Keto diets and kidney health - Diet Doctor Podcast

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  • čas přidán 26. 06. 2024
  • Dr. Thomas Weimbs and Jessianna Saville specialize in researching and treating kidney disease. They often prescribe a ketogenic diet to help people with polycystic (and other types of) kidney disease.
    But, as they mention, some details are important. When should you worry about levels of protein intake? What degree of kidney dysfunction, as quantified by common lab tests like the glomerular filtration rate (GFR), raises concern? What about the risk for kidney stones and how can we prevent them? We explore these questions and more in our latest podcast.
    Table of content
    0:00 Introduction
    4:20 Kidney disease and the role of nutrition
    9:35 Lowering protein level for kidney health?
    16:47 Acidic blood vs acidic urine
    23:47 About kidney volume and its test
    30:15 Protein level for optimal kidney functions
    36:58 Go to protein and supplements for plant-protein diets
    43:18 Future work of Thomas Weimbs
    Subscribe to our channel if you don't want to miss any of our videos: czcams.com/users/DietDoctorV...
    About us:
    DietDoctor.com is the world's number one low-carb site. Follow us for delicious recipes, meal plans and tools to make your low-carb and keto lifestyle simple. But this CZcams channel does not contain all our videos!
  • Věda a technologie

Komentáře • 230

  • @sherylburt7863
    @sherylburt7863 Před rokem +15

    Thank you for saying “patient’s are smart”. Yes we are , we know a lot and especially we are becoming experts in our own healthcare. No longer can the Dr think they know all and the patients should do as the learned dr says. The internet has opened up the portals of knowledge!

  • @R.R.Brahma
    @R.R.Brahma Před rokem +37

    I have been on low carb and high fat diet for 19 month. I remain healthy with this diet which is full of NV and coconut oil.
    Previously I was using 4 tablets daily for heart and allergy. Now I am free from all medicines. I am 80.

    • @hikari8858
      @hikari8858 Před rokem +6

      That's great! Kudos to you for having the intelligence and determination to change and improve your quality of life. I hope other people follow your examaple.

    • @velvethoot4507
      @velvethoot4507 Před rokem

      I echo the above comment reply. Hope your still doing great.

  • @geezlouise99
    @geezlouise99 Před rokem +131

    There’s definitely part of the puzzle missing here. I’ve been on a meat heavy keto diet for almost 18 months now and I went from stage 2 CKD to normal after a year. I don’t buy the plant based focus here.

    • @cherylh4688
      @cherylh4688 Před rokem +28

      I think they emphasized the plant-based & lower protein approach only with their stage 3 & 4 patients, for whom a heavy meat-based protein approach proved detrimental, esp w Stage 4, & hastened their progress towards dialysis.
      For stage 1 & 2, however, I believe they did say that lowered protein, esp animal protein, was not so important and that they had seen significant & completely unexpected improvements in those who had, on their own, followed a more typical keto diet like yours.
      So your success does not really conflict with what they have found and stated, I don't think. But in any case, congratulations!! What a wonderful outcome for you!!

    • @bradfordsimms715
      @bradfordsimms715 Před rokem +40

      Meat bad plant good ???? this is how we got in this health disaster in the frst place.

    • @rokker333
      @rokker333 Před rokem +1

      Yeah, this guy just researched kidney diseases for centuries. But what does he know 😂

    • @bradfordsimms715
      @bradfordsimms715 Před rokem +14

      @@rokker333 And admitted the Keto folks had improvements in K function which was unexpected and surprising making him a fact biased Dr vs the "it will never work mob" Just saying

    • @rokker333
      @rokker333 Před rokem +1

      @@bradfordsimms715 The world is not black and white. For my taste it is enough to have ideological vegans around. The keto crowd should be a bit more relaxed. Dr. Westman style. And nature is mercy less. Of course high protein is proven to be stressful for kidneys. On the other side, who is doing high protein on keto. Keto is not a miracle. Ketonic greetings.

  • @navy80to04
    @navy80to04 Před rokem +21

    At 61 , 2.5 years strick keto, lost 75 lbs, lost pre diabetes, fatty liver. Now
    6 months carnivore stage 3. Feeling great. Will keep an eye on doctor testing.

  • @dietollezeit
    @dietollezeit Před rokem +28

    I applaud the Diet Doctor to be able to invite guests that are outside of the echo chamber of keto and carnivore. In the same time it beggars belief that anyone would advocate for plant-based diet to reverse conditions that were caused by it in the first place. I had to fight against myself loosing interest in the discussion every time the RD was saying plant-based or vegan.

  • @cassieoz1702
    @cassieoz1702 Před rokem +27

    Looking forward to part 2 cuz this raises as many questions as it answers. I still don't know why they're persisting with 'plant based' when it wasn't helpful in the first instance. There seems to be a lot of the 'plant based' rationale based on risk of renal stones without any discussion of what % of patients will develop crystals and who won't. Also their example 'day of eating' isn't what most people would call plant based as this has become a codeword for vegan or vegetarian. I came away with the perception that their use of the label 'plant based' has more to do with marketing and political correctness than reality

    • @MrPokerblot
      @MrPokerblot Před rokem

      Unfortunately those two words are the reality in the western world. It’s money that has destroyed everybody’s health, oh and also the planet earth and all of its mature. 🥹. Oh well 🫡

  • @EmpowertheMind
    @EmpowertheMind Před rokem +34

    I have PKD and am very active in the PKD community. Know several people who tried their program for months and they got fatter with less protein and GFR went down. I think it's an OK approach for people coming from bad unhealthy diets but it doesn't compare with healthy animal-based diets. They raised a few issues with protein, but the truth is that there's not much data to support these claims, also there are a lot of people with PKD improving their health (and GFR - TKV) on animal-based keto.
    EDIT: Another thing to add is that their approach can be REALLY dangerous for people in advanced stages since anemia is a very common complication for kidney disease and cutting back on red meat is NOT the best idea.

