This video was right on time!!!! I am so grateful to God that you have a heart to help people. You make learning about kidney disease fun, insightful ,positive and hopeful!! May God bless you Sir James!!!!!

@michaelmcdonald5952 4 года назад

thanks for another helpful tip, you keep it simple and explain things better than my nephrologist

@DADVICETV 4 года назад

Glad to hear that! My goal is to become one of the best resources for kidney patients in what actually helps and matters with kicking kidney disease to the curb. If you haven't been watching, make sure to catch the LIVE Tuesday shows at 6 pm EDT with me and a Renal Dietitian. Tons of great tips and information...and best of all, FREE! :-)

@janwarriner6554 4 года назад

My nephrologist took me off diuretics. Now I drink 1/2 my body weight in ounces of filtered water daily. Wish I had been more knowledgeable and heeded the advice to drink more water ,not just liquids ,daily before now. MORE FILTERED WATER DAILY has helped!

@ronnie_g5051 6 месяцев назад

What was the diuretic you were on? And are you familiar furosemide and if so have you heard any negative opinions about that?

@janwarriner6554 6 месяцев назад

@@ronnie_g5051 I was on furosemide (Lasix) and before that triemterine for years. Diuretics put stress on our kidneys especially if not hydrating with water, not just fluids. I rarely have any leg or foot swelling and add no salt to my diet. I’ve maintained my stage 4 status for 6 years. So many rx’s are very harmful to ckd. I was very fortunate to have had that adjusted in ICU 6 yrs ago. I’m also diabetic but due to adhering to the ckd diet I don’t take any RX for it. Glucose under control. Diabetic meds are stressful to kidneys too.

@JillSheff101 4 года назад

My GFR was at 11 a month ago. I started on a diuretic, one 40mg every 4 days. My GFR has come up to 14 and almost all my numbers look better this month.

@umeshagre3721 3 года назад

Can you explain me how.. And what is gfr now

@a.a.3555 4 года назад

Thank you for your help in understanding about diuretic pills!

@ingelopez9829 4 года назад

Hi James, I hadn’t watched this video yet. It was very informative and helpful! I am looking for a doctor or clinic where my CKD can be actively managed. You mentioned UC San Diego.WOW! I live in San Diego. Can you provide me with the information so I can make an appointment there, please, please, please!!!!!! I’m CKD stage 3b and my doctors are of no help. You just gave me renewed hope! Thank you for your willingness to share and help others with CKD.

@icysnow23 4 года назад

I was diagnosed a year and a half ago at gfr 39 My number went down to 23 this past Aug. I was only told to use no salt and drink less water the whole time. I started eating a plant based diet and in 4 weeks it went up to 27 I have blood work next week which would be 12 weeks of my no meat dairy or oil and I hope it is still going up. I never saw anyone about my diet. I think the kidney dr. is just waiting to escort me to the chair...and I am not wanting to go there.

@DADVICETV 4 года назад

That is great that you took it upon yourself to eat a better diet. While there is no 1 single diet that is the best, eating plant based is the closest thing. I recommend using a cast iron pot/pan/wok to help infuse your food with some additional Iron - this will help prevent Anemia. Do you currently take a renal multivitamin like ProRenal+D? Good luck on your next labs and let us know how they turn out!

@elizabethnel6613 4 года назад

Check out Davita.com for diet advice

@katherinegafford9398 3 месяца назад

I've been taking water pill for 25 yrs. Now my blood tests report from my Dr, says my kidneys are going somewhat bad. My legs and feet are swelling. They just say change my eating.

@butterfly8470 4 года назад

thank you for your channel, I am learning so much.

@DADVICETV 4 года назад

Glad to hear that. I owe all of this knowledge to my health care team and all of the doctors/researchers/clinics that take the time to talk to me (I do tend to bug them all often with questions). :-)

@beverlychristian6202 4 года назад

Thank you for all you do!!! Love how you explain CKD to I could understand!!

@DADVICETV 4 года назад

You are so welcome! So happy the videos help.

@davidschaeffer8840 4 года назад

diaredic attached to blood pressure tablet ,prescribed for water retention gained about 30 lbs.,one kidney .working now.

@jusjash 4 года назад

Can you re-post your thoughts. I am not clear about the point you are making. Thanks.

@ronnie_g5051 6 месяцев назад

Very informative video, thanks for sharing these tips. You had mentioned you were on a low inflammatory diet, what was that comprised of?

@timmorris3883 4 года назад

Not on diuretics but I wanted to compliment you on this video. Great explanation on how the kidneys filter ones blood, good diagram. Just found this site last week and I am very encouraged by your advice and love you web site.

