E 11: Potassium: Is it good or bad for kidneys? How Much potassium should someone with CKD eat?
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- čas přidán 21. 07. 2024
- Episode 11: This is part 1 of a 2 part series on understanding the importance of potassium. We dive into details around the benefits and harms of potassium in CKD and how much do you need daily.
0:00 Intro
3:26 What is potassium and why is it important in Kidney health?
14:05 Hypokalemia causes, symptoms and why it matters?
17:00 What is false or pseduohyperkalemia and pseudohypokalemia?
21:30 How often should you check your potassium?
24:00 Does high potassium worsen kidney disease?
27:11 How much potassium should you consume daily?
Connect with us:
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.
Thanks so much for watching. If you are short on time, the content starts at 3:26
Pure GOLD; once again.
Do you think you can have a session talking about consuming whey protein? The most common types that people take or buy in general is the Whey Protein Concentrate and the much better one with less fillers, Whey Protein Isolate which is 90% pure protein powder. My doctor says that I can drink it and I'm like, "I'm a stage 3, CKD and I'm good to take it???" It;s suppose to be more easily digestable and a much cleaner source of protein powder compared to the Concentrate that has many unwanted ingrediants! This is the one major topic you don't hear many people talk about and isn't Boost, Ensure and other protein drinks that we buy over the counter very simlar to the protein powders anyways but just contain different essential vitamins and other things?
Great info. I'm a fanatic on exercising. With the recent news of a eGFR of 57 I was told not to perform vigorous excercises. Maintaining good Kidney function is so complex, thinking exercising 6 days weekly I'd be helping my kidneys but now told to be careful not to perform vigorous weight training. Would you guys consider doing an episode on exercising and CKD? Thanks, James
Thank you for this segment. I watch you bc was a caregiver for someone in my family who recently received a new kidney. However…I had a recent scare on my first night a European vacation when my doctor called me at midnight to say my potassium was at 6.2 from my blood test that I took on the Friday before my flight! I’m 62 and I’m fairly healthy and my goal is to always be within range for my blood tests. So both my doctor and I were alarmed. After going over my diet, she felt that maybe what I had been eating might contribute to the high potassium and wanted me to find a diuretic on my travels (which was difficult in the countries I was visiting). I researched and searched your videos for high potassium and of course, I was more alarmed at the consequences of high potassium after watching this video. And then you talked about the impact of tightening your fists during the test and that is exactly what I did bc the tech had a hard time getting a vein-and i clenched my fist for a long time. So with that bit of info, I felt a little bit more at ease, but for this trip-I definitely did not ‘eat’ my way through Europe-I completely changed my eating behaviors and ended up losing weight at the end of our trip. My blood test the day after I returned home showed a 4 potassium. So a long story to say that your videos are extremely educational. So thank you.
Thank you for sharing your story! It can be very scary having a high blood potassium level. But the fact that you were mindful of what you ate paid off! We're glad our videos are educational/helpful!
I am at 5 and looking to lower it or stop it from going higher. Amazing. What helped the most? Thanks
Our bodies are far more nuanced and complex then we've been told by regular aleopathic doctors. These videos are so revelatory for us common laypersons and are a valuable lifeline in this world of incomplete and misinformation. Thank you for shedding so much light on the wonderful complexities of the human body and equipping us with the knowledge we need in this struggle for survival.
Both of you hv created a movement for the benefit of kidney problems. 🙏🏾🙏🏾🙏🏾
THANK YOU SO MUCH for this channel!!! So many answers to so many of my questions!!! I truly hope that you are here to stay!!
We're so happy you are finding it helpful! Stay tuned for weekly episodes :)
@@PlantBasedKidneyHealth Will do!!
You two do a great job of sharing and helping. Im begining (late in life) to apply things good for my health. You help so much as i learn . Overwhelming at times. Will see in Jan where im at with the CKD. Weight is going down , that inknow will help with the hi bp . Thank you two for everything
I will have to watch this video a couple of times! Lots of new info to be aware of.
It is definitely packed full of great info! Thanks for tuning in and feel free to watch as many times as you need to :) We will have another episode on potassium next week with more info!
Thank you so much for your video For all the viewers like me that are not familiar with the MD terms in English- The (GFR) glomerular filtration rate is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute.-
Ten years on dialysis (2000 to 2010) and my potassium level never once was below 6.5, and I lived with a Renal Dietician who regulated every piece of food that went in my mouth. I'm convinced there is more to potassium level than diet.
There's definitely more to it than just diet!!
Thank you both, for giving us valuable piece of information, it is very important to know what is going on inside your body, to rectify before it is too late.
Thank you once again, hoping to continue this great job.
Of course! We are happy to hear you are enjoying and learning from our episodes!
Best video on potassium .
Thank you. Glad it's helpful!!
very good in explaining ..and very helpful.
Your programs are so helpful, I want to save all of them.
Thank you both so much for this information! Dr Sean I wish you were my brothers Dr😊 I could sense that you genuinely care about people. I have a couple questions I will put in the email . Thanks again!