    • @robinbeers6689
      @robinbeers6689 Před rokem +2

      They offered no proof at all, just empty unquestioned assertions. Plants good, meat bad.

    • @EmpowertheMind
      @EmpowertheMind Před rokem +9

      @@robinbeers6689 right, I asked them multiple times for proof or any studies. After insisting A LOT they only offered me a meta-analysis that points to epidemiology studies and some of the studies were actually in favour of animal or higher protein.

    • @kyleduffy
      @kyleduffy Před rokem +3

      @@EmpowertheMind You asked the doctors in this video? I would love to see these studies if you can name them for me or tell me how to find them. I was also put off by their heavy plant approach, but they "sorta" redeemed themselves by recommending eggs and salmon... sorta. haha.

    • @robinbeers6689
      @robinbeers6689 Před rokem +7

      @@EmpowertheMind Yep. A meta analysis of crap quality studies is just meta-crap.

    • @robinbeers6689
      @robinbeers6689 Před rokem +5

      @@kyleduffy The eggs and salmon along with the avocados and coconut will probably save most people from doing serious harm with this plan but that is not the same thing as optimal health.

  • @iss8504
    @iss8504 Před rokem +17

    Okay i stopped when she said plants were nutrient dense. Nope. Definitely don't buy that. Patients likely get better because they are calorie restricting due to plants

  • @nunheadamerican6179
    @nunheadamerican6179 Před rokem +22

    "plants are nutrient dense"? All plants? That's quite a generalisation. She lost me there.

    • @robinbeers6689
      @robinbeers6689 Před rokem +11

      Animal foods are way more nutrient dense than any plants could hope to be.

    • @thalesnemo2841
      @thalesnemo2841 Před rokem +4

      Absolutely!

    • @cogrfi
      @cogrfi Před rokem +6

      Yes, that gave me a bit of a laugh as well - and she had a sort of far away look in her eyes when she said it, as if wanting it to be true made it so.

    • @robinbeers6689
      @robinbeers6689 Před rokem +5

      @@cogrfi Yep, this whole episode struck me as ideology in search of a scientific cloak, however thin and flimsy.

    • @hektor6766
      @hektor6766 Před rokem +1

      @@cogrfi That's how she conducts all her research, apparently.

  • @ketodreamofficial
    @ketodreamofficial Před rokem +27

    The keto diet is absolutely life-changing! Start now, you'll thank yourself later ! 😍🥑

  • @ivettesantana4319
    @ivettesantana4319 Před rokem +5

    Plants are actually toxic to me at this point. I find that meat wont swell me up and cutting all powders, vitamins, drinks, collagen, pepper based spices has been the key for me. I am so glad you are getting the word out there of keto being beneficial for the kidney.

    • @smiles2spare
      @smiles2spare Před rokem +1

      I was just hearing that plants have been developed to be more lectin rich so they will fight off pests better. When pests digest the lectins with the plant, they get sick and learn not to eat anymore of that plant. Guess what? We're also pests when we eat the plants, which are engaging in biochemical warfare for self-preservation.

  • @StormyRussian
    @StormyRussian Před rokem +7

    My take on this: enjoy your steak with a lot of low oxalate leafy greens (arugula, romaine, coriander etc), lemons and olive oil, like Italians do ;) One lemon a day... you guess the rest. If you don't like lemons, get some magnesium and potassium citrate, I bet you're deficient on these two elements anyways. I would only use calcium citrate on a low dairy diet. And thanks DietDoctor for finally addressing kidney health!

    • @melissal3383
      @melissal3383 Před 2 měsíci

      Lemons have citric acid which can help prevent calcium stones. it’s also in lots of sodas & diet sodas. That have a citric base. Like Mtn Dew. But if a person eats meat& a lot of carbs than they create a LOT of uric acid & some people get uric acid stones. Happened to an overweight girlfriend of mine. And she STILL refuses to give up carbohydrate. She’s addicted

  • @tammyday9389
    @tammyday9389 Před rokem +17

    Oxalates aren't a concern with a plant-free diet. Jess talks about the "tricks" they had to design to do the plant-focussed diet. Wouldn't it just be easier and better to go high-fat, animal-based?

  • @Philly1958
    @Philly1958 Před rokem +13

    So I increase my protein and my GFR when up

  • @leonaedwards7104
    @leonaedwards7104 Před rokem +14

    What is missing is high fat in keto and intermittent fasting.