@DADVICETV 4 года назад

Thank you for your support. Everything I learn comes from my health team and personal experience. I started this as a way to document my journey for my kids in case things didn’t go well (my outlook wasn’t very good in the beginning) and once I started to improve it became a resource for others with CKD to get inspiration, motivation, and help them better engage their health care team. I really enjoy doing this as I continue to learn about CKD and improve my own health. What stage are you and do you currently work with a dietitian?

@timmorris3883 4 года назад

@@DADVICETV I am at stage 4, gfr 27. I am in the process of getting a dietician now. Trying to get my neaphrology doc to give me a referral. So far it has been like pulling teeth with him. Not sure if I'm gonna keep him. I have a renal dietician selected but she needs a referral from a Dr. I have started cutting sodium, phosphorus, potassium and animal protien from my diet (within reason of course) using your advice on the videos and unless it is psychological or what I already feel more energetic and my kidneys don't ache as much. I will keep you updated on my progress and you keep up your great work and encouragement for us fellow ckd patients.

@DADVICETV 4 года назад

@@timmorris3883 I would be firm and direct with your doctor - Refusing to give you a referral to a dietitian is a violation of the oath they took to do no harm. SOME doctors are too stubborn and need that extra reminder of why they went into medicine. A good doctor will respect your urgency to make changes and improve your health and it will make your relationship even better. All of my doctors know me well enough that we make "deals" or pretty much everything. One wants me to come back in 3 months, I ask for 1 and we end up on 2. :-) Make sure they understand you WANT to improve. If they are questioning a dietitian, recommend they reach out to the leaders in kidney care treatment such as The Mayo Clinic or UC San Diego Health - they will help bring your doctor into the 21st century. Keep me updated! Good Luck!

@timmorris3883 4 года назад

@@DADVICETV UPDATE! I was able to locate a dietitian in my area with experience with ckd and diabetic patients. We have met and discussed my max and min numbers and a diet plan. As I stated in my previous message I had already reduced the amount of sodium, phosphorus, potassium and animal protien from my diet . I went to my GP doctor this week and asked for labs so I could see where I was at and if the diet was helping. Well the good news is..... my EGFR went from 27 stage 4 in September to EGFR of 41 stage 3 this third week of Dec.You can imagine the psychological and mental boost that is to my desire to continue down this road of healthier eating and living! Now over the past month I have not been as dedicated to eating right with all the holiday parties and food of this time of year. While I have pretty much maintained my will power I have cheated some. Hopefully with this good news from the labs it will be motivation to be more aware of what I put in my Pie-hole. LOL. I have also started taking the Pro-renal multivitamins with omega 3 along with increased fiber supplements daily. I'm very interested and eager to see your results from taking the Renadyl in the coming months. My next labs and visit with nephrologist is in Feb and I cant wait to see his face when he sees my GFR has increased so much, especially since he kinda indicated that it wasn't possible. Hopefully it will even be higher then. I am so glad I found your you-tube channel and web site. Thank you for the advice and encouragement you give to all of us fellow ckd patients.

@DADVICETV 4 года назад

@@timmorris3883 OUTSTANDING TIM!!!!! I love hearing stories like yours, and that is a FANTASTIC jump in GFR. For most people, the GFR will continue to increase as they tweak their diet and they will eventually make it to a stable number that is close to their max for diet. That is where something like Renadyl comes in - it helps reduce the amount of toxins going into your bloodstream so your kidneys can focus on the other waste and toxins in your blood...potentially boosting GFR even more. I do have a favor to ask of you - the thing which really sets my info apart from all the others is that I am a REAL kidney patient and sharing what I did to get better. Too many Nephrologists are robbing people of the opportunity to try diet changes, just letting them slide down to dialysis-land. While diet and lifestyle changes will not work for everyone, I have seen positive results in well over 9 out of 10 cases. People need to discover there is hope, they need to discover the power of eating healthier, they need to know that dialysis is not the guaranteed results after getting diagnosed. Everyone who can buy more time (and energy) is getting their life back while also getting closer to future non-dialysis treatment options being developed. My ask of you - can you record a testimonial video of yourself - something to encourage others to look at their diet, to make these changes, and to see what happens. The more people we can get talking about this, the more hope we bring to others. And it is also such an amazing feeling to know you are sharing something that is actually making other people's lives better. I know it isn't easy to expose yourself on video (believe me, I am not a video person except for the guy playing "before") but this would be so helpful for so many. :-) You can send it to me via email, or upload it to RU-vid (I can download from there), or message it to me in Facebook. I want to amplify the voice saying this can work so that together we can reach more people and give them this same excitement and relief you are experiencing. So happy for you!!!!!

@Deanof316. 9 месяцев назад

Clorthalidone improves proteinuria and bone density as well.

