Intermittent Fasting and Chronic Kidney Disease

[@sylviatrachuk4364]

I am 80 years old and I started intermitted fasting two years ago no eating after dinner which is between 6 -630pm ,and breakfast around 11 am ,I am feeling very good in my body on no medication thank the lord .

[@narenmenon6906]

Fantastic testimonial.

[@RalphH1898]

At 82 I have a similar story and am enjoying a busy and productive life. Now at target weight and waist size. I tend towards a slightly later 7 hour eating window to fit in with my partner. Trying to motivate myself to do resistance training to offset some muscle loss. Feeling blessed. By the way having an occasional treat is absolutely OK.

[@stuchambers297]

This guy is spinning data, but no life experience, trying to make controversy without ever having a fast himself

[@kp3509]

I am 53 and I wish I can make it to 80. My dad died when I was 15. He died at 58 as a diabetic. My mom died two years ago at 84. I only take gout med at age 53, but I have controlled my diet. Let's see. The astrologist said around 66. My astrologist has been remarkably right about many things. I am still skeptical.

[@narenmenon6906]

@@kp3509wrote "I wish I can make it to 80." Why not give it a try? I started at age 65. Now I am 75. Within 6 months I saw changes, I dropped 100 lb. overall. Similar family medical history. 1. I Take very high quality Fish oil/Cod Liver oil so that you get 1.4g EPA and 1g DHA daily. This lowered my triglycerides to 65, and raised HDL to over 90.. 2. I cut off sugar completely. Avoid what a much as possible. I avoid wheat as well. I avoid all processed foods. No nut and seed oils. 3. I eat 3 pasture raised eggs for breakfast, with a keto coffee. If one eats meat (I don't) it must be grass-fed, poultry make sure they feed is organic, only wild caught fish. 4. Walk at least 40 min each day, preferably right after the heaviest meal. Resistance training, but no more than 3 times per week. 5. I supplement for any deficiencies. Ideally, one's Fasting Glucose should be less than 90. (Mine is 90) Fasting Insulin between 3 and 5. (Mine is 6) HOMA-IR (Insulin Resistance) between 0.7 and 1.0 (Mine is 1.3) HbA1c less than 5% (Mine is 5%) Omega 3 Index greater than 8%. (Mine is 11%) There's more, but I this is a good starting point. I do intermittent fasting as well I am NOT a doctor, and this is not medical advice. Just common-sense stuff that that I found on You Tube, and verified with stuff on PubMed which seem to work for me. Please do your own due diligence before you start any program.. Good Luck!

[@ramonmuniz8439]

So true, I reverse my type 2 diabetes, using similar approach, I took medication for 10 years and the last time I used any kind of medication was February 2007. I am 67 years old at 5’ 10’’ weight 155 pounds and take no medication, exercise every day. Eat 3 meals a day, breakfast at 8:30, lunch at 12:30 and a small dinner at 5:00.

[@Isaac5123]

@@ramonmuniz8439 well done

[@WalkingDday]

i've been fasting around 14 hours for a year now. Feel much better. At 72 did my first 36 hour fast. No problems, no hunger. Feel even better.

[@Isaac5123]

@@WalkingDday well done. Cut down on walking for miles. Get a pair of ankle weights and power walk for 50 yards at a time

[@surajdip3621]

I am 74 and ckd3. Did water only fast for 8 days, drinking 1.8 to 2 ltr of water 8 days ago. Starting Egfr 31, 86kg. At the end of the 8 days, had a blood test. Amazing result. Egfr 35 weight down 4 kg. Now, continuing vegetable only diet once a day 4pm. 8 different vegetables per meal.Feeling great and looking for another pathology on May 1. Expecting egfr to improve to around 37-41 as it had happened a number of times since 2015. Different bodies have different results.

[@daydreamerworld3056]

How can someone fast for 8 days?? I do one day in a month and feel like I will die if I continue an hour more than that.

[@surajdip3621]

@daydreamerworld3056 I believe it comes down to Cause and Effect. Practice and determination. Differences between possible and impossible is the level of determination. When your life is defined by a single action, it changes the concept of time .

[@asifeqbal9807]

Aap kahan se ho bhai?

[@dhuongnz]

Please keep us updated with your results. Thank w

[@joanallen5253]

@@daydreamerworld3056 I fasted a month in the 80's and after the first three days you no longer have any hunger. Hunger comes back when your body knows you should end the fast.

