Best Protein For Kidney Disease? How Much Protein To Eat? Protein Powders?
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- čas přidán 20. 06. 2024
- Episode 25
⏰ Timestamps ⏰
0:00 Introduction
0:44 Low protein diets (animal vs plant) and CKD?
4:21 Understanding practical terms of how much protein to eat daily
9:26 Does the amount of protein matter on a plant-based diet?
11:02 Which proteins are complete?
14:13 What labs to check when switching to plant-based proteins?
16:47 How quickly do you see a change when switching to plant-based proteins?
18:35 Protein powders in CKD: helpful or harmful?
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Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
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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.
We had so many additional questions on protein and CKD that we added another episode.
I was diagnosed with 4th stage kidney failure...almost 9 years ago. Went vegan and my GFR came up to 36.Last year I went more whole foods and intermittent fasting. My GFR came up to 44!
That's amazing! Thank you so much for sharing your progress and improvements. Keep it up! :)
How's the process going
I’m a huge fan of this channel. I appreciate the thought that it boils down to “progress over perfection.” I was enrolled in the CKDopps study and the plant-based, whole foods approach is keeping me going. I will watch this video again. Thank you!
Iup
Thank you guys for all this wonderful information.
So easy to follow and understand. Thank you both!
Thanks so much for the feedback!
Thank you 💞 Dr. Very useful video 👍
Thank you as always! 🤗 explained so well!
Glad it was helpful! :)
Thank God for people who care
You have helped me so much
Good info, thanks, appreciate it mucho!
Glad it was helpful!
Well explained and and credible.
Excellent! Thank you.
🎉
Thank you for highlighting the impact of protein powder.
Of course! Thank you for tuning into our episode!
Thank you
What is the impact of strenuous working out on protein use and resultant creatinine please
Thank you again
I’m a naturally very slim person and have been the same weights +/- 5lbs all my adult life. I’m currently Stage 3B, generally in good health an not diabetic. Hypertension is managed at 125/70 and prescribed dapagliflozin for about six months - eGFR has shown a little improvement and stable.
My diet is now predominantly vegetable based protein ( I call myself an ‘Involuntary Vegetarian’ 😅) but I have lost 10lbs in the last twelve months. I’m 70 years but feel as if I’m heading into early sarcopenia even though I eat lots of carbs as well as my vegetables.
Any ideas Dr Hasmi?
Renal RD here, can you provide links to the studies mentioned?
Thanks 🙏
Hello i have some urgent question pea protein isolate does have any oxalates ??? and stevia how much does it have per gram? THanks
I have protein in rfe urine. I just had a biopsy. I found out that the creatine is fine and there is no rejection. But there is no reason for the protein in the urine. I have eaten more animal protein. I want to know how I can get more information plant protein that doesn't have high in sodium. I am on prograf 1MG caps 3x2times a day and Cellcept 500MG tabs 1x2 times a day. Do you have any suggestions for me?
I was using vegan protein powder twice a day and believe I got kidney stones from it. Maybe to much oxalates. I have shunned it ever since and since gone whole food plant based. Does look like I need to watch my portion sizes on beans.
I was using Montmorency Cherry Juice or dried cherries and it seemed to cause problems (uric acid?) with kidneys or gout like symtoms. Could be just drink/eating too much at a time. Plan on eating fresh or frozen and watch my portion sizes better.
Hello Doctors, my GFR is 58 and I am doing weight training to build up muscle. Should I be worrying about limiting my protein intakes?
Generally in earlier stages (1-3a) protein is not as restricted as later stages. However, avoiding excessive protein intake is very important. Also, the quality of protein (plant vs animal) is important.
Where can I buy keto acids?
What about taking collagen
powder? Is it ok with ckd 3
Hello I have lupus nephritis & have protein in the urine, can this be caused by too much protein or inflammation? Because I feel I don’t eat a lot of protein.
I don’t currently have CKD but am a kidney donor and am curious to know if I should be limiting my protein intake (I’m trying to eat whole food plant based since the donation); my goal is to protect the one I have left. Any help is much appreciated.
Thank you for being a kidney donor! We have a couple episodes on solitary kidney. Being whole food, plant based is helping to protect your solitary kidney though! It is generally still best to avoid high/excessive protein intake since it increases renal blood flow and elevates intraglomerular pressure. But you likely wouldn't have to be low protein unless your labs were indicating stage 3+ CKD
How about fish? Salmon, Haddock, Tuna, Mahi, Cod. Pescatarian and plant diets here.
