Brief Answer:
Retarding the progression of kidney disease/ Improving kidney function

Detailed Answer:
Hello

Thanks for the query

Improving/Retarding the progression of kidney disease is not only a favorite topic of discussion amongst patient group but also among Nephrologist. I can certainly help you with this but inorder to help you I need to understand your condition better. Please get back to me with the following details


1. What is your current serum creatinine
2. How did the kidney injury occur? For example diabetes, hypertension, drug induced, infection, etc
3. Could you please attach your ultrasound report or atype out the size of your kidneys
4. It will be very helpful if you attach your urine report. or type out the amount of protein loss in urine.
5. Please type out medication you are on or scan your current medication chart/prescription
6. What is your current weight and height? Do you have any swelling of the lower limbs?
7. Please type out the name of the supplement you are referring to.

These things are extremely important as mangement changes ( including diet, medications, etc) based on this. Please get back to me, I am awaiting your reply

Regards

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Brief Answer:
Few changed need to be made

Detailed Answer:
Hello

Thanks for getting back

It is a bit hard to suggest diet without the serum creat value. However the following are some general instructions

1. Avoid red meat. You can have chicken or fish twice a week. Please make sure it is not deep fried
2. You must follow a salt restricted diet. Make sure not to consume salt rich food like processed food, pizza, pasta, popcorn, chips, etc. Even at home the food must be cooked seperately for you so that the salt is less
3. You can eat plant protein. Like dal, sprouts, etc
4. Low protein supplements like Nepro LP can be taken twice a day for supplements

Modification of medications

1. I recommend to stop allopurinol and take febuxostat instead in order to control uric acid
2. I do not recommend levostatin as it is contraindicated in GFR less than 30. I suggest atorvastatin instead
3. I suggest Tab Telmesartan tobe started at a low dose to protect the kidney from further damage. Time and again it has been proved that these group of drugs protect the kidneys
4. I suggest Omega 3 fatty acids and N acetyl cysteine as supplemets to retard the progression of the kidney failure. However studies have shown varied response and it is not absolutely necessary

Please speak to your doctor about the recommendations made

I hope I was of help, I am sorry for the short delay in my reply as I was travelling last morning

Regards

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