[@saiberunato]

Eating at night also increases heartburn, GERD too. Including sleep period within fasting window is beneficial in the sense you don't focus on food when asleep.

[@ellenmacklin4986]

I really appreciate your videos. I'm a kidney transplant patient (2004) and have PKD. I'm so happy to have someone tell me that life and each of us isn't perfect. I have been watching your videos for quite a while and have learned so much. Thank you so much!

[@stephaniem.dallakian2723]

I am diabetic with a kidney transplant (implanted 2010). This explains why I can eat carbs during the day, with no increase in my blood sugar level, but if I eat those same carbs at or after 6pm, my sugar goes way up and I need to counteract with insulin. Thank you for tge info, now I understand.

[@Isaac5123]

@@stephaniem.dallakian2723 stop eating carbs

[@carolwong9279]

I do timed restricted eating between 12 noon and 7 pm. I still learned so much from this video. Thank you for all you do. Love all your videos.

[@veronicatraviglia1586]

It would be difficult for me to do 11 to 6pm

[@Hippy2021]

​@@veronicatraviglia1586 It's not fasting!!! A good length of fasting is from 16 to 18 hours. At least 12 to 14 for starters.

[@Hippy2021]

​@@Cosmo-Kramer People eat wrong food and low protein that cause hunger and cravings. Every individual is different and depending on what you really want for your health. Not eating less than 14 hours is not considered a fast, to me.

[@woodroof40]

Got to love the wanna be dr's in the comment section.

[@carolwong9279]

@@woodroof40 Actually, I am a doctor. I am a nephrologist who practice a plant based diet. Oh, also I have a BS and an MS in Nutritional Science.

[@jmford610]

Doctor, you rock. Your counsel is balanced, sound and welcome. Thanks.

[@SoftailBaby]

I have started to fast for about 3.5 weeks now, I have fasted for anywhere for 14-26hrs I eat a good clean green meal & pure beet juice on my breaks, drink lots of only water during the fasts, I have lost weight that is my goal, I workout & am active. I do not break long in between fasts before starting another but I do get 2 very healthy meals in the short break, I start again by 2:30-4pm. To add will be 65yrs in March.

[@Isaac5123]

@@SoftailBaby what does your healthy meals contain?

[@Isaac5123]

@@SoftailBaby what is a green meal?

[@DavidGlover-s7x]

Very helpful page. Have Stage 3a ckd. Trying some IF in addition to better nutrition, exercise and taking my meds.

[@annabelleloreno986]

Dearest Dr.Sean, THANK YOU for the very informative and invaluable Information! May our good Lord bless your good heart, as well as your Family! Blessings to your 2 daughters! I will always remember your Birthday, Sir, November 5!!! -Anne

[@lindah4135]

Great topic Dr. Sean! Thank you for being a big part of my health journey ❤ Congratulations on the big 50 this year! My late mother’s birthday was on November 5th too! She would have been 99 this year! 🎉❤

[@nomzijilaji4535]

Godsend doctor!! Wise, positive and very sensitive. Thank you, Doc. God bless you 🙏

[@georgelewis8831]

Dr Fung disagrees about weight loss just using calorie restriction because your metabolism drops to meet your new calorie level! But fasting actually raises metabolism! Fasting is the better option. But I agree with you that stopping evening eating makes sense.

[@warloshernandez]

Maybe I did not understand your comment but Dr Fung is all about fasting when he talks about calorie restriction he means regular diets.

[@Isaac5123]

@@warloshernandez no he means do t do calorie counting. If you just eat meat and fat you will eat till you are satisfied without calorie counting. Calorie counting does not work long run. Sure you can lose weight but you will lose muscle and may be higher percentage of fat even with reduced weight which means a calorie is not a calories. It's not the way calorie in calorie out is not the way to get fit

[@karolinaeigenmacht5433]

I cannot sleep if i am hungry. Period. And sleep is a crucial part of the good health puzzle.

[@jennifergriffith4526]

So have your eating window closer to dinner

[@ShainWong]

Eat a lot before 6pm. Then it will last till 11am next day.

[@janetblanc7658]

Thank you Doctor for affording us so much of your time; as a grandmother I know how much time we have to dedicate to our young.

