Should Kidney Disease Patients Take vitamin D?
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- čas přidán 10. 08. 2022
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Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
www.instragram.com/seanhashmimd
Michele Crosmer, RD CSR
plantbasedkidneys.com/
/ plantbased.kidneys
Disclaimer
The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.
Thank you for sharing your expertise free and with clarity. This answered many of my questions.
I hope, Dr. Hash I and Michele, you can create an episode about SLEEP! I am stage 2 ckd, and I’ve suffered for years from poor sleep. I use melatonin, echinacea, etc. to sleep. I’d love to hear your recommendations on safe sleep aids beyond the usual typical advice on CZcams about sleep (less blue light, etc)
Excellent suggestion! We will definitely address in an upcoming episode!
I suffered the same but recently im doing some exercise that helps a lot
Magnesium works very well for sleep, take 1-2 hours before bed.
Hi am in stage 1. Am also facing sleep issues.
After moving to complete self cooked / homely meals (pure vegetarian) and by following a low protein diet I am able to improve my sleep.
melatonin could be of help
Dr Sean Hashmi how can on with the actual webinars instead of getting the information days afterwards
Thank you the the great information. I have a quick question, if I am taking Calcifediol should I also take vitamin K2(MK-7) along the that just like vitamin D3?
Please address the issue of ckd induced insulin resistance. The renal diet is comprised mostly of carbohydrates which increase blood sugar.
Is there a way to avoid becoming prediabetic/diabetic on a renal diet? Thank you.
The "old renal diet" which is outdated and recommends refined carbs/starches has a greater impact on blood sugar levels. Getting plenty of fiber in the diet is important for helping control/prevent diabetes, but also for people with CKD. We will have an entire episode on fiber and higher fiber carbs in the future to address in more detail!
Hi I take K2 for heart health and was thinking of taking V3 , but my calcium levels have been high at two different lab tests, what is the benefit of taking V3 with K2, thanks.
Hi I have received labs that I have high PTH, normal calcium level, however I have calcium in my urine found after a 24 hour urinalysis. Vit D deficient 20. Ferritin level 5. I was told I don’t have kidney stones but I have calcium in the the kind way tubules. I’m worried and I don’t see the VA nephrologist until March. I found it odd that my dentist says I have calcium decalcification on one of my teeth. Never happened before and the endocrinologist says I have calcifications in my thyroid. Some thing is going on but what? Thanks for reading.
She needs to take breath and let him say something!
For MANY years I've had a terrible problem with kidney stones, in 2017 it was suggested to me that I take K-2 and D-3 as a preventative....
IT WORKS, for me anyway, in over 6-years I've only been to the urologist twice for a kidney stone issue 🙏
what dose of vit d3+k2 you take to prevent kidney stones?
K-2, 100 to 200 mcg
D-3,. 5K to 10K iu
DAILY
YOU MUST HAVE THESE CHECKED BY YOUR DR
@@ghait3692NORMALLY I TAKE
K-2 100 - 200 mcg
D-3 5k - 10k iu's
Daily
YOU MUST GET THESE LEVELS CHECKED BY YOUR DR. AFTER MAYBE 3-MOS OF STARTING WITH THESE TWO
It actually stopped my problem after 2 or 3 mos of starting.
You need to take this with or right after a meal 👍
@@bobroberson9286
thanks a lot for ur feedback.
@@bobroberson9286
I took Vitamin D 5000iu's & Vitamin K2 100 mcg for several years. Recently had blood test & my D level had risen to 175 ng/ml. It may not be related but bloods showed I also have stage 3 chronic kidney disease.
Can native vitamin D reduce level of PTH and prevent bone disease in CKD or is it necessary to take alfacalcidol for this purpose?
My Nephrologist gave me Calcitrol 50 mg for Calcium and Vitamin D. I have frequent blood work, usually every two weeks and depending on the numbers, sometimes every week
So glad you're getting your blood checked frequently and working closely with your nephrologist!
Hello and thank you for the video,I just have a quick question,I was just curious about Nad+ supplementation and what your opinions may be on this treatment when it comes to post transplant,I have been trying to research as to rather or not it would be beneficial to someone that has had a kidney transplant or not,
Thank you so much for the videos and your time...
