Should You Take Baking Soda If You Have Kidney Disease?

How do you treat and prevent metabolic acidosis with kidney disease? Dr. Hashmi and Michele discuss sodium bicarbonate, baking soda, and fruits and veggies!
⚡️Connect with us on Social Media:
Michele Crosmer, RD CSR
plantbasedkidn...
/ plantbased.kidneys
Sean Hashmi, MD, MS, FASN
www.SELFPrinci...
www.instragram...
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.

[@runningfree4606]

It has been clinically demonstrated that consuming a small amount of sodium bicarbonate with plenty of water on an empty stomach is beneficial; the problem is when people drink too much and too often. This channel is very helpful for overall kidney health, not just for people who suffer from kidney disease. Blessings.

[@MuhammadMustafa-xg6og]

Can we use 1/6 backing soda tea spoon with half lemon daily on empty stomach

[@runningfree4606]

@@MuhammadMustafa-xg6og Check out Dr. Sircus' videos on this subject.

[@otshiimieg]

Love this thanks...

[@christianj1584]

From the NIH "the efficacy and safety of oral sodium bicarbonate in patients with CKD were investigated. The results suggested that treatment of Metabolic Acidosis with sodium bicarbonate may delay the decline of kidney function while maintaining serum calcification propensity in patients with CKD, indicating that treatment of Metabolic Acidosis with sodium bicarbonate is safe and overall improves kidney function."

[@PlantBasedKidneyHealth]

Definitely! Sodium bicarbonate is used to treat metabolic acidosis. Eating more fruits and veggies can help prevent and be part of the treatment for metabolic acidosis.

[@lilylui1]

I add a pinch to water is that enough? I have to be careful as have high bp

[@lindaswinney1516]

​@@lilylui1😊

[@nisadeeves7102]

The study I read stated that it also lowered BP. 🎉

[@flamingpieherman9822]

​@@lilylui1If you have high BP, you need to add potassium...

[@ShazWag]

I really appreciate Dr Hashmi's clear explanations. It would interesting to know what sort of diet he follows and what supplements, if any, he takes.

[@OoiHoekhiam-rc9mr]

Thanks doctors for your precious information. God bless you both.

[@shivanidumas6607]

Thanks to you both.

[@PlantBasedKidneyHealth]

Our pleasure!

[@SvcGlobal]

Great video, thank you. I would like to know if diuretics should or should not used in kidney diseases, can they lower the creatinine? God bless you both.

[@patriciasmith6297]

Hello dr I have stage 3 CKD how do I use the baking soda

[@psman74]

I just want to know which fruits and veggies since oxalates are problematic for kidneys. Is there a video for that?

[@PlantBasedKidneyHealth]

We have a video on oxalates you should check out! All fruits and veggies are alkaline producing. In general, people that don't have high urine oxalate levels don't need to be restricting oxalates in their diet. But for those that do, avoiding the extremely high oxalate foods (like spinach, rhubarb, almonds, beets) can help lower urine oxalate levels.

[@no_country_for_real_men]

Best video yall have put together. Love those details with explanation. Thank you Michelle for using the proper word alkaline rather than the word base. And thank you doc for explaining the respiratory involvement and response as well as the muscle wasting factor. Details with explanatory breakdown is where the value is. It's a double edged sword because protein creates more acid and acid eats muscle and the body can not build muscle without protein. That's what you call a paradox.

[@PlantBasedKidneyHealth]

So glad you found our explanation and details helpful!

[@chelseajean4307]

Good day Thanks much for this very informative video Would like to know how to access your previous Videos

[@The_niceguy245]

Thank you for the video. Your Channel is very refreshing, always informative, and more importantly, advice is common sense and evidence-based, which is so needed with all the misinformation out there. Keep up the good work ❤

[@PlantBasedKidneyHealth]

We appreciate that! Thank you for supporting our channel.

[@leonardiliong]

Thank you for the information Dr Hashmi and Michelle. I would like to ask for a person with stage 2 ckd is it ok to consume apple cidar for 1 tablespoon mix with water everyday?

[@fredlacroix6865]

so in essence for those who are doing weight training a balance of potassium & magnesium level is critical to get rid of excess lactic acid

[@wakeup7923]

Is the blood test "anion gap" a measure of alkalosis and acidosis that you discussed? My recent blood tests revealed an anion gap of 2 on a scale of 4-12. Thanks so much for the work you two do producing these excellent videos!