[@valeriej.chapin4553]

I'm 73, quadrple open heart, diabetic 2, and partial amputation (5 months ago) of leg below calf due to accident. Now Kidney involvement with edema at stump so prosthesis doesnt fit. Had colon block, am in W/C so colon is challenged. Using herbs. Thank you for these vids! I am grateful for the info. My dad was an N.D. so I try to stay natural and holistic. I fasted more earlier in my life. I do 14-16 hour fasting instead of a week like I did in my 30s-40s. Thank you!

[@Isaac5123]

@@valeriej.chapin4553 eat meat and fat only

[@an.....go5934]

That will be a noble legacy from you Dr! I've learned a lot from you..Enlightening! Looking forward to listen more You tube videos from you ,Dr Sean!God bless you and your family!😀🙏🏻

[@shirleyleonard8711]

Sr Hashmi, thank you for helping me understand that there is a difference between willpower and habit...train vs untrained...I have 3bto4 stage 4 ckd ...with fasting I lost over 14 lbs via habits but I need to be consistent

[@Larinator]

Despite my own understanding of excess red meat and protein I stupidly tried the carnivore diet (based on claims I had read of reduced inflammation and CKD recovery), got to 5 days and managed to give myself gout. I have CKD Stage 3 and Crohn’s disease and thought what have I got to lose, right? Now on Allopurinol and fastidiously watching what I eat. Thank God I do not drink alcohol. Determined to get the uric acid down to a safe level and now back to my regular mainly veggie diet with a bit of chicken and salmon now and then. Started fasting and hopefully that will help. Lifelong regular exercise habit helps.

[@halburke9115]

If you are eating sardines,,that is not fasting_

[@Larinator]

Dr Hashmi, much gratitude for your videos and advice. You rare doing a lot of good in the world.😊

[@thomaslevine405]

Thank you for the explanations about this subject, you're so good about making it clear. Dr. Hashmi I find it too hard to plan three meals that are kidney disease friendly. This is why I'm looking at intermittent fasting eating two meals a day. I'm seventy years old with a GFR of 47 on the last blood test a few days ago. I was concerned with 47 because my last blood test 4 months ago the GfR of 64. My creatinine level went up a lot and I was trying to figure out why. Then I realized the night before my blood test I worked out and I think that's why it went up from 107 the blood test before to 139 on yesterday's blood test.

[@susanclark3467]

Thank you so much for sharing your knowledge and wisdom. It is very appreciated. I had some protein in my urine back in September (diabetic and hypertensive) and was concerned. I started researching and found your channel which I am grateful for. The only reason I knew that diabetes and/or hypertension can lead to kidney issues is bc in August my Sister in Law was do with CKDstage 3b. I then next month had protein in urine and was panicked-never had it before 9or since luckily) but the surprising thing is that I had never once had been advised and have had diabetes and hypertension for 15 years that these diseases can adversely affect your kidneys-NOT ONCE. I consider myself with it so I was shocked to hear this from her-mind you not from any medical professionals. I just do not understand why I was not informed by someone. I go for yearly check ups always. I wanted to thank you for spreading this vital inform and helping save people’s lives!!

[@realrosesforever3847]

I don't know why they do not warn people. It's sad.

[@JohnnyPasamonte]

Thank you for this very informative and helpful information. I could watch every videos in this channel all day long. God bless you and your family❤

[@jameskantor0459]

Good video. You do good. And you are a good supportive father.

[@sheryljohnson9540]

Thank you for mentioning polycystic kidney disease and time restricted eating. I would like to hear more about PKD in particular. I have PKD and follow a plant based diet. Have learned Many things after discovering your videos today! Thank you for your very informative discussions.

[@narenmenon6906]

Not eating at least 4-5 hrs before bedtime eliminates acid reflux; hence no need to take PPIs which are bad for health. I can vouch for the content, because I have been doing Intermittent Fasting /Time Restricted Feeding for more than 10 years.

[@WalkingDday]

I stop eating 5 hours before bed, but have to be careful of coffee and alcohol.

[@narenmenon6906]

@@WalkingDday I am glad that you no longer have acid reflux. Coffee affects people differently. I could go to sleep at night right after drinking coffee. But I don't anymore, just to make sure that my brain is not stimulated. So I am limiting my coffee to breakfat and lunch.