  • @lornahowerton1379
    @lornahowerton1379 Před rokem +7

    I had Stage 3 CKD and after doing Healty Keto and IF my GFR went from 32 to 64

    • @marybeasley1411
      @marybeasley1411 Před rokem +3

      How long did it take and what was your If schedule? I’ve been on healthy keto for 4 months. My GFR at beginning was 34 and 1 month into keto it was 37

    • @karen4stars
      @karen4stars Před 7 měsíci

      How long great question

    • @RodneyE.9491
      @RodneyE.9491 Před 2 měsíci

      Congratulations. My eGFR is 57. I'm now doing carnivore. Hopefully, I'll be above 60 by the end of 2024.

    • @melissal3383
      @melissal3383 Před 2 měsíci +1

      GFR is just a calculation. I did MRI for 30 years. Many many patients had low GFR numbers of 20-30 simply because they were dehydrated. Not because they had truly been diagnosed with a kidney disfunction. After being on a IV drip for 2-3 days, their numbers ALWAYS went up. Always. I’ve been doing Keto & carnivore. I know for certain that I’m dehydrated. I drink saltwater, electrolytes, plus LMNT. It all goes straight thru me. I did read & see that Fish DHA supplements greatly help kidneys. So I’ve been taking 1-2 of those a day.
      Low GFR number vs dialysis are competent different things. Video was also disturbing because the woman KNEW just how bad oxalates are to the kidneys. She sounded ignorant. If someone really want veg than they should eat broccoli or asparagus. Something low oxalate.

  • @rogerwilcojr
    @rogerwilcojr Před rokem +13

    My main take from this is that most kidney disease is genetic and that if it doesn't run in your family then most of this doesn't really apply to you, especially if you don't already have some form of kidney disease. I also have a strong sense that they are pushing a plant focused diet for ideological reasons, and designing their testing to force the results they want, but at least they admit that a vegan diet is not healthy. There was a little hemming and hawing about the bio-availability of nutrients of plants versus meats, but they push the plants nonetheless (along with supplements).

    • @kyleduffy
      @kyleduffy Před rokem +5

      It's genetic if you have PKD. But Chronic Kidney Disease (CKD), which is similar enough, is a result of Type 2 Diabetes (T2D) and High Blood Pressure, which is what most CKD patients have. And how many people have T2D? An insane amount, 1 in 10 people. My key takeaway was... BASICALLY, if you have T2D, you need to cut carbs ASAP to reduce or halt the progress of your CKD and even end stage CKD (Stage 4-5) can show benefits from an appropriate Ketogenic diet.

  • @louisag5410
    @louisag5410 Před rokem +8

    Could only watch a few minutes of this, but seems to contradict all the folks who profess to have reversed CKD with meat heavy keto or carnivore….which coincidentally also resolves/improves T2D and high blood pressure…

  • @thoushaltnotlie3487
    @thoushaltnotlie3487 Před rokem +7

    Grass fed meats vs non grass fed meat. One is much better in omega 3. Non grass fed is high in Omega 6 which is inflammatory.

  • @GrumpyG63
    @GrumpyG63 Před rokem +13

    I have iga nephropathy. Kidney function has been fine on meat based keto. I wonder how anyone was healthy before plant based garbage became available??

  • @Philly1958
    @Philly1958 Před rokem +29

    The nutritionist point of view on plants appears to be more opinion than science?

  • @jselectronics8215
    @jselectronics8215 Před rokem +14

    I'm 75 and have been keto then carnivore the last four years. Prior to going low carb, my urine was very dark, almost orange at times, and very low volume.

    • @chazwyman8951
      @chazwyman8951 Před rokem +4

      When I had treatment for stage four cancer my pee was dark brown. I brought that up with my oncologist and he said "great - that means your kidneys are working on all those toxins"

  • @CCC-ze8pj
    @CCC-ze8pj Před rokem

    Excellent as always. Thank you for this information.

  • @joecaz
    @joecaz Před rokem

    Very clarifying. Thank you!

  • @wocket42
    @wocket42 Před rokem +8

    "What are your go-to plant-based protein sources?" "eggs, salmon, shrimp, chicken. And some cheese". Okay...

  • @leeleelovestoshop72
    @leeleelovestoshop72 Před rokem +11

    PKD, was on dialysis for a year and 6 years post transplant. I wish i knew all of this years ago.

    • @cherylh4688
      @cherylh4688 Před rokem +2

      🥰 Yes. But hopefully you are now happily thriving with your healthy transplanted kidneys, and you can now apply this info to keep them that way! 🤞🙏

    • @smiles2spare
      @smiles2spare Před rokem

      You can blame medical bureaucrats and big food/pharma who pushed the wrong diet/health advise on us decades ago, intimidating anyone who dared to even question them. Remind you of the last 3 years? Way too much conflict of interest!

  • @helenndow1101
    @helenndow1101 Před rokem +6

    My kidneys are very good at telling me what they don’t want, my toes will hurt.

  • @laurahiggins8594
    @laurahiggins8594 Před rokem +1

    Good timing for me for this topic!

  • @GodfreyMann
    @GodfreyMann Před rokem +5

    If oxalates are only found in plants then why restrict meat? Shouldn’t the goal be to avoid plants at all costs if avoiding oxalate stones is a goal in CKD?
    It sounds like their clinging to veggies may be misguided ideology because at 14:11 she said a 100% “vegan diet wasn’t nourishing enough”, but then she contradicted herself by saying “plants are nutrition dense” (22:54).
    Is the need to shun animal protein perhaps only relevant when consuming vegetables?
    What’s the evidence that a pure keto-carnivore diet is bad for the kidneys once decoupled from veggies?
    Is more acidic urine on its own likely to harm the kidneys? And what about higher amounts of amino acids in the absence of oxalates?
    Might a keto/carnivore diet therefore allow more protein intake compared to a plant-based focus, thus allowing older patients to better preserve muscle mass in the long term?