[@PlantBasedKidneyHealth]

Serum bicarbonate is the measure for how much carbon dioxide is in the blood. You may see it listed on your bloodwork as CO2. This is the test we are talking about :)

[@wakeup7923]

Thank you! That is what I needed to know.

[@SEaudiofan]

My wife has a habit of drinking seltzer water. Is that CO2 a problem also?

[@mard7569]

I was wondering, what test can you take to see if you’re metabolic acidosis? Thank you Dr Sean and Michelle! Always great information.

[@PlantBasedKidneyHealth]

Hello! A Comprehensive Metabolic Panel or Renal Panel will include Bicarbonate or CO2 blood test. Normal range is usually 23-29 mEq/L. Low levels indicate metabolic acidosis.

[@mard7569]

@@PlantBasedKidneyHealth Thank you so much!

[@alofalokeni4071]

Thank you both for the video, very helpful tips

[@PlantBasedKidneyHealth]

Our pleasure!

[@abdelilahbenahmed4350]

Thx Michelle and dr Hashmi for this great video. Is an intake of 2 grams protein per kg of weight and per day strictly from plant sources , healthy, not stressful for the the kidneys and helpful to fight sarcopenia in the case of otherwise healthy individuals in their 70 s with no diabetes or hypertension?

[@kathrynmcmorrow7170]

Great question! How would one consume that much plant protein on the daily? That would be 130g of protein daily for me. And how much "complete" protein does that net though? I am basically a plant based vegetarian, and estimate my total protein intake is about only half of what nutritionists recommend, like 30g only!

[@neuk111-j9v]

this is from chatgpt '' 2. Chronic Kidney Disease (CKD): For someone with CKD, protein intake must be limited to prevent further damage to the kidneys. The exact recommendation depends on the stage of CKD: Early-stage CKD (Stages 1-3): Moderate protein restriction is recommended, typically 0.6-0.8 grams of protein per kilogram of body weight per day. Late-stage CKD (Stages 4-5, pre-dialysis): More severe protein restriction might be necessary, around 0.6 grams per kilogram. If the person is on dialysis, protein needs increase because dialysis can remove some protein from the body. In this case, the recommendation can be around 1.0-1.2 grams per kilogram. Balancing Sarcopenia and CKD Without dialysis: Protein intake should likely be closer to 0.6-0.8 grams per kilogram of body weight to protect kidney function. With dialysis: Protein intake could go up to 1.0-1.2 grams per kilogram to help with muscle loss from sarcopenia and prevent muscle wasting. '' -- plant sources better than animal protein for the kidneys look up the right plant proteins for ckd the woman in the video also has a channel & has recipes

[@fraseredk7433]

Very informative.

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@valeratkanta9682]

Ths is my second time and i subed❤❤❤❤❤❤🎉🎉🎉🎉🎉 thank youuuuuuu

[@PlantBasedKidneyHealth]

Thank you!

[@gwapogreg5837]

Always great information

[@emekaajaere6062]

Brilliant answer!!!

[@christineboydstrongtower]

So much for lemon water right??

[@CarolVenter-i1q]

Does it matter how the veggies are cooked? A little, or a lot?

[@PlantBasedKidneyHealth]

Nope! It is generally a good idea to have a mix of cooked and raw veggies. Cooked can be roasted, steamed, boiled, sautéed. Whatever you prefer!

[@lizgibbs3405]

So, it does actually matter if certain vegetables are cooked or not. Quick example, spinach is very rich in iron and if you cook spinach you’ll receive much more vitamins versus if it wasn’t cook. Why? Because Spinach likely uses oxalic acid as a defence mechanism against animals, such as insects that try to eat it. This is no different from humans. But if you cook the spinach you remove the plants defense mechanism and are able to recover more of its nutrients. In short, just look up certain plants the amount of vitamins you’ll receive vs cooked and not cooked. Some raw plants can actually block you from receiving certain vitamins so it’s extremely important to educate yourself on this, especially if you’re planning on going completely plant based

[@Martha-i9z]

What a "wow message❤️❤️

[@daisuke6072]

Food for thought as it were. Thanks.

[@catirerubio]

Very interesting discussion, but inconclusive. Are sodium bicarbonate pills good or bad for ckd patients if taken per a nephrologist's recommendation?

