Dr. Alok Gupta - 'Low Carb for Renal Patients: My Experience'

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Dr Alok Gupta is a nephrologist with over 12 years of experience in treating a wide range of both acute and chronic renal conditions. He looks after patients suffering from Chronic Kidney Diseases, Renal Transplantation, Resistant Hypertension and provides Dialysis care. He has special interest in medical management of kidney stones.
Originally from New Dehli, India, Dr. Gupta received training in general medicine and advanced training in nephrology. He then went on to complete a two year clinical fellowship in nephrology in Toronto, Canada. Upon his arrival in Australia Dr. Gupta practised at Mildura Base Hospital in regional Victoria. In 2015, he was awarded his FRACP in Medicine and Nephrology by Royal Australasian College of Physicians. He has honorary appointments at Royal Melbourne Hospital and Monash Rural School of Medicine.
Please consider supporting Low Carb Down Under via Patreon. A small monthly contribution will assist in the costs of filming and editing these presentations and will allow us to keep producing high quality content free from advertising. For further information visit; / lowcarbdownunder

Опубликовано:

17 окт 2024

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Комментарии : 86

@dianechilds1857 9 месяцев назад

This was me too! I had normal blood sugars, high blood pressure and stage 3 CKD when I was first diagnosed 15 years ago. 2 1/2 years keto lifestyle and all my meds de-prescribed and kidney function is in the normal range Problem is my nephrologist is NOT curious what I did to make the change.

@alokbgupta22 9 месяцев назад

I do share similar experiences with my patients. Several patients with early-stage CKD (Stage 1,2,3a) could reverse their metabolic diseases requiring de-prescription of multiple BP and diabetes medications resulting in improved GFR.

@5150Bud 9 месяцев назад

That’s because your doctor is brain smart but wisdom Ignore

@Silentnomore0 9 месяцев назад

I have real bad white coat syndrome so my bp is high at the Doctors office and all she wants to do is push pills. She has dismissed my bp journal from home even though I have brought my bp machine in to verify it’s accurate. Some most doctors just know what they know and don’t care to ask questions. Sucks for us

@TrevorHamberger 9 месяцев назад

He knows. You're no longer an ATM so they don't care

@Iliek 9 месяцев назад

No -ist wants to know what's really going on. They went to school so they can appeal to authority and not have to think for themselves. Suggest to them anything outside of their indoctrination and they will likely just tune it out.

@marilynroper5739 9 месяцев назад

Excellent talk! Wonderful to hear a real patient success story. There is hope!!

@shoshana7412 9 месяцев назад

That’s an amazing doc. Thank you.

@jen6662 9 месяцев назад

What a wonderful presentation! I’m an NP working in nephrology and it is so nice to see an MD use Low carb to help his patients! 🙌

@Silentnomore0 9 месяцев назад

“I’m not telling anyone to go on carnivore, hahahaha” Baby steps

@Iliek 9 месяцев назад

Indians have a hard time with this fact. Call it spiritualism or brainwashing. They want to believe that going against their nature makes them superior.

@karenohanlon4183 9 месяцев назад

😊 very helpful to see that more good Doctors are being educated about the importance of real food. Carbs complex or otherwise is no good for metabolic diseases.

@joannekerr8839 9 месяцев назад

Great talk - thank you.

@jimbeam2117 9 месяцев назад

I'm really hoping to connect with medical practitioners, doctors, academics, or health communities in Indonesia who support low carb, keto, carnivore, and natural and organic foods. If anyone has any lead, please give me a shout. Cheers!

@laurielatour2862 9 месяцев назад

Thank you for an excellent lecture, Dr. Gupta. You are the first person I've heard mention the need for bicarb supplementation. How did you dose that and did you use sodium bicarb (for non-dialysis CKD patients)?

@johnsavage4786 9 месяцев назад

Hi from Nottinghamshire in the uk. Carnivore 100% never felt better. Just ready for a beef. Rib eye and 4eggs

@capnpugwash5403 9 месяцев назад

Owww shut up, I have been on a liquid diet for three months, I dream about great plates of steak, and full English.

@auxiliary4023 Месяц назад

Just down the road in Leicester and loving this way of eating.

@dombarton2483 9 месяцев назад

A better test than egfr is cystatin c. It does not rely on muscle mass. Many on keto and carnivore have lower levels which can be totally misleading number. Once they test for cystatin c , everything looks different and far more positive.

@kyleduffy 9 месяцев назад

I would have loved to know if any of your Stage 5 CKD patients ever experienced an increase in GFR, and if so, how long did that take and on average, how much?