  • @evianx1
    @evianx1 Před rokem +10

    So far I haven't even heard any talk of fat macro's which can be 80% of calories on a ketogenic diet

  • @evianx1
    @evianx1 Před rokem +7

    So much talk of how nutrient dense plans are but then supplement b vitamins and zinc
    Definitely B-12

    • @robinbeers6689
      @robinbeers6689 Před rokem +4

      Exactly. Eat a steak. No supplements needed.
      And then they start talking about amino acid supplementation and carnitine supplements. SMH.

  • @Philly1958
    @Philly1958 Před rokem +25

    Again where is the data that a vegan diet is better than an animal diet.

    • @robinbeers6689
      @robinbeers6689 Před rokem +7

      Crickets chirping.............

    • @thalesnemo2841
      @thalesnemo2841 Před rokem

      Veganism is a religiously based belief system unrooted from reality! Humans are essential carnivores! Humans have a tiny cecum, large small intestines,are enzymatic digesters and are NOT hind gut fermenters!

    • @uaeio
      @uaeio Před rokem +2

      None…

    • @joebohn2148
      @joebohn2148 Před rokem

      Hello, hello ?

  • @malaherbst8256
    @malaherbst8256 Před rokem +17

    What about the effects of oxalates on the kidneys from all these plants?

    • @artemishunter8993
      @artemishunter8993 Před rokem +1

      I've been looking into vitamin k2. I was recommended a book.
      Vitamin K2 and the Calcium Paradox

    • @underwaves75
      @underwaves75 Před rokem +7

      @@artemishunter8993 a good source of k2 is pasture raised soy/corn free eggs. Another, and a cheaper way is to request fat from grass fed/finished cows from a farmer or butcher who tosses it out or sells it cheap. Then take it home toss it on low In a stainless steel pot for approx 8 hours until the fat separates. Once it does you can drain the liquid into a tempered glass jar or wait till it’s cooler but still pourable and just strain the bits and pieces out and use that fat to cook everything. It’s loaded with k2, d3, vit A etc. Also ghee, cheese made from raw milk is very high in k2.
      That’s just to start.

  • @lynnewilley9464
    @lynnewilley9464 Před rokem +13

    I guess I'm finding this discussion very strangely conflicting within itself..almost as if , dare I say the interviewees are hesitant to just say anything definitively or maybe it's me for not getting the whole acidic non acidic stuff in the beginning. So keto with no almonds and then vegan as solution?

    • @robinbeers6689
      @robinbeers6689 Před rokem

      Yep. It is very internally inconsistent. They are twisting themselves into pretzels to hang onto the plant based ideology.

    • @nataliajimenez1870
      @nataliajimenez1870 Před rokem +4

      She said that vegan was not a good solution and they've found improvement adding animal products and make sure the person remains in ketosis, but also make sure that citrates are given to make the urine less acidic. And the protein content has to be more carefully watched for people with very advanced kidney disease. You can't have a one-size-fits-all approach for people dealing with severe conditions. That's why we have to make sure to reverse our diabetes and hyperinsulinimia before we develop severe kidney disease that limits even more our diets

  • @lynnwilliams5432
    @lynnwilliams5432 Před 11 měsíci +1

    Dang just broke my hip did full anterior replacement although just stem of Greater Trochanter. Said best kidney’s number ever seen in patient my age, 80 yr female. So Carnivore hasn’t damaged my kidney.

  • @Philly1958
    @Philly1958 Před rokem +13

    What data are they basing a plant based diet on? I adp opted a mostly red meat based diet and increased my GFR.

  • @chrisavetrano
    @chrisavetrano Před rokem

    Thank you for this interview!

  • @lyleburns8532
    @lyleburns8532 Před 6 měsíci

    57 yr old with GFR of 105. Eat 1-2 cups veggies with meat or eggs every meal my whole life. Of course, when I cycle back onto keto it has to be Celery, spinach,
    Broccoli, cabbage, etc. I just feel better when I eat vegetables with every meal. And when I'm not trying to do keto I eat couple couple citrus fruits everyday as well. And drink over a gallon of water per day as i'm Always thirsty.

  • @pamb.4314
    @pamb.4314 Před rokem +5

    My daughter developed stones after doing Keto. We learned about eating less animal protein and eating calcium with oxalates. Thank you for doing this segment.

    • @GrumpyG63
      @GrumpyG63 Před rokem +1

      What does she eat then?

    • @robinbeers6689
      @robinbeers6689 Před rokem +1

      Most people who get stones on keto are pounding down the leafy greens and almond products. Carnivore solves these problems.

    • @GrumpyG63
      @GrumpyG63 Před rokem

      @@robinbeers6689 That's why I'm fine then! Cheers

    • @kyleduffy
      @kyleduffy Před rokem +8

      People don't develop Kidney Stones from going Keto. Keto has a "flushing" effect on the body so stones that are already in development get pushed out more quickly. They had already been developing. You will only develop stones if you don't drink enough water on a Ketogenic diet, at which point it's not the fault of Keto, it's the fault of the persons hydration levels.