@stevekarlocanones8752 4 года назад

Metolazone (Metoz) in the Philippines effective combination with furosemide

@erikaromero3372 4 года назад

Hello James do you have a video on how to lower protein in my urine? My Egfr is 39 Thanks Erika

@DADVICETV 4 года назад

The best tip to reduce leaking protein is to reduce inflammation and see how low you can get your protein count down to. The foods on this list are low inflammation (with soy being the only exception for some people) www.dadvicetv.com/food

@TheAjithg 4 года назад

erika romero my dad is suffering from same issue.. he has nephrotic range proteinuria.. we tried turmeric with a pinch of black pepper powder mixed with olive oil for cooking meals to reduce inflammation.. more over omega3 may control proteinuria to certain extent.. so we gave him foods that are high in omega3 when compared to omega6 (that is omega3 vs omega6 ratio) in moderate level, such as over ripe papaya, Brussels sprouts, pineapple, cauliflower etc.. it works for us.. moreover restrict intake of protein and add more kidney friendly fibers in your diet like strawberries etc.. I'm by no means suggesting u anything.. I just shared my experience.. please do have your doctors opinion to check whether these foods are safe for you

@fisterhr 2 года назад

read about keto or low-carb or low-car/high-fat diets.

@Chayixavisari 4 года назад

I don’t have fluid retention but my doctor give me now for long time Amlodipine 2.5mg I thought this have done for me height blood pressure because I didn’t have that when my kidney problem started and so I’m still taking it

@DADVICETV 4 года назад

Your kidneys manage your blood pressure and it is common to get a small diuretic to help manage it. While the diuretic does place a little extra stress on your kidneys, keeping your blood pressure in range is far more important. High blood pressure can quickly damage Nephrons and reduce your kidney function, so keep an eye on it. Most doctors aim for a high blood pressure of 130/80.

@Mrsmadison45 4 года назад

Hi James my Husband was taken off the blood pressure medicine with the water pill and placed on only blood pressure medication Coreg 6.5 mg twice a day and all swelling is gone in his ankles and feet and drinking more water of half his body weight of ounces 👍🏻

@fisterhr 2 года назад

Question, what do you mean by blood pressure medicine with the water pill? Are you talking about a strong diuretic? I ask b/c my dad has lowered his protein thanks to a low carb diet but he is struggling with anemia and edema in his legs and ankles. The doctor takes him off the strong diuretic and his creatinine goes down, but he swells up. He puts him back on it, and his creatinine goes up but the swelling goes down. Here is another side note. After being a diabetic close to 30 years, in less than a year on the low carb diet, he brought down his A1c to being one point of being NORMAL, his triglycerides went to normal levels and is one point from being in the normal HDL range...in other words, his insulin resistance is going away. I have heard and read a lot of anecdotal testimonies where keto of low-carb diets are not only reversing type 2 diabetes, but also correcting blood pressure, and helping reduce protein leakage, so I'm wondering if my dad's blood pressure is better, yet he keeps taking the same blood pressure dosage that may be lowering more than it should, so this, in addition to the strong diuretic is that what may be lowering his blood pressure more, may be hurting the kidney. So I'm guessing that his blood pressure needs to be reevaluated to where he may ask for a lower dosage. I may be wrong but what James is saying here about blood pressure not being too bad in combination with a strong diuretic is what is making dad's GFR go down is what may be happening to my dad. Just a theory and I thought I'd mention it here because of what you said.

@a.a.3555 4 года назад

I do take prescribed diuretics for water retention.

@holmes12001 2 года назад

I had my pcp remove the diuretic from my blood pressure meds .. because it raised blood sugar and I’m a diabetic .. and keeping my A1C under control is a top priority .. my blood pressure is under control with out it

@alejandrogramirez3868 4 года назад

GOOD VIDEOS ALL THE TIME ! . SIEMPRE BUENOS VIDEOS ! . GRACIAS/THANKS ! . FROM MONTEBELLO CA, .

@DADVICETV 4 года назад

Thank you so much for your kind and supportive words! I enjoy making the videos and continue to improve my health and my skills at being on camera.

@chazlon5061 4 года назад

I hopeI can stop my function from declining...I've only had diabetes for two years yet I went from no protein to a albumin creatinine ratio of 600! That's a shockingly high amount of protein. My diabetes has been out of control and my diet poor. I'm hoping there's some temporary reason for this jump in protein, because that's a shockingly big jump! My GFR is still over 120, but I've read that can be a result of "hyper filtration" which is part of the disease.....I'm hoping I can use some of your strategies to not cause further damage. I hope it's not too late.

@fisterhr 2 года назад

Do research on low-carb or keto or low-carb/high-fat diets to lower the albumin/creatinine ratio. from what I've heard from this guy, his guest doctors, and other experts, protein is the marker you have to look out for more than anything. You have to keep it under control. Good luck and God Bless.