Thank you.
We are going to have a whole episode dedicated to fish and kidney health coming up so stay tuned!
Is bone both bad for kidney health if stage 3.? Does it contain purines? I use bone broth in my soups
Is using ketoanalogues amino acid really effective in lowering creatinine? I am taking two tablets 3x a day, but I don't see any improvements with my crea results. It's still high 700+
We will be addressing ketoanalogues in an upcoming episode! Would definitely recommend working 1:1 with a renal dietitian if you're using KA though to ensure the diet and protein intake is where it should be.
@@PlantBasedKidneyHealth Thank you so much. Looking forward to it.
What about Seafood: shrimp, crabs, clamps, etc, can a person with CKD eat Seafoods? Why (not)?
Will address this in an upcoming episode!
Great information here....quick question...If you are +3 protein in urine , shouldn't your blood protein level be low due to that ?
Actually no...check out our episodes on proteinuria. We explain that there!
I use Collagen/Peptide powder, it that ok ?
Hello! We talk about collagen in episode 21! :)
This is very difficult for me. I am the care giver for my husband, he has stage 4 kidney disease, he has protein in the urine, high potassium is high, I do not know how exactly to feel him.
Protein is a complex matter. But generally speaking. We know that animal protein is not as healthy as plant protein. We also know that 7 out of 10 people who have or had cancer, their diet is the culprit. Furthermore, anything that comes from the cow contributes to incidence of cancer, that’s to include milk. Drive by a cow farm on a rainy day, and smell the stench and see how they live in their own excrement. It’s no wonder they have to inject them with antibiotics. We now have superbugs that are antibiotic resistant. The U.S. is approx. 4-5% of the world’s population, and yet we consume 70% of the world’s drugs! Big problem! They’re getting into our ground water and the molecules are so small, it is virtually impossible to filter them out. Long term use of any drug is not good. In many cases, they address one problem and create another, in turn we need more drugs to treat or just cover up the problems. It’s a vicious cycle. Are we the sickest country or what? Big pharma would like us to believe that, so they can sell us more drugs. Also, the food industry is directly responsible for this unhealthy mess we are in. So, if your not in good health, know and understand it’s not entirely your fault. Educate yourself then try and eat more RAW veggies and fruits. Because, anytime you cook food you change the molecules, in turn depleting nutrients.
Look folks I’m a positive but pragmatic person. I see a bright future in healthcare, with the rapid advance of AI (artificial intelligence) which will transform our world (Socio-economic & political) beyond our imagination. Example: Deep Mind an AI company just revealed 200 million proteins! Huge bio-genetic breakthroughs are coming soon.
Keep it simple folks, try and eat a bit less and focus on Raw veggies and fruits and take 3, 20-30 min walks a week. That’s it.
And listen to Michele, she’s a smart lady.
What about plant based essential amino acids. Do they yeild same metabolic waste as foods. Let's say they're pre digested essential amino acids supplements?
Great question! We are going to address this specifically in an upcoming episode!
@@PlantBasedKidneyHealth thank you very much, looking forward to it.
What is your opinion about Nepro shake from Abbott
If a high protein/high calorie renal specific supplement is needed (sometimes for people on dialysis), it is ideal to make your own smoothie/shake with whole food ingredients. Kate Farms is a brand that uses better ingredients and has a renal option than Nepro in my opinion. But that does not mean Nepro cannot be used. Just depends on the person. Best to talk with your renal dietitian!
2yrs ago i had surgery of ureter because of ureter blockage . my kidneys are totally safe . can i take whey protein? plz help❤
What if I have protein one a day 4oz only?
what about omega-3-oils, oily fish. plant protein does not have Vitamin 12.
What about eating salmon?
I think I eat too little because I have not been to th e bathroom in a week, I eat whole fruit and whole veggies but apparently not enough fiber. I am getting so discouraged
Don't get discouraged! I would keep a food journal and meet with a renal dietitian so they can help individualize a plan/recommendations for you! Here is a link for a database: www.kidney.org/ckdrd
What about eggs? How much of protein is in one egg?