Hello! We have added this topic to our list to look into the research and do an episode on!
Thank you.
Hello doc,. My mam having kidney disease stage 2 and suffering highlood pressure and diabetes,. She is 75yr old,. What dosage vitamin D3 for her? Need your advice,God bless
Your mother needs to be tested for Vitamin D3 to see if she is deficient. It is a simple blood test. If she is deficient then her doctor can figure out the dosage she needs. She should take Vitamin D3 and Vitamin K2 MK-7 since these vitamins work together.
IF your mother is deficient and 50% of Americans are deficient in Vitamin D3 then taking supplements will help her kidneys, blood pressure and might help her diabetes if it is type 2.
Your mother also needs to watch her sodium intake, not drink colas or sodas with phosphoric acid in them, no NSAIDS, no alcohol, watch her sugar intake and not smoke tobacco. Tobacco reduces your Vitamin C levels by 30 IU/cigarette. She also needs to get her blood pressure under control and the same goes for her diabetes. Stage 2 chronic kidney disease is not too bad. It is a warning sign and she needs to be mindful of what to do to keep it from getting worse because the kidney diet is very restrictive and once you start dialysis your quality of life and lifespan goes way down.
What about with sarcoidosis?
Gracias !hablan por favor de la hormonal paratiroides pth.
We will definitely do more episodes explaining PTH!
Thanks. I do take Vit D+ K2 and have stage 1 CKD and diabetes.
Taking vitamin D3 and sugar raised my gfr from 48 to 60…. And it helped my Osteopenia.
Hi how many weeks its took ? And what do dosage ?
Good analysis. D is fat soluble so taking with meat it is better absorbed. Magnesium helps with absorption. D2 is plant based and not as well absorbed. A 25hydroxy test will tell you the D level out of the liver. The 30ng/ml is fine for bone health but insufficient for immune health, where above 50ng/ml is much safer. D is a hormone and controls over 2000 genes through the vitamin D receptor. VDR polymorphism is another issue where most autoimmune patients have dangerously low D. Low D = poor immune function.
With regard to impaired liver or kidneys. You can get 25hydroxy injections if you have liver issues and low 25hydroxy. The kidneys process the 25hydroxy to 1,25 dihydroxy which is the active hormone. I don't know if there are 1,25 injections. If there are it would help compromised kidney patients. 5000iu D3 very safe for any adult, but get tested. Hypercalcemia can occur in high doses but rare and non lethal. Coimbra Protocol uses very high doses for autoimmune patients, up to 700,000 iu daily but requires medical monitoring.
I have Sjogrens Syndrome, an autoimmune. disease. Because of Sjogrens, I have microalbuminuria, protein ( albumin) in my urine. So… vitamin d3 would be ok for me to take everyday? My nephrologist said it would be ok , but never gave me a dosage recommendation. I did a little research myself and came up with 2500 IU a day followed by 200 mcg of vitamin k2 and 200 mg of magnesium. Do you think that’s safe to take and do you think it will help my kidney function?
will getting eneough sun help with this?
Hello Docs.: Can stage 2 CKD should take vitamin d3 - Calcitriol (when egfr 80) too? Will sunlight not enough for him?
Hello! Whether someone should supplement with vitamin D and what dose will depend on the individual and their vitamin D blood levels. For some people, sunlight is enough depending on where they live and their exposure. But for many with CKD it is not enough.
Thx Dr Hashmi and Michelle for the valuable Infos.
It is recommended to take vitamin D3 with vitamin K2 (mk7) BUT not at the same time ( avoid vitamin D3 and K2 in the same capsule). For instance take vitamin D3 in the morning and vitamin k2 in the evening or at least 3 hours later).
All the information given in your channel is outstanding. And admittedly a level of 50-60 for vitamin d3 is optimal but for a CKD patient or for preventing ckd disease even 30-40 is maybe OK.
Why not at the same time? 🤔
Wait, what?
I am taking D3+K2 MK7 from Costco. My 4 months ago vitamin D was 45. Is it okay to take this?
Quite a few years ago, my vitamin D levels were very low. I rechecked after supplementing for several months and those levels hadn't really changed.