@carlandre8610 4 года назад

No diauretic although I do take an old blood pressure medication for prostate enlargement. my electrolytes are good. As you know I do a lot of sports got a 15 k.m ski race coming up and a few bike tours. All the electrolytes are good. And I need them. If you get out on a blood pressure medication with a diuretic you will have a hard time convincing your doctor it is a short term solution.

@wyndiefeatherstone948 Год назад

Thank you so very very much!!! You are an inspiration!!

@texasd9655 4 года назад

Thank you!

@VS-lz3cv 4 года назад

I take dytor 20 mg twice in a day . M a stage 4 pkd patient

@darlinspaces 2 года назад

Thank you for the video. I went plant-based three years ago and most of my kidney numbers improved pretty quickly. That being said water pills got used when I had too much water, even in soup, you have to be careful. I am starting the Vitamin Replavite this week. I will wait a few months to see if it helps me. I do not like meat and once in a while I get iron infusions. Many people do not realize this but gluten blocks the absorption of iron so what is the point of a pizza unless it has a cauliflower crust!?

@kenwatts8832 4 года назад

KidneyBuzz - good source for studies on alternatives coming down the pike!

@amarnathmukherjee3851 4 года назад

Hi James, long time no videos. I hope you are well. God bless you.

@DADVICETV 4 года назад

Thanks for asking - all is well here, just lots of travel with work as the year winds down. Working on planning out lots of new to-ics for 2020 and working with a number of organizations on new types of content (interviews with nephrologist, dietitians, etc.). So much news to share soon (all good news).

@amarnathmukherjee3851 4 года назад

Okay, thanks.😄

@RSEFX 3 года назад

Thought I should check this out and see what this was all about. I'm thinking I don't have this general issue. No water retention at all. In fact, maybe the problem---if there is one----is the opposite? Guess I need to get more educated.

@susanthurman3707 4 года назад

I am taking for high blood pressure Losartan with a diuretic combined. also take hydralazine 25 mg. three times a day for high blood pressure too. GFR now 48.

@elizabethnel6613 4 года назад

Check out the website Davita.com for great diet tips

@bobbybogs6864 9 месяцев назад

My GFR went from 81 to 44 after I started Losartan HCTZ, 7 days ago according to new blood tests. Was your GFR always in the 40's and do you have CKD? Because all of my numbers for that past two months have been 69 to 81. Not until I started Losartan with the diuretic did my Creatine levels go high and my GFR got low. Your thoughts?

@williambowden6895 7 месяцев назад

I am taking nettle leaf tea two times a day

@forlynay 4 года назад

My labs came back and my potassium sodium and phosphorus are all normal. Prescribed norvasc and microzide.

@fraseredk7433 Год назад

I take urazide for my enlarged prostate. I now have ckd ! Should i stop urazide (a diuretic) in your opinion ? Will ask my doctor but would appreciate your views.

@abreiaadam 4 года назад

what is your take on different fruit smoothies for health and loosing weight?

@DADVICETV 4 года назад

Fruit smoothies are usually packed with sugar and I have learned so much about how our body processes sugar that I try to greatly limit the amount of sugar I eat in a day. When I do very low carbs (high fiber, low sugar) I drop weight quickly and easily. So I personally avoid things like smoothies.

@abreiaadam 4 года назад

@@DADVICETV Thank you for responding. I should have added that i do not add any additional sugar to the smoothie. Does that make a difference?

@starrdreamer53 4 года назад

Yes I do it is combined in my bp medication

@nadinekhalil9953 Год назад

My dad’s blood pressure is under control using 3 medications for blood pressure, it’s being between 125/75 and 130/80. He has CKD with creatinine 2.09 and GFR 36. Recently we noticed some swallowing in his feet, the doctor recommended diuretics pill. I’m not with him because these pills will cause his blood pressure to go very low. How can he get rid of the water retention in his feet? Does natural diuretics help?

@monicamendoza9640 3 года назад

Fluid retention dr, prescribed

@THETRENT1972 4 года назад

I started taking Lasix and had a horrible gout flare up! With research gout is a common side effect. Do you know any meds that gout is not a symptom? Lasix did not work for me. Thank you for everything you do!

@DADVICETV 4 года назад

The one thing I do know about treating gout - Black Cherry Juice is your best friend! When I would get a flare up of gout - I'd by me a jar of Cherry Juice and drink it throughout the day. There is something in Black Cherry Juice (the real juice) that lowers Uric Acid and greatly reduced my gout till it went away. I keep a jar of Black Cherry Juice in the fridge and drink a little every day to help keep my Uric Acid lower.