1 large egg has ~ 7 g protein. We have a whole episode where we talk about eggs and kidney health that you can check out!
sir Dr 🙏😇 mam I always watch you and post the the so magnificent I always listen every word because it's true I'm from Philippines I'm Jasmin I'm a kidney deceased I heard the topic I search what food amino it's on beans and other plant the moringa is 15 amino acid in the body sir mam I search and thank you in the Philippines have moringga and beans I wish you had topic about mornings leaves or parts in morning
How to figure out how much protein I need in a day.
Check out our longer video on protein! We talk in more detail on this :)
What do you think of Ezekiel 4:9 breads they claim to be the perfect protein and a miracle sprout?
Ezekiel bread is a great bread option. Low sodium options, no added sugar or phos additives.
For ckd patients which rice is better, brown rice or white rice
Both are options that can work for people with CKD! Brown rice will have more fiber than white rice. It has a little more potassium, but is not "high" in potassium and the higher fiber of whole grains generally outweighs the slightly higher potassium content for people with CKD with a potassium restriction.
White or black rice
❤
I like some of Doc's informative video, but this one not so relevant
No red meat under any circusmtance! Uric acid is one of the main culprits in CKD.
So just fish and chicken??
@@patshen2000 fish is better than chicken. Prioblem with red meat and chicken is they contribute to proteinuria which can damage the kidney, e.g. in the case of nephropathy
Wow I switched to only chicken and my.levels are still high, I was thinking it was better. I appreciate the knowledge
@@patshen2000 proteinuria is one of the early signs of kidney disorder and if not treated it will damage the kidney. Surprisingly, proteinuria can exist with a normal GFR meaning protein in urine is a better paramaeter for diagnosing kidney disease than GFR
Who says no red meat under any circumstances? Where are you getting that information?
What do you do when you are on a low carb diet for diabetes and also have CKD? What can you eat?
Check out our videos on Diabetes and CKD!
Thank you
I reversed my diabetes, lowered blood pressure, fixed my cholesterol, improved my HS symptoms, and improved my kidney function from stage 3 too stage 2 on a carnivore diet. plant based diet was slowly killing me.
@@lrksglobal742 i eat a ketovore diet that is about 10 carbs a day mainly the sauces have a carb or two. yes some times the protein lvl might be a little higher but my kidneys are improving. the protein in your urine does increase because you are eating more protein. it will lvl out. as for water intake i drink about 160 fluid oz a day with added salt/ or electrolytes. if you want to check out keto/carnivore i recommend Ken Berry
That kinda makes no sense to me, i was told there is no data that says carnivore is good for kidneys, infact it accelerate toward dialysis.
So, I hear all these substitutes of plant protein for animal protein that are loaded with potassium and/or phosphorus. Why are you ignoring this?
CKD patients need both those things. Dialysis patients do as well. Its hard to go over your daily needed intake if youre eating whole foods. Processed food is a problem. Not whole foods with a normal calories intake to maintain a normal BMI.
sorry, I made an error Vitamin B 12 . Plant protein does not have Vitamin B 12.
I switched from a whey protein powder to a planet based protein powder, and i feel the difference.
That's great! Glad you're feeling it :)
Never mind. I got it
Thanx u God 🙏🙌 Praise the Lord 🙏🙌 N Jesus name 🙏🙌 Amen 🙏🙌
All you tubers dont talk abaut coffe...good it bad 4 kidneys?
We have an episode on coffee and kidney disease! Dr. Hashmi also has a couple on coffee on his other channel which is linked on our page!
Ok im confused...people say keto diet is excellent for bad kidney 👀
It is, see KenDBerryMD on CZcams . He is much more compelling and will tell you Kidney disease is caused by sugar and carbs. Has absolutely nothing to do with a plant based diet.
You and me both…and you never get an answer.
Your kind of handicapping yourself by already deciding a plant based diet is good for your kidneys, then trying to square-hole-round-peg the science to match that worldview. It's the sugar folks; I don't necessarily like it easier, but really isn't a debate, isn't an ideal, isn't dogma.
Its not one or the other. Its both. Protein quality and carbs need to be controlled. Period. Stop negating licensed doctors.
Carbs don't 'need' to be 'controlled'. Carbs are non-essential; a choice. Period. Stop trying to negate reality.
Oh Lord, I am so confused.
Check out our protein playlist! We have several videos on protein and CKD.
Hi, I am 81 years old, I need more protein than younger people