You should definitely discuss the dose you took for those few months before re-testing with your physician. Some people need higher, prescribed doses for a short term if they are very deficient. And then maintenance dose after that.
good question
Hi if you have a high dose of vitamin D
Overload what to do
I have stage 3a kidney disease and I've only just found out, all my heart medication says or warns against taking with kidney disease, but my dr says it will fine for now because its only low to moderate stage 3 😳
Thank you doctor, my wife is sick with high blood pressure, diabetes, slaughter and kidney problems, D3 test
19 what is the amount we give D3 and is it harmful to the kidneys and thank you
I wish there would be a reply
You will want to check with your doctor on the appropriate dose that she should take as it will vary from person to person. Generally 1000-2000 IU /day can be used as a maintenance dose. 4000-5000 IU to slightly raise Vit D levels. And for someone deficient, a higher prescription amount may be needed. So definitely check with physician!
My husband has high protein in his yarn. Should he be taken vitamin D3 2000
This lady is just beating about the bush.
Ckd 5 dieses is reverse ? Is it possible really?
Any one tell me answer plse..
If your doctor prescribed Calcitriol, can you take Vitamin K2 with the Calcitriol?
So yes or no should I CKD person be taking vitamin D three?
People with CKD should have vitamin D blood levels checked and supplement (dose per physician or dietitian recommendation) based on those levels. It is very common for people with CKD to have low levels of vitamin D.
My egfr is 76 and my creatinine levels are super high. Can I take 5000iu of Vitamin D?
Hello! You always want to check with your physician/dietitian for individualized recommendations. Especially for higher doses like 5000 IU.
I'm taking 50,000 units once a week vit. D. I have protein leakage in my urine my numbers for my kidneys last blood test for kidneys was 59 should i be concern?
Check out this website that shows a graph of proteinuria and eGFR and you can see where you fall risk wise based on your numbers: www.kidney.org/kidneydisease/siemens_hcp_quickreference
High doses of vitamin d can damage your kidneys
My Vitamin D level is 60ng/ml taking 5000IU Vitamin D3
Hello. What about people with MS
Hello, you will want to check with your doctor before taking any supplements so you can discuss other health concerns/conditions with them and make sure it is a good fit for you to take and in what dose!
Check out the Coimbra Protocol for MS and other autoimmune problems.
IMO, 30ng is a poor standard. Immune cells lack a dedicated VD receptor on the cell surface; they rely on passive diffusion through the cell wall for VD uptake. They thus require a higher serum concentration of D in order to be D sufficient. It seems likely that an immune-adequate 25-D blood level is around ~70ng. The 1~2K maintenance dose she's discussing is quite unlikely to support 60+ng in any normal sized adult.
I heard some people take 120,000 iu for autoimmune issues! Is this real?
Answer the question please! 1 minute answer takes 10 minutes! Ridiculous
That is I won't subscribe
It’s not simple yes and no questions, if you don’t want the reasons behind why go google it!
She is actually taking her time to explain a bit further for I guess intelligent people who want to learn more rather than people like you!
She's too young to advise on CKD, she's just a nurse and has zero relatability.
@@Daisy_982She’s a renal dietician and a damn good one at that.
Michelle packed so much good information into her response. We must all become students of our diseases since it's only with our active involvement in our health that we can hope to achieve the best health that we can. There was so much to unpack in her explanation that I plan to listen again, take notes, and study the subject further. I will also search for the K2/D3 episode Michelle recommended.
I take Vit K2-MK7.
So, yes take D-3…. 1,000 to 2,000 IU daily
I take 30,000 per day of Hormone D3 and K2-MK7 at 200 FU'S
Be short and direct to narrate along irrelevant story
Too bad getting your vitamin d levels checked costs so much
You only need to get your Vitamin D level checked once a year and considering how expensive it is to treat all the conditions that can be caused by a deficiency of Vitamin D it is a real bargain cost wise.
I'm sorry but her answer is just too long
Too long.
Hello Doctor, how are you? My mom has ckd 3A, is in her 70's and has vitamin d 30, and Hemoglobin 8.9 and she has Hashimoto's tpo 559
For Hashimoto's its advised to take d3 10000 per day, would that be ok for her ?
And please advise some dosage of supplements for Hemoglobin
Request you to please please kindly reply
Thank you very much