@dannypadilla6067 4 года назад

What are your blood pressure numbers when you check them

@rlbunge 4 года назад

I started on 25 mg Chlorthalidone tab and had potassium of 5.9 and 3 months it is back down to 3.8 Ny GFR is 35 staying the same. Also cut back on my Benazepril Tab to 10 mg from 20mg it's an ace and not good for kidneys.

@ninapatina9630 4 года назад

Our Kidney dept here are struggling. Only 1 consultant now due to one on maternity! I emailed questions to him over a month ago and no reply from his secretary. So upsetting. I was looking at that book Stopping Kidney Disease By Hill. Did you find it helpful? All research info but did you actually try something from it? thanks

@DADVICETV 4 года назад

It was a challenging book to read cover to cover - but I really liked that he included so much of the research. I was lucky to avoid the need for dialysis, so his strategy doesn’t apply to me (I was well into Stage 4 by the time the book was published and arrived in the mail). My bloodwork continues to improve (RBC, Hemoglobins, etc.) but I feel my GFR is needing a change in my treatment strategy to get it moving up faster (I have had 2 setbacks throughout the year, one from animal protein when I first switched to Keto for almost 2 months and the other from taking the wrong antacids on a trip where i picked up something and had to fight it off). I am planning to re-read the book this December (I am traveling a lot for work right now) and see if there is anything in it which I think can help at stage 3. So as of right now I have not tried anything from his book.

@ninapatina9630 4 года назад

@@DADVICETV Ok I read some of it on Kindle. At one point I read about albumin and the need for it to be high? Do you feel eating egg whites helped you? Also watched a bit from Dr Ken berry. He was saying there is not actual study that proves too much protein hurts kidneys... so I am confused again. Stage4 but dropped again to stage 5 (think from blood count down) there is also a FB group for kidney support. Some folk have low GFR and still not on dialysis. Hope they do try and change diet. The worry is low GFR and tiredness. He has a cook book out.

@Lifeline-v1p 4 месяца назад

Green tea kidney health ?

@merakli07 4 года назад

Hi James, what do you think/know about pomegranate juice? Is it good or bad for people with kidney disease? I'm concerned about the potassium it has (is it something we should avoid?)

@DADVICETV 4 года назад

I have no say one way or the other on Pomegranate juice, except that it doesn't fit my taste. Our goal with our diet is to avoid EXCESS. Your body needs things like potassium, and with a low GFR you need to watch how much you consume per day. Using an App like Chronometer will help you to track your nutrients and makes it easier to fit something like Pomegranate juice in. Even though Pomegranate juice is on the higher side of Potassium (around 67mg per ounce), most CKD patients can easily fit in an 8-ounce cup (about 536mg) in their daily diet. Your doctor will give you your daily targets, commonly 2700mg a day for potassium. Remember, watering down strong tasting juices like this allows you to drink more in total without adding additional potassium - I do this often with Cherry juice.

@merakli07 4 года назад

@@DADVICETV Thanks a lot James! for taking the time to answer my question with such detail and insight. Greatly appreciated!!

@sophiarevel6952 Год назад

How about giving us one or two of you recipes???

@DADVICETV Год назад

You will find over 1000 of them at www.dadvicetv.com/recipes

@sophiarevel6952 Год назад

@@DADVICETV Thank you so much! 😋

@danzelimako 4 года назад

Can Potassium cause Kidney disease? I have taking Losartan , for several years from 10mg , 50mg to 100mg and out of left field I got Kidney disease.

@Fitafter50mama 9 месяцев назад

I was given one hydrochlorothiazide I spelled that bad but I took it for fluid retention and my kidneys got worse any suggestions

@blondi_80 4 года назад

Hi there, I hope you can help advise on this, my mum suffers from a hiatus hernia and was put on nexium about 20 years ago and now has bad kidney function, she is struggling really bad to get off of the nexium as we found out that they kill the kidneys, now the doctor has put her on Ausran a H2 blocker, is this any better than nexium and do you know what she can take to help her get off of them all together, also if she does manage to get off of them do you think her kidney function will come back some, would love to hear from you.

@melissapittman9774 4 года назад

Yes I'm on a directic because I'm spilling protein (very high 2383) So she put me on Spironolactone 25 mg.

@vintagemontage2951 4 года назад

Limit your protein intake down to 50grams...check the DC James link where he pasted a somewhat menu list to help you program your mineral nutrition

@RakibHasan-rb9mj 4 года назад

Hello James, can you please make a video on proteinuria. Please that would be great help. How you stopped protein leaking out and what is best diet for it. Please help.

@mcsynthia40 Год назад

Hi I'm stage 5 of 11 % too

@mcsynthia40 Год назад

Hi my creatinine was still high when I eating everything with water pill and high blood pressure (sleeping) but I'm not a diabetes. I doubt that my kidneys and urine are infection because my BP was still high. I started to eating vegetables and fruits and sleeping longer. Is that good enough for me or should I know what to do next?