    • @robinbeers6689
      @robinbeers6689 Před rokem +5

      @@kyleduffy You're right but all the kale and spinach green smoothies made with almond milk and almond flour muffins spread with almond butter doesn't help any. If someone had stones forming, this will exacerbate the problem.

  • @boxerfencer
    @boxerfencer Před rokem +1

    Where's the links to the guests' websites as promised in the interview??

  • @ivettesantana4319
    @ivettesantana4319 Před rokem +4

    Yes yes yes! she said it the oxalates have to be managed. I knew almonds made me feel like crap 3 years ago and I quit those too lol.

  • @lp6757
    @lp6757 Před rokem +1

    Clean Keto/sibo/histamine cured my stomach problems psoriasis and I had it bad! completely gone! Kidneys are good so is liver getting better everyday!

  • @OIOnaut
    @OIOnaut Před rokem +3

    Plants hold a lot of nutrients and do NOT let them go!
    Go to the comments instead. That is where the beef is.

  • @jackieburns5257
    @jackieburns5257 Před rokem

    What if you weight train? Should you still lower protein intake?

  • @rainermaelger4726
    @rainermaelger4726 Před rokem

    Danke !

  • @jarikinnunen1718
    @jarikinnunen1718 Před rokem +1

    The protein quality. Meat and egg is highest quality protein. It meaning less protein intake than plant protein.

  • @judithwood6419
    @judithwood6419 Před 11 měsíci

    I eat more fruit and vegetables, but I have to have some type of protein at least 3 to 4 times a week and it makes those difference whether it’s fish, chicken, lamb, organic pasta, or beef, organic pastries make sure I stay away from any type of animal that’s been given antibiotics to sensitive to it.

  • @evianx1
    @evianx1 Před rokem +2

    Let's not forget about citrates.lime and lemon water, and potassium citrate as one of the electrolytes.
    Foamy urine can be indicative of excess protein in the urine: but what is the reason that the protein is high in the urine.
    Retrograde ejaculation can be a reason if ejaculate is sparse or dry.

    • @robertdaymouse3784
      @robertdaymouse3784 Před rokem +1

      @@user-pq3vd6oc1c Measure your urine pH with strips. I take 6-8g /day of a mix of K/Mg Citrate and K/Na bicarbonate to get my urine to 6.75

    • @cindyhesse5196
      @cindyhesse5196 Před 7 měsíci

      Yes, what IS the reason for protein in the urine? I'd really love to have the answer to this. If it's not from eating too much protein, then???

  • @Philly1958
    @Philly1958 Před rokem +14

    I would like to see a carnivore approach in early stage disease.

    • @smiles2spare
      @smiles2spare Před rokem

      You're right! They only mentioned SOME keto eaters had bad results, but were they really staying in ketosis?

  • @tonyarcuri564
    @tonyarcuri564 Před rokem +1

    Keto-carnivore will save a lot of lives!

  • @grantw7946
    @grantw7946 Před rokem +1

    If I eat steak eggs and bacon for dinner my eGFR does down before a test. Comes back later (tested). In Canada they use Creatine.

  • @mariodigiosia481
    @mariodigiosia481 Před rokem +1

    Hello, How to interpret kidney function values eGFR with only one kidney? My current eGFR is 60. I'm aiming for 60 to 80 grams, mostly meat/eggs based.

    • @dietdoctor
      @dietdoctor  Před rokem

      Please make sure to work with your doctor regarding specific personal protein recommended amounts.

  • @eltoncooper-ic2dp
    @eltoncooper-ic2dp Před měsícem

    I notice that oxalates were not mentioned at first; since they are not from animal based diets.

  • @BiNumLi
    @BiNumLi Před 8 měsíci

    So lemon juice would be in order. High in citrates, low in sugar/carbs. As a supplement to lower urine acidity.

  • @ivettesantana4319
    @ivettesantana4319 Před rokem +1

    You make the dietary approach by going OMAD so your kidney is not working all day trying to go through all the food.

  • @hotdog5966
    @hotdog5966 Před rokem

    does restricting Carbs mask the insulin resistance problem?

    • @jdilksjr
      @jdilksjr Před 11 měsíci +1

      Nope, in time it cures it.

  • @robinbeers6689
    @robinbeers6689 Před rokem +9

    Dear Diet Doctor, This is complete nonsense. I expect better from your website.

  • @elitet3359
    @elitet3359 Před 3 měsíci

    You talk about fish - surely the amount of mercury and other metals in fish have an impact on the kidneys especially those with PKD and CKD - should people avoid fish or should they find a fish with low metal content. I know it’s impossible to find metal free fish so what is your view on this?

  • @MizanurRahman-kc3ug
    @MizanurRahman-kc3ug Před 10 měsíci

    in ckd nefron perishes?

  • @judithwood6419
    @judithwood6419 Před 11 měsíci

    So let’s talk about people who don’t have diabetes who don’t initially have high blood pressure because my blood pressure originally was low, but have chronic kidney disease who may have lupus too, and also have a genetic component.