[@henrypamaran8074]

Thank you very much. You kindness gives us hope

[@teresamexico309]

Do not wait to have a serious health problem, try which ever type of fasting fits your life style and see how good that can be for people's health. My only health problem is my gut. I do TRE, my last meal is at 6 pm and my first tea is at 9 am and since I am doing it, that is helping me a lot. Thank you for your video Dr. Sean, very good explanation and very positive one, yet which age is old?. My grandma used to say, you are only old as you feel ....your knees :) Greetings!

[@DeAnnaYah]

Try to get some raw food in you with every meal. Raw food has living digestive enzymes. Cooked food has killed digestive enzymes. Nutrition is still there but no digestive enzymes to help you digest your food. If you have no digestive enzymes, you have gut problems and inflammation. Also nuts and seeds are raw foods too. Sometimes it’s not always what eat. It can be what we don’t eat too. Digestive enzymes feed your good gut bacteria. So try to eat salad or fruit or raw veggies n dip, just get that raw food in you to help digest the food you cook.

[@teresamexico309]

@@DeAnnaYah Thank you Anna!

[@MarthaGarvey-i7s]

Thank you, Dr. My creatine has been slightly elevated, but stable for years, supposedly because of lithium intake. I am no longer taking the medication, and will see if my creatinine level improves. I am doing 8 hr’ intermittent fasting , and feel much better overall .

[@DD_11111]

Tip...start with no eating between 12 and 8pm and progress to what he's talking about over a week or so. It's less stressful than trying to start by having 4 hrs of no food before bed time. Personally I can't sleep if I am that hungry.

[@freedomwarrior5087]

I've had an eating window from 11:30am to 5:30pm for almost a year now with great results.

[@victoriakudry3127]

I have been on once a day meal for a year.. I lost weight, all my other markers went to normal range except cholesterol😮.

[@karenplusrex6407]

Just found you on your tube. Great info. In regards to coffee, the brands seem to make difference. My original brand had very little impact on my BGL, but my favourite actually increased my reading by an extra mmol. Obviously the beans have been coated or processed differently. I only drink long black coffee

[@RonWBlack]

Thanks, Doc! You’re on my list of awesome people, forever.

[@winstonallen6933]

I've had 2 kidney transplants. After I lost my first donated kidney (10 yrs.) I vowed I would do everything possible not to lose my 2nd one. Before my 2nd transplant I dove into research on fat/protein based nutrition and time restricted eating. Long story short, it's been over 3 years and my creatine has never been above 1.3. For me, I've been able to thrive exceptionally well on one meal a day. ALL OF MY METABOLIC MARKERS are well within normal ranges. I feel like I have created a moat around my metabolic health. I'm 67 years old and am also in the best shape of my life. I'm blown away at the consistency of my health. There is so much science available today that has allowed me to take total control of my health.

[@franhar8292]

Would you please share the foods you eat and your fasting and anything that can help me. Thank you.

[@hockeygirl8401]

My pastor’s wife is dying. She is on dialysis. She claims she can’t fast because of all the meds she’s on. What can she do? Didn’t you have to take your anti rejection meds?

[@franhar8292]

Jesus have mercy on her and give her peace. Amen@@hockeygirl8401

[@jkiser5143]

My transplant is 10 years old and doing fabulous so far. I quit the prednisone early on. I still suffered from long term problems. Harder to lose steroidal weight !!!! Prednisone gave me diabetes. Fasting of any kind didn’t do well with me. Please check with your nephrologist or transplant nephrologist if your a diabetic on fasting.

[@JohnSmith-fl5qn]

Congratulations I wish you health. Have you to suggest any diet/foods etc?

[@mpalmer7800]

I’ve done egg fast for 10 day lost 10 pounds and felt amazing.. now I’m doing 72 hours and eat a great meal for a day. I have tons of energy and I’m taking electrolytes and I’m going through with zero difficulty. Well I trained myself months before eating ADF and keto which makes it much easier to adapt to 72 hours without feeling hungry.

[@gengmabiscay3633]

Thank you so much doc you make me strong despite my situation ❤ sending love from Philippines.

[@roseritchie9964]

Thank you for your kindness and information. God bless you 🙏

[@Isaac5123]

Only one thing I disagree with what he said and it was about if you had cancer. The very best for this situation is not to worry about lack of nutrition but to stop eating and starve the cancer.

[@umbusongcobo8039]

Totally agree

[@Isaac5123]

@@Mikeymoo-x3p all forms of carbohydrates but also cut down on protein

[@teresamexico309]

Time to have your great videos Dr. Sean in Spanish and other languages as well, please.