@My_Family_Stories 4 года назад

I drink dandelion tea in the morning

@ronaldzeigler9057 4 года назад

Laser yes I am 2 times a day 40 mg per pill

@AnaMartinez-yh1lt 3 года назад

How can you get off diuretics? I’ve been taking diuretics for 10 years due to blood pressure

@rafaelvalderrama6141 4 года назад

Hello dad vice I'm 38 and I was prescribed water pills just noticed I have a water blister any advice on how to get rid of it thank you

@DADVICETV 4 года назад

Sorry, I am not familiar with those or how to get rid of them. Best of luck!

@PaulaNNowak Год назад

I have congestive heart failure and have had it since 2013. They put me on furosemide but my caregiver said that her sister's doctor told her that they don't want to put her on furosemide because it can give you kidney issues. I am now quite worried and concerned and I do not want to take the furosemide furosemide. This is a loop diuretic. I haven't yet but my card gets filled on the 1st and I am going to be cutting out all processed foods, I'm ditching the salt shaker and going to be getting the weight off because I am also quite a bit overweight. Even though I have congestive heart failure, I don't have swollen feet and I don't have swollen ankles. My hands are not swollen either. Like I said I haven't gone on any kind of a regimen to cut anything out but now I am going to do that. Any helpful comments and only serious ones please, thank you!

@ronnie_g5051 6 месяцев назад

Have you started taking the furosemide yet?

@michaelajayi 4 года назад

Hi James, Can you eat fish better than chicken?

@fisterhr 2 года назад

I may be wrong, and I don't want to 2nd guess James here, but I've read studies where eating protein isn't what is damaging the kidneys. Sugar and simple carbs, on the other hand, is. But again, do your research, don't just go off what what I comment.

@brendakarl7320 4 года назад

Prescription for swelling

@johnmontana18 2 года назад

Diuretics make ED worse? How?

@beccasteele6874 4 года назад

Parsley capsules a couple times a week

@vintagemontage2951 4 года назад

Does it work too

@Anjanya1948 4 года назад

I do not have ckd but lately I thought my urine smells concentrated even tho I drink alot of water and it has no darkness or strange color I take probiotics. Been on diuretic over 20 years (light dose) hydrochlorothiazide.. for mild bp I'm a mild health nut. Why is renadyl better than other probiotics? (which I already take). PS you look very healthy!

@darlinspaces 2 года назад

I have been reading that they match the probiotic based on the immune system need. You may not require probiotics. You can try the natural way with kimchi. I just eat a few tablespoons a day. That is all you need unless you can not tolerate the spice.

@shradha2009 4 года назад

If you can reply this is related to my dad who is stage 5. His blood sodium readings are low plus he is retaining a bit of fluid near his eyes and cheeks. Doc suggested to take diuretic and increase 5gms salt. We are confused as diuretic night flush sodium out

@DADVICETV 4 года назад

I wish I had an answer to this, but it's beyond my experience as a kidney patient. Your dads doctor will know best - and my advice would be to use a quality source for his salt, like Pink Sea Salt and not the overly processed common iodized table salt. Stage 5 is very challenging to find the right balance and it's important to work very closely with your dads doctor during this stage. Wish I could offer more. Best of luck!

@davidschaeffer8840 4 года назад

berberine 500mg one per day with one 5mgglipsideaday and warfarin blood thinner and two blood presure tablets fish oil2each1200mgI have alot going on.type 2,diabetes,cohlestol triglisterides,bloodpresure ,now one kidney gfr34.the diabetes diet clashswith the kidney diet major bloodclots wish i could find someone to put a diet together that will work.

@DADVICETV 4 года назад

It can be challenging getting a diet to address multiple issues, but a good dietitian may be able to help. I went through a number of dietitians - the 5th one was the one I liked and have stuck with. I was pre-diabetic (never got officially classified as diabetic type 2) and a reduced carb renal diet had a huge impact and got my blood sugar back to normal. I still continue to eat low carb, though it is getting challenging with all of the holiday events going on now. See if you can get a referral to a dietitian - a good one can really change your life. Good luck!

@aliciamarais242 4 года назад

I am a 27 year old female and I have severe fluid retention from my CKD. This greatly affects my daily life and going out because I cannot fit in my shoes and pants. What can you recommend ? Been struggling for almost 3 years, and feel very frustrated! I lose a lot of protein in my urine.