@alokbgupta22 9 месяцев назад

Thanks for your question. Stage 5 is end-stage kidney disease with limited surviving nephrons which are hyperfiltrating. If we can reduce their workload, you could potentially delay the commencement of renal replacement therapy. In my personal experience with liberal low-carb and moderate protein restriction approaches, there is a delay in commencing dialysis but mind you these are anecdotes and we don't have hard data.

@jimw6659 9 месяцев назад

Anecdotally, I was stage 3 and told my eGFR would never improve, all I could do was try to stop losing kidney function. I started keto and then converted to carnivore. After 18 months, my eGFR is just outside normal range, but I no longer formally have CKD. When I started, nobody explained eGFR to me and I only knew what it meant at the end of the 18 months when I looked it up, so I can’t tell you how quickly it improved in that timescale, but the important thing is that it can improve.

@ActivateMission2ThisTimeline 6 месяцев назад

I have monitored comment sections of these CKD lectures and about 20% (guess) pull out and increase GFR so they don't need replacement. Super h1ghFat and lower protein seems the best path with

@adelarsen9776 9 месяцев назад

Clean carnivore helps everyone. Carbs and fibre are contraindicated in the human body.

@wandayonder9772 9 месяцев назад

Cantraindicated in what way? Fibre is good, low carb is good.

@MrSojek 9 месяцев назад

Your microbiome wouldn't agree.

@Iliek 9 месяцев назад

You mean I don't need to eat a bunch of indigestible plant matter that just rots in my colon?

@btudrus 9 месяцев назад

@@wandayonder9772 "Fibre is good" If you eat sugar, it may have some positive effects. Other than that it is an antinutrient which will cause deficiencies. So it is contraindicated (as is sugar and carbs).

@btudrus 9 месяцев назад

@@MrSojek " Your microbiome wouldn't agree. " Wrong. Meat is the best for your microbiome. Sugar and carbohydrates (even those which human body cannot metabolize) are what is killing the microbiome.

@fbrown2014 9 месяцев назад

Excellent case history presentation. Did her decreased carbohydrate consumption change her serum creatinine or glomerular filtration rate? Or is she essentially anehpric?

@jobrown8146 9 месяцев назад

My husband (who died 25 years ago) was using peritoneal dialysis (after contracting Wegners Granulomatosis). I didn't realise that it was glucose and I am astounded that it contains such a large amount. I discovered low carb in Oct 2021 when I was diagnosed with diabetes.

@ActivateMission2ThisTimeline 6 месяцев назад

Lost my mom from the MDs and my ignorance of HFLC. 😔...

@rautsai_00pm23 9 месяцев назад

Hi from Connecticut 🙏 🙏

@oldbiker9739 9 месяцев назад

Dr, Fung also gets the patient's to fast as well ,

@alokbgupta22 9 месяцев назад

Thanks for your comment. I suggest my patients have 2 good nutritious low-carb meals a day during daylight hours which translates to longer fasting periods and avoiding snacking.

@Iliek 9 месяцев назад

What an idiot. Starving yourself for health. Just stop eating toxic and inappropriate food.

@iqbalahmad1780 6 месяцев назад

Sugar in PD bag varies from 15gm per liter to 45 gram per liter.

@vince1229 9 месяцев назад

So, how soon after you donate a kidney do you get ESRD? They say hyperfiltration means you have kidney disease but if you donate a kidney your reamaining kidney hyperfiltrates to compensate and this is OK?

@capnpugwash5403 9 месяцев назад

But does it? I was always lead to believe if the donors kidneys were healthy as there is a 100% excess capability, in other words lose one and you still have 100% kidney function. While when I was told I had 50% function decades ago it eventually dawned on me I had 25% in each. Not good.

@juliaphillips2518 9 месяцев назад

My Nephro said you can keep going on 10% kidney function. Apparently kidneys have masses of spare capacity

@MsSilver41 4 месяца назад

24:30 would love the list of low carb foods

@Astronurd 9 месяцев назад

Hi from Oxford UK.

@sue.F 9 месяцев назад

Very good but for someone who has mild ckd without diabetes or metabolic syndrome and not overweight: what then?

@susanbeever5708 9 месяцев назад

Do you have hypertension? Consider low carb high protein diet because you want to avoid glucose (sugar) stimulates TRPV1 that causes insulin secretion that again stimulates more TRPV1. This causes hyponatremia/hypoosmolality that causes hypertension then stimulates TRPV4 and problems such as hypokalemia.

@online247365 9 месяцев назад

His approach should yield even better results in that situation because there's less “rebuilding" of the system to overcome before healing progress is made.

@jodyjackson5475 9 месяцев назад

Yes!! I can’t find anything 😮

@alokbgupta22 9 месяцев назад

There are several causes of CKD other than metabolic diseases. Low carb is pretty safe in most patients though individual circumstances could vary. Check with your doctor.