[@PlantBasedKidneyHealth]

Taken as prescribed, sodium bicarbonate pills are often part of the treatment plan for metabolic acidosis. They should definitely be taken if prescribed. Fruits and veggies have the same benefit in raising serum bicarbonate level (plus additional benefits). As people eat more fruits and veggies, they are able to prevent or help treat metabolic acidosis and may not need to remain on the sodium bicarb pills long term.

[@00000000001411]

Hmmmmmm...Lord God we just need You to keep us...too much too little would kill us...keep us Lord God!!!

[@ElizabethMwansa-bv8by]

Thanks

[@sandras.435]

I drink 4 oz. of water with one TBSP vinegar with half on a juiced lemon, faithfully each morning. Is that a good thing?

[@PlantBasedKidneyHealth]

It definitely isn't a bad thing to do. Many people enjoy lemon water. And some people find that adding apple cider vinegar to their water helps with digestion. The potential renal acid load of 1/2 lemon and 1 Tbsp vinegar is -0.7. Which is great. But shouldn't take the place of eating more fruits and veggies as those can be -1 to -15+ potential renal acid load (PRAL).

[@forhadahmed4854]

That’s what I do but but I have it with pure organic cranberry juice, pure lemon juice, tsp of apple cider vinegar and spoon of honey every morning been doing so for a month go back for bloods next week, gfr showing 58 on last analysis, I will update you hopefully.

[@shirleyw7517]

How is your blood work? Any changes for good?

[@Martha-i9z]

Dr's can I drink Bicarbonate of soda, even if I am not CKD patient.

[@Blaze49AzSd]

Thank you for your informative videos. My nephrologist increased my SB 650 mg to 3 times per day, is this to much since my sodium intake limit recomended is 2000 mg per day?

[@spdean9961]

I am on a plant based diet but have lost a lot of weight. In fact I am really underweight now. Any advice on what I should eat more of to put on a little weight. My Dr says I need to put on another 7 - 8 kgs.

[@PlantBasedKidneyHealth]

We have an episode on increasing calories/weight! Look under the diet playlist!

[@kris0168]

Balance is the key in all matters pls beter back eat red meat.takecare.🤗💪🤝

[@l-bird]

Good question. That is exactly what I'm experiencing.

[@l-bird]

@@PlantBasedKidneyHealth thank you. I will look in the playlist!

[@mariasampson4896]

Is alkaline water to drink OK for the kidneys?

[@van3363]

Could you please do a video on urine output and color? Goggle can be so scary. Especially for those of us with very light to clear urine. Thank you.

[@Jambiswag]

?????? 😂 light and clear urine means that you're hydrated and healthy. Get off Google

[@van3363]

@@Jambiswag FYI was not on Google and I asked a legitimate question , I asked Dr Hashmi not you. And consistent clear urine can signal a problem such as DI. So go troll somewhere else.

[@jmseipp]

What about in an emergency situation where your kidneys are in bad shape. Is it okay to drink water with a teaspoon of sodium bicarbonate for awhile?

[@DardainHebel]

Last Friday is my appointment and my Dr told me that my kidneys are slowly getting bad he said im in 10% now please help I don't want to take dialysis or transplant please help me 😭🙏🏼🙏🏼

[@philomenawama2199]

Be healed in Jesus name 🙏

[@bigsid1984]

Rice diet

[@keywestconch8]

The best to you! I hope you find the answers you are looking for. 💖🌻

[@librasun123]

​@@bigsid1984 red rice is good

[@diamondSunDNA]

You guys are awesome

[@PlantBasedKidneyHealth]

Thanks so much!

[@donfallon7786]

Is it OK to have a bath with Epsom Salts/ Magnesium Sulphate crystals?

[@pinkoceanflower3045]

Can lemon juice cause foamy urine?

[@rahuljaiswal846]

I am kidney transplant patients i have problems creatine 4.60 but i take noadisi ds but my bp high what i doo sir please reply me

[@christineboydstrongtower]

Oranges are full,of oxilates right?

[@WildDoveTrail]

People have to take the baking soda and salt because they have salicylates and oxalate issues, they can't eat vegetables. Thank you.

[@fuzzfacelogic789]

Over the last 2 years I've been having about 1-2 tablespoons of cider vinegar a day. I don't take it for any health benefits but just like the taste. Problem?

[@PlantBasedKidneyHealth]

It isn't a problem unless you're drinking the straight vinegar. It should always be mixed into water, or used in a dressing/sauce that you make.