@DADVICETV 4 года назад

So sorry to hear that Alicia. I remember when I couldn't fit into my shoes - and I have massive feat to start with (11.5 6E - that is mega super ultra wide). My doc had me GREATLY reduce sodium for a while and they kept an eye on how much I drank and urinated. They had me switch my diet to low inflammation foods which can help reduce leaking protein. My problem continued and they had me remove all SOY from my diet and WOW - things got much better. Turns out I have an allergy to soy, though I never knew it and used to eat it all the time. Soy is normally an anti-inflammatory but for some people, it does the opposite. I hope this helps. See what your doctor or dietitian says when you share my experience with them. Good luck!

@aliciamarais242 4 года назад

Dadvice TV - Kidney Health Coach Thank you for your advice, I will try that. I am so thankful I came across your videos recently. I am working through them all. Thank you for all the insightful information you provide.

@DSkye-n7m 4 года назад

PLEASE, Will you or someone please help me? 😢 I’m desperate to understand why my creatinine was 1.18 with GFR of 49 Fasting...and THEN creatinine of 1.66 with GFR of 33 NON-FASTING. Why is there such a discrepancy? I only ate cereal, almond milk and then some meat tomato sauce before I went to the NON-FASTING bloodwork. I drank water. I have been agonizing over this for two weeks and I’m getting no answers from my PCP but I have an Appt with my Nephrologist in a week. My nerves are going to snap, 😢. I am so upset that I’m crying everyday. I lost both parents to renal disease. I am a female age 62, will be 63 in December. I have an anxiety disorder and depression which doesn’t help. Thank you for any help 🙏🏼💕😢

@DADVICETV 4 года назад

Violet - thanks for sharing your story. Kidney disease is a unique in that there are so many things which can impact it. Even people following the exact same diet can end up with different results. Here is what I've learned in a nutshell - first you need to find the underlying cause and manage it to stop further damage. Next you need to manage your blood pressure and blood sugar - these can both cause more damage to your kidneys, including inflammation which puts you on a downward spiral. After that it's lifestyle changes to remove anything which is bad for your kidneys - no smoking, no NSAIDs pain relievers like Ibuprofen, limit or avoid alcoholic beverages, etc. Last is diet - this has to be modified based on your last labs (and re-adjusted each time you get labs). The diet has to be balanced and give your body what it needs. Many people take this to mean avoiding lots of things - you can't starve yourself healthy. For example, getting too little sodium is just as bad as too much. To help I have a food list I use and a worksheet for your doctor/dietitian to help you - you can download it from www.dadvicetv.com/food - others may charge for a similar list, don't pay for it, download it free. Part of your diet is proper hydration - not staying hydrated can cause a big swing in your labs. Some people try to drink a bunch the hour before getting blood drawn - that's too late. You need to stay hydrated by drinking your daily target throughout the day. This includes while fasting - you continue to stay hydrated during your fasting window. If you are diabetic, fasting can also have a negative impact so check with your doctor if fasting is good for you. Hope this helps - and Happy upcoming birthday!

@user-ky8ec9in1n 4 года назад

@conchitaormaechea972 4 года назад

Violet D x

@professorr.5427 4 года назад

Hello James! No new vids in a while, so it is a bit worrying. Hope you are doing well. 💪💪 Hang on. 👍

@DADVICETV 4 года назад

All ok here - just been so busy with work and traveling. Should have more videos up starting tonight or tomorrow. Have lots of info to share - been working on something new to lower my BUN and creatinine and very excited about it!

@professorr.5427 4 года назад

@@DADVICETV Great to know you're doing okay. Looking forward to your new info! Every little bit helps. ⭐⭐⭐⭐⭐

@professorr.5427 4 года назад

James! Thrilled today at my doctor's appointment. Creatinine, BUN, A1c - all down and Gfr - up!! Now at 75. 😁😁 Thank you for all the effort you make in producing these videos. It could be so easy to just keep your experience and research to yourself. But you share it! Ever so kind and unselfish of you! 🤩

@DADVICETV 4 года назад

@@professorr.5427 That is OUTSTANDING news! I love hearing when others are seeing progress. It is amazing how powerful diet it. The more people we can make aware of this, the more people's lives we can improve, which is so amazing. So excited for you!!!!

@jonathankarloaguila9374 4 года назад

hey James, Jonathan here from the philippines! my grandmother have a GFR of 15%, doctors said that if it drops, she will need dialysis, any tips on how to drop her creatinine and bump her GFR? I personally don't want her, and even our family, put her on dialysis because she's already 68 yrs old, we don't want her to be a "prisoner" of a dialysis center :-( thanks in advance :-)

@jemrie26 4 года назад

You can make vegetable & fruit juice for her. We get crea from eating animals. So she should avoid meat even fish.

@jonathankarloaguila9374 4 года назад

@@jemrie26 thank you very much for the advice :-) but can i ask your "recipes" for these juices?