[@tasiofilósofo]

Thank you doctor from the philippines

[@RosaBranch-bb8en]

Thanks, i love love coffee ☕️

[@Antonio-wk7nk]

Thank U so Much for this wonderful Class doctor . I have learned Many things watching Ur videos . In this comment I want to clarify something about the Fasting of the Muslim People : U said that they fast during the Ramadan but .! They do eat after 11 PM ..!! So, in reality they do a ONE MEAL A DAY . Which is more an Intermittent fasting than a Full Fast . Thank U so Much For All Ur wisdom Doctor Sean .

[@mohalux]

Thanks a lot for your efforts

[@dassa0069]

Very excellent presentation; thank you.

[@아이이바스코준]

Thank you so much Doc. I'm learning a lot from you. Simple, easy and direct to the point explanation..

[@rmjbiomed]

Dr Sean what is the best way to lower creatine.

[@Jude1310]

I need this info too

[@glologan7056]

Thank you. I appreciate your precision in explaining the data as well as the physiological processes. Perhaps "elderly" are defined by age in study groups. As one of the "wise"I would find it helpful to understand the characteristics of the "elderly" in a given study. I've come to realize that I sometimes believe what is convenient to believe, e.g., perhaps fasting would be okay for me given my mostly good health and I don't feel "elderly" though my mirrors image defies that feeling. Re: a topic -- a talk about nutrition, especially supporting retention of muscle and bone mass and tempering efforts for weight loss would be useful. Continuing a life of carrying too much weight, constantly trying to decrease weight, varying strategies up and down, I think I've wrecked my metabolism and probably that's true for so many people. Now I'm uber wise (67), weight training, feeding my body while still trying to meet weight standards. In my wisdom, I've become most concerned about muscle mass and bone density. My quackers doctor wants me to use mounjaro and eat five bites at a time (you can't even eat a small apple in five bites) plus 60 grams of protein each morning via protein powder even though my waist to height ratio is

[@joanallen5253]

I'd like to know more about the characteristics of "elderly" as well. I am almost 74 and was about to start a fast of 2 to 3 weeks, now I am concerned it would do me more harm than good. I fasted a month when I was in my thirties and loved that after 3 days there was no hunger.

[@Arigatoukeka]

I am a CKD patient and trying different diet to see if my egfr , even a small number will go up. And intermittent fasting is the best way and plant base diet. But still struggling to continue this diet.sometimes i want to eat meat😓 Thank you so much Doc! Yes! We are not perfect! Be happy always! God Bless!

[@jolenemccreery8549]

Meat is a healthy whole food!

[@Natalie82170]

@@jolenemccreery8549 No, it's a terrible food for anyone but especially kidney disease patients.

[@janetblanc7658]

Keto often advises skipping breakfast and going until midday or later before eating. I'm an Irish breakfast loving person so your video cheers me up. I'm never so hungry in the evening - just morning and lunchtime.

[@Ladybug8899]

Carnivore diet improves your eGFR. Look it up on you tube, a lot of them says positive things about it.

[@millionairementality_]

Outstanding! God Bless you.

[@antoinettebrown3834]

Thank you kind sir! You are amazing God bless you for what you do!

[@murrayfeldman2243]

Thank you also much for your great down to earth information and your humanness.

[@ratinhoembondeiro646]

Thanks for this! And loved the ending!

[@Brinb]

Great video very informative. Thank you.

[@fesehamilton3843]

Thank you Dr. May God bless you 🙏🏾

[@JohannaHendrix-cq7rd]

Sounds simple but is actually really hard to implement. Any tips?

[@diadequinones7761]

Thank you for all the nice information 😊

[@emilagrimas8890]

Doc thank you for your advice

[@nursesona7227]

Hi Dr. Hashmi, do you have a video on fasting in menopause age for women? Thank you.

[@hakantanik9305]

Thanks Dr.Hashmi. for straight information depends on results and perfect english. We follow you from Turkey.

[@kimyoung3484]

Thank you so much Sir. God bless you and your family.❤️🙏❤️

[@MarkBennett007]

You’re a force for good Sean. Namaste

[@janetblanc7658]

Thank you Doctor..my kidneys are at the limit, filter 31, creatinine 136 and my sugar and cholesterol are too high. I'm thin so don't want to lose weight. Not sure i should fast for too long. I'm 80.