[@fuzzfacelogic789]

Thank you and now appreciating the benefits of a vegetarian diet.@@PlantBasedKidneyHealth

[@ggg-oj4hs]

The people get confused since every doctor has different views on the same symptoms

[@nebojsa1976]

Just look at your CO2. If it is too high, lower sodium bicarbonate, so CO2 goes to around 22mg/dl. If it goes to 15, then increase sodium bicarbonate. As simple as that.

[@jo05dk]

At most i eat a couple of slices of (no added phosphate) meat toppings a day, and i guess i average one day a week of eating 100-150 grams of meat for dinner. ...and my blood co2 level is right on the border of being too low, and judging by some symptoms i've had, it also dips below the minimum level every now and then. My urine, which i thought could be used as a marker for my body's PH, is 7-7,25, judging by the PH-strips i use. Thinking everything was well, i'm quite disheartened by finding out i can't use this simple control mechanism. So.. I'm working my way through what i eat, trying my best to find PRAL-values, phosphorus and potassium levels for all of it. It's a lot of work, but necessary. I'm not taking the easy route on this issue, but i certainly understand why someone could look at the complexity of getting it right, and turn to what looks like a simpler fix. Thank you for the work you guys do. You're a real help for those of us dealing with bad kidneys ❤

[@PlantBasedKidneyHealth]

So glad you found this episode helpful! Potential renal acid load (PRAL) is a very important component of nutrition therapy for kidney disease. We have an episode on it you can check out. Also the paid version of Cronometer shows the PRAL of food once you enter it into your food diary. But overall, limiting the acid forming foods and increasing the alkaline foods (fruits and veggies) makes a big difference :)

[@LanaDekcuf-l6s]

@@PlantBasedKidneyHealthmy doctor didn’t even discuss my plans it’s awful

[@HikingUtah]

I have sent several emails to your email address, but no one has responded.

[@PlantBasedKidneyHealth]

Hello! We do not have active email monitoring right now. You can submit topics/questions for us to address in upcoming episodes in the comment section. Also, we do a live Q&A on the third Tuesday of every month at 5 PM PST/8 PM EST. So the next one will be Oct 17th! We will post on the community page on Monday a place where people can submit questions as well. We hope to see you there!

[@Topaz2022]

The secret is to find a balance between an acidic and alkaline environment!!!

[@bigsid1984]

Allpurinol? Safe

[@1ronw1ll78]

That's for gout

[@minaariyan-hx1fy]

Thank you very much but the main question remains unanswered and that is where do all those problems come from? I believe toxins which come from fruits and vegetables , antibiotics from cultured meats and worst of them the drinking water laden with pesticides ,chlorine , and other toxic things has paralyzed our digestion system . So the most urgent measure should be detoxifying the body, and the best detoxify is drinking a cup of distilled water two times a day one in the morning before breakfast and the other on the evening before dinner, and untouched spring rain water works best in this regards. The next measure should be lowering the rate on entering toxins into our bodies through reducing the food intake ,this way our digestion system can handle the toxins properly. Eat less, urinate more. Stay healthy and happy.

[@ryanpaul7492]

This is Bee Ess

[@terrimartel6558]

When recommending consuming fruits and vegetables isn't there a concern about those with higher levels of potassium and phosphorus? When the kidneys aren't functioning properly they are not able to remove excess potassium and phosphorus from the body. High levels can be deadly.

[@PlantBasedKidneyHealth]

Check out our videos on potassium and phosphorus! Veggies and fruit are not high in phosphorus. Many can be high in potassium, but there are also a lot that are lower in potassium like green beans, cucumber, jicama, kale, arugula, blueberries, apples, and pineapple to name a few!

[@longhairmullet]

This increases sodium in the blood. How can that be good for kidney disease!?!

[@ggg-oj4hs]

Very confusing

[@tracyyang1044]

Oh yeah, nature gives us the best medications but we prefer the man in a white coat…oh well!

[@henrydanforth8580]

Why don't you ever talk about the poisons that are allowed to be put in our food? You must be controlled and paid off.

[@ddutton4716]

They have repeatedly extensively talked down processed foods and why and talked up whole plant foods and minimally processed foods and why. Look at the lists of their videos from early and mid-2022. Regards.

[@blackmambaaa41]

Dr Sean, why dont they just create a pill for just Bicarbonate without the sodium? sorry if this sounds dumb.