@jemrie26 4 года назад

@@jonathankarloaguila9374 watermelon - to increase the rbc count celery- diuretic Arugula- for the bones ashitaba- to cleanse the blood cranberries - could help heal the kidneys Carrots - superfood To make your juice sweet, you can use apples or grapes or pineapples I don't put arugula and ashitaba together as they have strong taste. You can experiment with other fruits and vegetables. Just search first of their benefits and if they are ok with ckd patients. Turnips, kale and spinach are good but with moderation since they are high in potassium. Sambong is also popular in the Philippines. It is the only herbs that is tested and endorsed by DOH for kidney problems.

@fisterhr 2 года назад

try a low-carb diet or keto, but make sure a trained professional guides her

@7antdog 4 года назад

I've already had a kidney transplant. Can I still reverse my kidney disease post transplant?

@ashashego3474 4 года назад

Same here I wish I can reverse too

@alejandrogramirez3868 4 года назад

I always listen to Your good advises and for that I thank You a lot, but remember there is people like me and so many others with complications, I think I mentioned and one of you videos before asking You about my GFR because I have LUPUS,ATHRITIS and now I feel COLD all the time. What I want to say is that in my case just like others we get prescribed too much medication, like PREDNISONE, PLAQUINIL,METHOTREXATE and PAIN KILLERS , and I or WE want to go with Your Godd Advises, but it is really hard being the WAY WE ARE. GRACIAS/THANKS ! . FROM MONTEBELLO CA, .

@charlesthomas69 3 года назад

Kindly recommend what to do if you have edema to kidney problems ??? What to do

@DADVICETV 3 года назад

Edema is a serious symptom - you really need to check with your doctor. They will probably ask about your diet and sodium intake along with how much fluid you are consuming each day. Be careful - edema isn't something to ignore since it can cause other issues if it is severe.

@charlesthomas69 3 года назад

@@DADVICETV thanl you

@jameskantor0459 3 года назад

I take a diuretic to help reduce my blood pressure. Chlorothalidone , it has a long half life and less urge to urinate.

@sunnyl7330 4 года назад

My daughter is 36 yesrs old. No diabetes. No hi blood pressure. Been doing our best to follow your diet for almost 3 months now. Creatinine was 4.4, now at 4.9. Gfr is 11. What are we doing wrong? Please help.

@jathinnalamolu5595 4 года назад

Please check with the nephrologist and take the recommended medicine and diet. Do yoga and pranayama regularly to improve your quality of life.

@johngilles9371 4 года назад

Kind of surprising that her gfr is 11, and her Creatinine is so low! CKD to the best of my knowledge is not reversible, but a kidney friendly diet can help it from getting any worse................you dont just grow new nephrons, keep the good ones you got!

@steponroach 4 года назад

Watch the Nephrologist, Dr Jason Fung

@elizabethnel6613 4 года назад

Check out Davita.com for diet advice

@momodoulaminjarju755 4 года назад

What do you use to relieve constipation ???

@terryp4917 4 года назад

I take Miralax every day and if it's really bad i take it twice a day. Sometimes i drink prune juice too.

@momodoulaminjarju755 4 года назад

Terry P thanks

@Mrsmadison45 4 года назад

Momodoulamin Jarju Fresh fruit or cooked prunes works

@momodoulaminjarju755 4 года назад

Missy Jones thanks

@charliewilson3528 4 года назад

Blueberrys and berry smoothies for me.

@roddydaboss6014 4 года назад

What blood pressure pill works the best for you

@DADVICETV 4 года назад

I use a combination of pills and take them at different times - I have a morning dose and a late afternoon dose. You can see what I take, how much, and when at www.dadvicetv.com/blood-pressure-medication - you will want to work with your doctor to find the right combo that works for you. Using a home blood pressure monitor is super helpful in getting things figured out.

@vjbhrt 4 года назад

My father has GFR 5, creatinine 8, diabetic, high BP , on diuretics, hb 7.6, sodium, potassium is in control, weakness, still swelling came back 2 days ago now

@NickRussell-pt4jt 4 года назад

watch videos from dr ken berry, and dr eric berg, if he has a1c that high, he may want to think about going keto.

@fisterhr 2 года назад

Is he on dialysis?

@valman008 4 года назад

Is a eGFR of 82 for a 40 yr old man considered stage 2 kidney disease? Thanks for the input.

@farooqkhan7682 3 года назад

With significant protein in urine yes..

@fisterhr 2 года назад

if you look at the blood test markers, they raise a flag with anything under 60 GFR..that is when they start keeping a close eye on your kidneys. But @Farooq Khan is right, protein is what you have to watch out for the most.

@odetteauclair7571 4 года назад

Thank you James, you are a real fighter and your enthousiasm is contagious. Congratulations for your progress and your courage ! TO ERIKA ROMERO: Here is the video: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zGuj5jbTXwc.html