[@TheMDM1956]

Thank you for this very helpful video. 🙏🙏🙏🙏

[@ramonesteves8499]

Thanks doctor very Informative ❤

[@selma5885]

I did the fast mimicking diet/prolon and I felt horrible. Brain fog, weak and starving the whole time. I have a history of chronic illness -fibromyalgia, neurological symptoms, chronic fatigue.

[@MPM6785ChitChat]

Thanks for sharing your knowledge.

[@judgetoogood1033]

Thank you doctor. ❤❤❤

[@andracadicecrawford4256]

THANK YOU!

[@sandrawoods7492]

43:01 Thank you for the Great advice 🇬🇧

[@yeehaw398]

eGfr 62, creatinine blood 1.25, albumin blood4.6. Albumin urine 65, creatinine urine 67. So, high in urine not high in blood. What is what? Do you have video on difference and importance? Or can you give short explanation?

[@marilynhoward4561]

My husband and I started intermittent fasting in our late sixties. We are much healthier. Are we too old to continue this?

[@secretariatgirl4249]

I am on a very low protein diet aka Walser ...At my weight of about 108, I eat about 21 grams of protein a day PLUS I am using pharm grade amino acids, no meat, fish, eggs, dairy, nuts, very small amount of legumes..Stable since 2009! I had a twisted ureter as a kid and found out later I had damaged kidneys...EGR from 37 now in high 40's-low 50's. Worried about the cysts I have which seem to be stable, one is quite large. So, at 73, I should probably stop eating so much AFTER dinner to get those calories in...but overall, my weight is at 18 BMI...I lost weight as a vegan.....I keep track of all my food intake on Cronometer...that's how I found out I was lacking tyrosine.. I weigh everything and track my water! I have a history going back to 2009 and can go back and see how diet affects my blood tests......I'm like a scientific study! I used to get up early but over the last few years I've shifted my body timing for some reason..and love to stay in bed...OH DEAR!

[@jeffrey4577]

Good teacher 👍

[@selma5885]

Was it Gandhi who advised the daylight diet? (eat only during daylight).

[@tonynes3577]

I'm a 65 yr old. My Cr is between 1.3 to 1.5. On BP meds. I like to fast for 16 hours and eating for 6 to 8 hrs. It feels good and is pretty easy for me. I eat everything but trying to limit bad kidney foods, sugar, etc. However, unfortunately I'm a night shift worker, but only part time, thankfully. I do have irregular sleep. Question : I recently started taking RAPAMYCIN, 1 mg weekly as an "anti-aging" supplement, prescribed by Healthspan. Could you perhaps comment on this drug with regard to kidney health? Thanks, great info!

[@abdelilahbenahmed4350]

Thx Dr Hashmi for this excellent presentation and unique insights about fasting. In your practice have you generally obtained good results by putting certain of your patients in their 70-80 years on intermittent fasting, 6 : 18 for instance ?

[@murraybrockway6540]

My 98 year old grandfather had a 55 in waist at one point and wore 3XL shirts when he died. A change away from cookies and ice cream would have prevent his dementia perhaps. Wonder if there was any time restricted eating pattern. I remember roast beef being common which I though was pretty lean. He also pretty much refused to eat foods that didn't exist when he was young like margerine. Their milkman delivered milk in glass bottles in a wire rack left on the porch.

[@joanallen5253]

Probably better he did not eat margarine. That was promoted when I was a teen. I'm 73 going on 74 now. It is so artificial and not good for you. I think you are correct that your grandfather would have done much better without so much sugary foods.

[@marilynhoward4561]

God bless you 🙏

[@jeanj138]

Brilliant session

[@Ade-c9b]

Thanks Dr

[@kunlearise6302]

God bless you Dr Hashimi

[@pgsats]

Could you please do a video on the five day mimicking fasting diet To see its beneficial It’s seems to have been a benefit for the mice in the research

[@wmp3346]

I normally do OMAD AND eat around 7 pm. Works for me, work out fasted and feel good. No inflammation. Also make and eat fermented foods. Rigidity is a flaw in my opinion. Their our few studies on any of this. I can look at people and tell if they are highly inflamed

[@carmenross1077]

Hi Doc your thoughts about the Prolon FASTING MIMICKING DIET BY DR. VOLTER LONGO, PLEASE THANKS

[@stephenchang7414]

Evening Dr. Hashmi. What would cause marked nocturia in a patient that has moved from stage 3a kidney disease to stage 2.