Thank you for the kind words 🙏🙏🙏
Thanks for the clarity given doc
You are very welcome!
Thank you for the videos!!!!. I,m learning a lot.
We're so happy you're learning a lot! :)
THIS WAS AMAZING!! ive lerned SOOO much, my DR I hate to say is not informative AT ALL! 6 days ago for my app. he told me my ptassium was 5.5 so i had to quit eating high potassium foods like bananas and potaoes, or my next step is dialisis. thats ALL he told me, spemt the rest of my visit wring in his notebook. I'm sooo mad!
Thank you for this beautiful video. Could you please tell me if you have a video about yogurts and kidney relation?
Catch 22. We take hbp meds to help our blood pressure and CKD. Now they can also cause high potassium!
Yes, unfortunately some BP meds can cause high potassium!
As well as be hard on the kidneys. I'm at a loss. Vicki
Being hypo I get palpitations muscle pain and weakness . Also my lost ability to even use my hand to hold on to things . So frustrating trying to stay high enough.
What if you have multiple sclerosis does that cause high blood pressure because that seems to be my problem is the high blood pressure and yes I'm watching the phosphorus and I've learned so much from all of you on how to read my labs but I am concerned about the fact that I have a gastric ulcer and I have multiple sclerosis so could you please answer some of these questions for some of us who have autoimmune disorders
That’s incredibly helpful!
Again an informed patient I’d a better patient, and when the information comes from the right professionals then you are away ahead of the game! Thank you 🙏🏼
Is marine collagen okay for the kidneys
Thank u so very much for this information
Thanks for tuning in!
Hi guys thanks for another wonderful video 🙋♀️💞
:)
Thanks for the education. I am stage 3 and at times my potassium was at 6. Lately, my potassium has been around 4, but i have been fasting for 12 hours prior. My question is am i getting a false low score as a result of fasting.
Hi doctor, my grandpa potassium level encreased on 6.3 and GFR is 42 . What can I do for it ? His age is 85 year old.
Wow 😯. Thanks for this video. As long as I’ve been getting blood test I tend to be hypokalemic: 3.4. But my doctors never pointed out. However I have been put on sodium bicarbonate. Is this something I should worry about?
Same !
Can yall tell me what it means if carbon dioxide is a bit elevated in blood? Does that mean I'm heading more toward alkalosis?
Please explain how Proteinuria predicts future kidney function?
You two hace saved me
Im curious as to the minimum potassium intake daily. I dint gave a problem and dont want one. I look out for phosphorus in food if i can and im making transition to plant based diet akso. My bp is great, weight coming down, no sugar or sodium issues , im 3a as of last year
Is use of talmisatan 40 mg bd to control bp increases potassium level?
WOW; What an eye opening episode. I totally got it wrong. My potassium levels are normal but i was trying to go with the 2,000 limit of potassium day. So your saying I could potentially eat a normal 4,000 mg diet as long as my level stay normal. Crapola...
Yes, that is a myth that everyone with CKD needs to restrict potassium. Potassium rich foods have many benefits, so nutrient needs depend on someone's labs and often the stage of kidney disease that they have.
@@PlantBasedKidneyHealth i Heard some where if you are in end stage renal disease you need to restrict potassium. But if its stage 1-3 you need to consume potassium rich foods. Is it true sir ?
Thank you doc
How many Seafoods can I eat for my renal diet?
After having blood tests, that evening an ambulance arrived at my house and took me to the hospital. My doctor said she could not reach me on the phone. She called the 911 without any notification. i had high potassium. The hospital kept me overnight while they interveniously gave me liquid . I think it was saline. Any thoughts about the hospital's treatment? I' m at the lower end of stage 4 now.
Stage 3, potassium 5, should I start to restrict my potassium?
Please is so confusing, for me, wich kind of vegetables are the correct ones to eat, google is confusing please help,thank you🌺🇵🇪
When I go for blood test, I don't have any control over the nurse drawing the blood. So, how can I take the tourniquet off?
/Maybe you can find another lab. I wondered that myself. But I have a choice of labs to go to. Or you can just explain about the cells releasing potassium to her/him. I remembered one time I was making fists for a long time, waiting for the girl to tell me to stop and she never did. I'm glad to learn about that.
I would love my kidneydoctor to understand like u2
Hello Doc,
Insightful information .. I learnt a lot. Have a question around potassium ..Can one be in Stage 4 CKD, still have potassium levels in range of 3.5 - 3.7 mmol/L. She is on sodiumbicorbonate less dosage. She is on low potassium diet. Do you think this can be a case of psuedo hypokalemia. Her BP level is high around 160/100. She is on Telmistaran, nebivolol and amplidopine for BP.
Can she eat fruits and veggies..
Thankyou..