@wandayonder9772 9 месяцев назад

Look to oxalate intake and avoid high oxalate foods. Oxalates combine with calcium and calcium oxalates can cause kidney stones and kidney disease. And definitely avoid calcium supplements. Dietary calcium is good, but calcium supplements cause health problems for many people.

@JN-or1zr 9 месяцев назад

2-3kg of sugar in a 2 liter dialysis bag? 🤔

@juliaphillips2518 9 месяцев назад

Shocker!

@sardonic_smile_8752 9 месяцев назад

Very nice suit.

@marissasofia6286 9 месяцев назад

How about a diet for someone who has undergone kidney stones surgery twice?

@Norman_Gunstan1 9 месяцев назад

Carnivore for the win You have stones from a lifetime of plant food ❤

@alokbgupta22 9 месяцев назад

Metabolic diseases are common causes of kidney stones particularly ones comprising uric acid and low carb lifestyle help in reducing the risk. However, extremely low-carb ketogenic diets do increase the acid load and there is some evidence that this may increase kidney stone risk. You may need higher bicarbonate or citrate (alkali supplementation) to mitigate this risk. Discuss with your doctor.

@jimw6659 9 месяцев назад

Carnivore. I’ve been there too, rolling around in the emergency department, begging for death to escape the pain. 80% of stones are calcium oxalate - oxalate comes from vegetables. At the time, I was on keto and eating massive salads. I did a lot of reading when I was told I needed surgery. I changed to carnivore, and took 1500mg potassium citrate and the juice from a lemon everyday. The surgery kept getting postponed and after 9 months they had to CT scan me again before operating. My two stones had gone / dissolved. I hope that helps. Good luck!

@wandayonder9772 9 месяцев назад

Avoid high oxalate foods (some of the so-called "superfoods" are worst) and drink plenty of water. It's well documented that oxalates combine with calcium, causing calcium oxalate kidney stones.

@capnpugwash5403 9 месяцев назад

There can be various reasons as there are different stones, but probably avoiding cruciferous veggies would help.

@Flyfisher-x3t 9 месяцев назад

It's interesting that, despite the eyebrow-raising glucose levels in the peritoneal dialysis, that the patient should have such bloodwork and weight-loss results. What would her prognosis have been had she transitioned to a Keto diet (+- 20g carbs) instead of the generous 50 - 100g p/d? Dr Unwin remarks that the psychological strategy of prodding patients off their rice, potatoes, sweets etc should be accentuated e.g he converts all carbs to a teaspoon of sugar equivalent to make the point about starchy carbs and their effect. Many of my friends baulk at a low-carb diet because "they can't do without their mashed potatoes" or puddings etc. This is fuistrating when the pros of improved BG, weight loss and even remission of some ailments are weighed against long term, expensive orthodox treatments with incumbent side-effects. Thus Dr Unwin makes a good point. Changing perceptions early on is as critical for new patients understanding as the low carb process itself

@chrissvenningson1747 9 месяцев назад

Why is he telling her to limit rice and beans. She should avoid it completely. And he is not recommending a Carnivore diet…it’s cured my diabetes.

@capnpugwash5403 9 месяцев назад

If your culture lives on those commodities you have to take baby steps. My wife comes from a culture that eat a lot of root crops, and she hates vegetables. She is constantly in pain. I told her a million times cut the carbs, and the pain will fade away. Does she listen?

@btudrus 9 месяцев назад

@@capnpugwash5403 "Does she listen?" That's not an excuse.Everyone is responsible for what is he/she doing.

@ALIMOHSIN 6 месяцев назад

@@capnpugwash5403 One size doesn't fit all. 50 grams of rice will not kill anyone or make things worse like hell. I'm a Nephrologist and I am strict in avoiding carbs altogether. But I also do, though very seldom, bend my rule. If I scare and lose my patients, they will end up with a Nephrologist who might not take her down the same path as me. I'm not sure who you are, whether a doctor or not. But your approach would be considered too strict. It doesn't work in the real world.

@tusharmore7801 6 месяцев назад

Myself an indian here.. patents dont undestand.. its very difficult. we have been eating rice and roti from childhood.. parents simply dont digust the fact.

@BeefNEggs057 6 месяцев назад

You have to make it doable for the patient or they just get discouraged and accept their unhealthy state as inevitable. Agree no amount of these is healthy. Oxylates and lectins are your enemy and not just for kidneys. Brains and joints too. Stop eating nuts completely. They aren’t healthy at all like most things we are told are healthy. As close to carnivore as possible is best and so delicious.