  • @boxerfencer
    @boxerfencer Před rokem +9

    Im curious. Is half capacity kidney function in a 80 yr old man, who's had diabetes type II for 40 years, considered kidney disease?
    At my old man's last check up he was told he had his kidneys working at half capacity, but wasn't refered to a specialist, which I find worrisome seeing as though I've been trying to get him to eat like a low carb bodybuilder for years, unsuccessfully, I might add.
    He takes meds but refuses to eat well. He's a carb junkie. He'll often skip meat and poultry for a bowl of rice and few bites of salad at lunch, before napping. Afterwards, he eats half a small bag of icing/cream filled cookies, then complains about his diabetes not getting any better.
    When I tell him it's a lifestyle issue, that he eats too much, more kcals than he expends, he protests that he doesn't physically eat much. I then remind him of caloric density, such as those cookies he eats, and of food composition such as subsisting on rice and bread, which is where he changes the subject.
    It's like dealing with a 5 yr old's temper tantrum.

    • @kyleduffy
      @kyleduffy Před rokem +6

      Yup, old people suck. Yes, he absolutely has Kidney Disease of some sort. Most diabetics have kidney disease as a result of the high blood sugar and high insulin levels over a prolonged period of time. They absolutely destroy your body. Cutting out the carbs is the best thing a diabetic can do. My father cut out carbs and was off insulin in a little over a week. He's been a T2D for 35 years. They say T2D is incurable... this is absolutely not true.

    • @boxerfencer
      @boxerfencer Před rokem +1

      @@kyleduffy thanks for responding. I'm thinking of suggesting he eat a top limit of 130 gm of carbs per day, which is the min usually recommended for brain function. That's just one less bun at breakfast and supper.
      To my surprise today I noticed he gets 38 gm of animal protein at supper, but a measly 13 at breakfast. 3 large whole eggs at breakfast should solve that.
      I'm hoping for a minimum of 25-30 gms, at any meal since that's what Layman suggests to combat sarcopenia. Hopefully he could get away with more but I don't know how his kidneys would react.
      The hardest bit is going to be to avoid that bag of cookies after napping, and avoiding that bowl of rice at lunch while getting him to eat meat instead.
      I'll audit his lunch tomorrow when I pass by and see what his food composition and macros look like, and suggest modifications.
      I'll have him get his kidneys tested again further down the road, but I don't know how much time should pass on a new diet before meaningful effects on the kidneys will show up on testing. Any ideas?

    • @methanial73
      @methanial73 Před rokem

      You don't need any carbs. What we've been told about requiring carbs is 100% false unless you're a type 1 diabetic. We've also been told that type 2 diabetes is a chronic disease. It's not and I've proven it myself. You better tell the old man that if he doesn't manage his diabetes better he might start losing limbs and go blind. It's no joke.

    • @kyleduffy
      @kyleduffy Před rokem +5

      @@boxerfencer 130g/day for brain function? That's total BS. Consider 0-50g/day. The body does not need to consume carbohydrates for any reason. None. Zero. We only need to consume fat and protein. Our liver and kidneys have a process called "Gluconeogenesis" which converts fats and protein into carbohydrates for the very few cells in our body that need sugars. In fact, our brains run MUCH MUCH BETTER on Ketones than they do carbohydrates. If he is a Type 2 diabetic and cuts out carbs, he will very quickly stop using insulin so he should be under doctor supervision. Over consumption of carbohydrates is likely the reason he has the health issues he has... him and every other American.

    • @boxerfencer
      @boxerfencer Před rokem +1

      @@kyleduffy I don't debate that the brain can function on ketones. I presume 130 g/day is a figure meant to avoid that considering most people don't premeditatedly go into ketosis.
      As for the brain functioning better on ketones or sugar, I've heard it both ways and don't possess a degree in an associated field to sift through bias and bullshit. I will say I've heard the support for sugar being long standing, and the ketone support being recent and so needs to be excessively convincing to break previously established models.
      Support from epileptics doing better with ketogenic diets isn't convincing in my view as only some forms of epilepsy improve, and in those cases improved, it's believed to have to do with a rare genetic mutation in carbohydrate manipulation.
      This anomaly can't be extrapolated to the population at wide, and would be akin to suggesting wheat is bad for everyone because a select few have issues. That doesn't follow.
      Having said that, you didn't answer how you addressed you dad's presumed kidney disease from long standing diabetes, and how you got him to buy into a ketogenic diet. I assume you increased his protein? How does that play to his kidney issues?
      As for my suggesting my dad limit his carb intake rather that eliminate it, there's other issues at had that support a moderate approach, like the fact that he needs to keep his fiber intake high or else he loses regularity. There's also the issue of resistance on the part of his wife to have to change her cooking repertoire, not to mention that she also needs to cook for handful of employees that work for my dad's business.
      She ordinarily cooks a buffet like lunch, with a soup or two as entre, one or two meat offerings (poultry and red meat or pork, sometimes fish and seafood), with either rice, potatoes, or pasta, and two or three salads to choose from.
      There's a lot of moving parts there, my dad, his wife, their employees, and the odd family member who eats there, so it's just easier to encourage my dad to pick and choose what to eat from what's presented (make healthy food choices), rather than change their whole system they've been doing for half a century.
      Lastly, I don't debate most Americans are suffering from diabetes due to over eating. But I don't think we should lose sight of it being situational, in that overconsumption always relates to energy expenditure, not to the over eating any one macronutrient in isolation. Therefore, resorting to extreme ketosis isn't strictly necessary.