We definitely recommend that people with kidney disease consume fruits and veggies! It can help lower blood pressure too. You would just choose fruits and veggies that fit individual potassium needs. Even a "low potassium diet" isn't a "no potassium diet"!
doesn this mean i shouldn't do any weight training if my potassium is high? my GFR is 68, potassium 5.5 and Im on kerredia and Telmisartan. i am diabetic patient so the work out is very important to me. Pleaese advise me
Drinking vitamin D, is it good for ckd patients? Thank you doc foe being so informative
We have an episode coming out soon on Vitamin D!
Im living in a tropical country, most of our local fruits are high in potassium, and yet we gave verg liw persent of ckd patients, how is that
What is the low pottassium
Thank you. There were a number of great insights that were helpful for me. Lemon and limes to help bicarbonate levels, the technique on taking blood can impact potassium levels and the function of potassium and sodium at the cellular level.
I’ve usually had a higher potassium and lower sodium blood levels. How does the relationship between sodium and potassium work? Does a lower sodium level, increase the potassium levels or visa versa? Thank you
Adding this topic on sodium and potassium to our list to address/record in a future episode! Thanks for the suggestion :)
Interesting. You guys are doctors and never mentioned anything about the pump. That’s the regulator is that correct? I’m talking about the sodium/potassium pump that’s the regulator that keeps a balance throughout our body and as well as the other electrolyte calcium/magnesium pump. And how it’s very important and it’s well in balancing the health of our body. The sodium potassium/pump it’s a possibility if the potassium is too high you can add in more sodium and if the sodium is too high which can cause high blood pressure just adding more potassium to control high blood pressure. Our body is extremely remarkable and if you give it the right foods and nutrient it’ll do everything what it needs to do, isn’t that correct?
How to low your high blood pressure ?
I drink a fruit drink every morning a bunch of almonds nuts a whole banana and oats and berries is that to much potassium intake?
Potassium needs are individualized! If blood levels are elevated, someone may need to limit intake. If levels are consistently normal, and especially in earlier stages of kidney disease, potassium restriction is not indicated or beneficial.
I used to take LOSARTAN and my potassium went up so I stopped taking it. Now my Dr.. thinks I should take LOSARTAN. What should I do if my potassium goes up again?
.
Are yall familiar with Dr Eric Berg. He says potassium is protective of the kidneys up until a certain point. I'm not sure what that point is maybe anything gfr 60 and above? Have yall heard of that?
Hello! Potassium helps control blood pressure which is important for kidney health. Most people in early stages don't have issues with blood potassium levels and therefore should not restrict potassium intake unnecessarily. As kidney function declines it can become more difficult to control blood potassium levels and intake may need to be limited in diet. It's important to understand your individual lab results and work with your doctor and renal dietitian to understand your individual needs.
My potassium level as of July is 4.2 mmmol/L is this too high with stage three ?
That is within the normal range for potassium :)
@@PlantBasedKidneyHealth thank you for responding.
Medicin that keep pottaasiom why them when high in potassium
Hi I eat lot of fruits and vegetables also high potassium food recently my bp became high so doc put me on medication now bp is normal but I do want to eat lots of vegetables and fruits but tablet from pharmacy said avoid high potassium foods what should I do I want to get off bp medication I am 50+ and in menopause
Haha I'm in the same citations,
same.for me maybe drink mineral water and eat white eggs...hu..hu🤭only
It gets so darned complicated. The doctors only see me for maybe 5 to 10 minutes, so they are not so helpful. A visit every 6 months and they don;t even remember who I am.
a question on someone else:
is having a blood Potassium of 3.4 bad several tests in a row?
Would a Vitamin D level of 16 be causing this lower number of Potassium?
Michelle can you please send me yourlab values should be
Wow ! What great information! Thank you 🙏 can you be my drs??
All these kidney channels overlook that AKI is out there too. Only focus is on CKD!
Which pathogenns ruin the kidney function
Another great episode thank Michelle and sean
We're glad you found it helpful!!
I found that carnitine normalizes my BP.
Hello thx I'm high potassium 6.6 , im in dialisis, they told me every month is highand I'm eating salads every day and fruits apples, grapes, pinaple berries etc I'm vegan,, do I stop eating salads? what can I eat? Thx. now?
Hello! We recommend working closely with the nephrologist and renal dietitian in the dialysis unit to address all possible reasons for high potassium. From the diet side, you can keep a food journal or track your intake in an app like Cronometer so the dietitian can see exactly how much potassium you're taking in. Salads can always be adjusted to be lower potassium ingredients if needed. Also important to make sure that there are no potassium additives hidden in any food you're consuming (potassium chloride for example).
All I know is that years ago, all you ever heard about kidneys was stones and did dialysis even exist then?
Why do kidneys loose cells
🌹💐🌷🥀💝
1
Y do u always say ("GOING ON")?
No microwave.
Does msm hurt kidneys?
Himalayan salt is ok but salt you use in roads when it snow will dehydrate the bodies
It still has sodium. Vicki
Not to sing to the choir, but cooking lentils from scratch isn't rocket science. And canned legumes from Eden brands are available that don't have added salt, or that the teensy but in some seaweed they use
Yep! There are lot's of canned options that are low sodium or have no salt added!
Omg too much blah blah blah