[@nobueno8652]

Everyone body is different. If I eat one meal a day I see no results. My body is stubborn and I have to be at a 30 hour fast to get into ketosis. I can probably get that down to 24 hour ketosis if I walk for 40-50 mins a day but that’s too extreme for my lifestyle.

[@angelgomez5388]

Good advice

[@anne-no2ic]

I love this content and your philosophy. At 89 never stop learnimg. Thank you. .

[@bob678jordan]

Do you find that a sardine fast is beneficial?

[@selma5885]

Did I hear him say fasting was detrimental for older people? What age?

[@joanallen5253]

I am almost 74 and my situation is that I work 3rd shift three or four nights a week. So, it is hard for me to figure out when I eat. I was working five nights and I felt more normal on that schedule. I would eat around 3 am. I go to bed around 1 or 2 pm. and usually eat something around 9 am when I get home from work. My days off really mess me up and I was thinking of trying to stay awake and sleep days all the time, but I miss out on social things. In the 80's I fasted for a month and wanted to do 2 or 3 weeks of fasting with water. I am understanding that for older people this might not be a good idea. It would certainly solve when I should or should not eat. Any thoughts? I really prefer periodic fasting, but I am concerned now after hearing that older people do not get the same benefit as younger people. I do not have kidney disease, but before my knee replacement I used aspirin for about three years. I got interested in kidney problems because my dog's numbers are slightly elevated and she has been drinking a lot and peeing more often. She's on antibiotics just in case it is an infection. If not better, it is likely she is beginning CKD. Trying to figure out what approach will be best if she does have CKD. some recommend low phosphorus and low protein and some carnivore doctors say protein is not the problem. It's so confusing.

[@ellenstephanus]

Thank you again for the time you spent live today! I have a question that hopefully could be considered as a topic for your next video: Do people with bilateral kidney cysts need to have their cysts removed in order to improve their microalbuminuria? A little bit more context for the above question: My husband (Asian, 44 y.o. male) has 7 cysts in total in both of his kidneys. His nephron can’t diagnose him with APKD because he has no family history of kidney disease. Both kidneys are still normal in size, no other cysts in other abdominal organs. His eGFR is around 89, ACR 5.78 mg/mmol, BP 110-120/80-85 (diastolic creeping up). He has controlled uric acid (takes 300mg allopurinol) and diet-controlled prediabetes (normal A1C without any meds). Normal BMI, not smoking, not drinking. We live in Indonesia and don’t have many good doctors here. But his nephron in Singapore doesn’t give him any meds, worrying that his blood pressure will get too low. And he also says that cysts tend to come back once removed, so not recommended yet. But I’m worried about the effect of his protein leaking to his overall health and wondering if we need to consult another nephron.

[@SELFPrinciple]

I am so sorry you and your husband are going through this. Removing the cysts would not improve the proteinuria. We can definitely cover cysts as a topic. The amount of albumin to creatinine at 5.78mg/mol or 51.15mg/g is above normal but overall still very low. Its worth talking with a nephrologist and considering lifestyle changes (plant based diet, exercise, sleep)

[@ChurchHill-k2q]

my BUN is 50, crea is 1.016...no edema, no proteinuria, normal bp, normal hba1c. Im 39y/0 and weigh 59 kg. other info: i have been on high protein diet, on 12-hr fasting...i have insomia and anxiety and depressions... then my doctor said i have stage 1 kidney disease, thats after he computed my eGR... Just recently, i shifted to plant based and been doing it for the past 2 weeks. questions: 1. do i really have kidney disease; 2. should i continue my plant based diet; and 3. any procesude i should go through? thank you very much

[@amanullahleghari679]

Nephron????

[@auntiel.6238]

Dr. S Is having a glass of red wine or Alcoholic drinks in general a bad idea when it comes to Kidney health?

[@bobcocampo]

Have a trial on prolonged fasting on CKD. 7 days to 40 days water 💧fasting

[@asaxenain]

Thanks!

[@rafataziz401]

Which nutrient supplements should be avoided if GFR is low, reason is not known.

[@wamunde]

Please talk about pancreatic lipomatosis that is a very rare disorder that manifests as fatty infiltration or replacement of the pancreas.