  • @hektor6766
    @hektor6766 Před rokem +1

    That may be why cows have a four-chambered stomach, to handle all that vegetable nutrient density coming out of that soft, easily digestible cellulose. Or maybe not...

  • @irenepalmer7597
    @irenepalmer7597 Před rokem +2

    Everything today is blamed on genetic issues and one must ask why is it genetic. My dad had diabetes so I started getting an early onset but nut knew get on a keto diet to get off of the medications. My dad eventually had Alzheimer’s. Had my German mom known not to bake all the time sweet things it could have helped my dad. My dad and my brother developed kidney stones. Does that mean because I am on keto I will get them? They were both people who drank a good amount of alcohol so that could explain why they had it. We develop certain things we call genetic because of the improper diet we eat. I think it’s important for us to eat a whole food diet whether it’s meat or veggies which I include a lot of. I cannot just eat meat because it will not keep me on the diet. So we tell people eat more fish and then they get mercury problems and develop another issue. They give us meds for blood pressure but yet they ruin our kidneys eventually. No one has the total answer and each one of us is different and respond differently to diet. I do not eat meat all day and mix it up with fish at least a couple days a week. I eat fruit now here and there. I will never eat these plant-based meat substitutes because what God creates is what we should eat. The healthiest country in the world In 2022 was Spain. They love ham and fish.The US was very down on the statistics and I mean way down and we have the most gyms and the most people eating vegan diet’s. How do we explain that?

    • @smiles2spare
      @smiles2spare Před rokem +1

      Big food and pharma are corrupting our health agencies and medical institutions because their bottom lines are more important to them than our health. For example, our FDA gets 65% of its funding from pharma that it's supposed to be regulating. If that's not conflict of interest, I don't know what is!

  • @thoushaltnotlie3487
    @thoushaltnotlie3487 Před rokem +3

    Is it really genetic ? or is it kids following parents diets that translate to the same diseases that the parents get?
    Example: parents eat a certain (unhealthy diets in most cases) and teach their children to
    Eat the same way and they get the generational diseases?
    Thomas Seyfried in his videos on cancer is a metabolic disease as most believe it is genetic which I believe is a very small percentage.

  • @Qqjjiijjpp
    @Qqjjiijjpp Před rokem

    Sunflower butter?

  • @yay-cat
    @yay-cat Před rokem

    This is tricky. So my husband passed a kidney stone this weekend (1st time) and the hospital scan showed a little dot on his liver (still has to get another scan). Man lives on coca cola and bread and for the first time ever the sedentary guy is willing to drink water and start exercising and will eat what I tell him to. But like going yolo diet doctor style high protein low carb might medically not be get best thing for him so I don’t want to be the idiot that causes him harm because I loosely interpreted a medical diet from the internet.
    Like everyone can agree on what he has to stop but what can he actually eat. I called my school friend who is a dietitian and told her his sensory issues mean he wont touch veggies so she said that eggs and unprocessed meat are ok (she says veg protein is better but 🤷‍♀️).
    Gonna start there until we get actual tests and scans back. But maybe add some yoghurt or a banana if he’s craving carbs

  • @Spongebob007
    @Spongebob007 Před rokem +1

    Sounds like torment when people are apparently doing as well on animal based

  • @matthewbeck5680
    @matthewbeck5680 Před rokem

    What If it is caused by high blood sugar and you stop that maybe it is good for stopping the reason for the kidney issues at least for those that are not suffering from genetic kidney issues.

  • @robinq5511
    @robinq5511 Před rokem

    Why do they think that animal protein (from its higher amino acids) is the high stressor yet seeing oxalates as a component of the formation of kidney stones is not? A high plant based diet with poorer protein (missing essential amino acids) and high oxalate content is more likely the causative factor. If a nutritionally poor diet is the cause then trying to restructure the diet needs to fix that first. IMHO I don't think they will be able to do that successfully with more plants which aren't providing the essential nutrients the body requires in the first place. Also relying on supplements to provide them seems problematic as well.
    As far as the acidity of blood being a factor then maintaining balanced electrolytes is certainly a key factor as well where the overall kidney function is concerned.

  • @arvind87654
    @arvind87654 Před rokem

    Hello I am 45. Diabetic since 2011. I have CKD stage 3. Can somebody help me. my eGFR is 41.

  • @johnwatkinsjr788
    @johnwatkinsjr788 Před rokem +1

    I'm trying to figure out why everybody is trying to destroy things that are good for you especially when it comes to eating red meat anything in excess regardless of what it is is bad for you so please stop trying to say that red meat is bad for you or fats are bad for you because they're not plant bases not the best thing in life plant-based is not something human beings were never meant to only consume plants. Balance is the best way to go about it figure out what's wrong with you and correct it and then work to maintain complete balance not one over another

  • @danieljack505
    @danieljack505 Před rokem +1

    Kind of disappointed this felt very plant biased. It seems that pure vegan was giving disappointing results it would be good to see what happens if you went high fat med protein and avoided plants

  • @NancyEvansUSA
    @NancyEvansUSA Před rokem +3

    Dr Saville seems to be quite biased and unable to consider any food that isn't plant based

  • @garyroberts3859
    @garyroberts3859 Před 19 dny

    Protien in the diet is not an issue from some drs online…is this woman behind the latest science?

  • @theonewhoknows2817
    @theonewhoknows2817 Před rokem

    Dr.Jason Fung just called and I told him... Nobody's Home Here.

  • @judithwood6419
    @judithwood6419 Před 11 měsíci

    And too much meat does cause me a lot of problems. It does make my acid pH high. So I sort of mix it not too much eat lots of vegetables, lots of fruit. And I'm supposed to give up soda that's a little heart and I do eat sweets on occasion that's hard to give up and I only reason why I haven't given up all carbs because if I eat no carbs, I end up getting diarrhea. And if I eat too much meat, I get constipation. and it’s the MRR with that color stuff that affects my kidneys negatively and every time I have a bacterial infection, I need an antibiotic some antibiotics will affect my kidneys negatively. My father had our allergies to antibiotics, but he didn't have bad kidneys. he died at 76 years old from a blood clot to to the brain which was operative, but he refused because of religious reasons. I don’t belong to that religion.

  • @chazwyman8951
    @chazwyman8951 Před rokem +2

    So if you want to live healthy and continue to eat a natural meat based diet you might want to avoid oxalate bearing plants. Better still stop eating plants altogether.

  • @cantsay5141
    @cantsay5141 Před rokem +2

    Someone is definitely trying to mislead folks. But done so politely.

  • @grantw7946
    @grantw7946 Před rokem

    No signaling effect in the plant based

  • @robertdaymouse3784
    @robertdaymouse3784 Před rokem +4

    Increasing one's urine pH above 6.5 is important for those on a low carb diet, not enough discussion of this by doctors. Changing your entire diet to raise your urine pH seems needlessly complicated though when for 30 cents/day I raise my urine pH from roughly 5.3 to 6.75 with 6-8g of a mixture Na/K Bicarbonate and Mg/K Citrate. Doing this has greatly improved my UA and creatinine levels

    • @lanak.809
      @lanak.809 Před rokem

      Thanks for sharing

    • @cindyhesse5196
      @cindyhesse5196 Před 7 měsíci

      I have no clue what to ask for in my natural health store from what you just said. They'd probably just look at me and not know that it is either. Sorry for being so dumb, but can you give me a laymans name please? What do I say I want when I go in there?

  • @judithwood6419
    @judithwood6419 Před 11 měsíci

    I’m tired of hearing about diabetes and high blood pressure. I have chronic kidney disease because of lupus, and allergies mainly all allergic to antibiotics and certain types of dies and chemicals used by the Medical industry hyper sensitive to those and every time I take any antibiotic certain ones will make my kidney function go down and certain types of dies for test surgery also greatly reduce my kidney function. The doctors ideas like let’s see if You body eventually filter it out I don’t like that. And there is definitely a genetic connection. They’re various people in both sides of my family that had kidney Ice, chronic kidney disease and all of them were women. All of them didn’t have any children only one ever was on the dialysis and my great grandmother to be 91.

  • @OIOnaut
    @OIOnaut Před rokem +1

    Are we seeing again uric acid and TMAO fools or maybe all I have learned from my carnivorous health journey has been bogus and all the healing has been a lucky side effect.
    I will never leave my carnivore trap.

  • @1eingram
    @1eingram Před rokem

    Confusing. First ketones are bad then they're beneficial. What the???

  • @johnhuesca5222
    @johnhuesca5222 Před rokem

    A lot of what they said is true because I’ve seen it but y do they want to go back to vegs & don’t give credit to meat diet as they used to say in school stuck on stupid

  • @judithwood6419
    @judithwood6419 Před 11 měsíci

    They finally got to some studies and some results. but they were a little long-winded. and the questioner was far too interesting in just people with diabetes, and high blood pressure not with people who have have chronic kidney disease for other reasons and I’ve had chronic kidney disease since I was a kid. It’s just now gotten into stage 3B don’t like it.

  • @chazwyman8951
    @chazwyman8951 Před rokem

    DUH FFS. Plant-focused? WHY?

  • @jacquelinefransaw6911

    I think too much protein and fat hurts the kidneys is that true?

    • @yamanosu9463
      @yamanosu9463 Před rokem +3

      *If you have otherwise healthy kidneys* , there is virtually no chance that protein alone will cause any harm.
      If your kidneys are diseased or damaged I anyway then it is generally wise to be a bit more considerate of your protein consumption.

    • @Philly1958
      @Philly1958 Před rokem +6

      No. In fact carnivore diets using predominantly fatty Ted meat can improve kidney function.

    • @jacquelinefransaw6911
      @jacquelinefransaw6911 Před rokem +2

      @@Philly1958 a lot of people dont know that but thank you

    • @robinbeers6689
      @robinbeers6689 Před rokem +5

      @@Philly1958 Exactly. Dr Ken Berry has a lot of information on this topic.

    • @robinbeers6689
      @robinbeers6689 Před rokem +3

      @@yamanosu9463 Why? There is zero evidence that protein is bad for your kidneys. Assumptions and assertions are not evidence.

  • @skip2820
    @skip2820 Před 11 měsíci +2

    I wouldn't trust these 2.

  • @elisafrye2115
    @elisafrye2115 Před rokem

    ❤️Dr Bert is amazingly patient and courteous. I’ M NOT! So I’m not staying until the predicable end. At 90 in a few months, all my blood work shows that my kidneys, thanks to Keto and Dr Atkins previously, are free of any problems. Maybe someone with congenital problems might be affected but--🤫🥹