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Dear Sean, May I ask you for advice. I had thyroid cancer 4 year ago. I gain more then 25 kg the last 6 years, now my endocrinologist advise me Wegovy. In the package insert states that there is a risk of thyroid cancer. 1 thyroid gland was removed. I function excellently. the tumor was 1% malignant. Since I have been declared completely cured and am healthy again, I would of course like to keep it that way. But more then 25 kg overweight is also not good. I have not been able to lose it in over past years. Is it wise to use Wegovy? Thank you very much for taking the trouble to answer my message and for your advice. I greatly appreciate your insights and expertise.

My Dad passed away from heart failure 3 years after starting dialysis. He could have lived longer had he changed his eating habits. He kept saying you only live once. He didn’t do well with dialysis and said he was sorry he didn’t eat the right foods.

Anderson George Thomas Sandra Garcia Deborah

Thank You Doc, great explanation💕💕💕

I miss your nutrition talks at KP.

Thank you for this vitally important information. It's no wonder there is a class action suit for the manufacturer of Ozempic. "permanent stomach paralysis" what a terrible way in which this medication helps you to "lose weight."

Thanks

You have more fasting sugar because your body is using body fat as an energy constantly. But there is no spike in insulin which is really what you are concerned with. Fat doesn’t spike insulin

This 100% worked for me. Thank you doc!! :-)

Love your wise words of advice to your daughters...'treat everyone with kindness'...i must remember to do it too, and to pass your words to everyone. Thank you.

We have been lead to believe that we should be having 8 to 10 ounces of protein a day!

I have CKD stage 3 and I feel like my heart is also affected because of lock of sleep nature of my job. I'm a seafarer. And proper sleep is hard to get here . I'm broke and can't afford a doctor thanks for your advice doc. I follow veg diet and it improves me a bit. But I need to go home and to regain my proper sleep I will disembark in Aug 30

Started ghee + k2 mk-4 at night before sleep and I have the best sleep since ages

Doctor Obulor on RUclips is still the reason why I'm still here he helped me cure Chronic illness permanently with his herbal treatment. More good work sir🙏...

Doctor Obulor on RUclips is still the reason why I'm still here he helped me cure Chronic illness permanently with his herbal treatment. More good work sir🙏...

Thank you as I am at the beginning of stage one kidney disease and I also take a protein supplement! I am 76 years old at 75" tall and 190 pounds. I run three times a week and train with heavy weights (for me) three times per week and eat chicken twice a week, four eggs in an omelet twice a week, and fish three times a week. I take a full range of supplements including, but not limited to Athletic Green and Turmeric and Berberine. I went to a doctor who told me to the effect: "Oh no, no, no, no don't you know you are killing yourself - become a vegetarian immediately, and what ever you do don't ever, ever, ever do any vigorous exercise. Ever! All you have to do is to drink more water not coffee oh no, no, no don't ever drink coffee bad for you bad for you! So the bottom line is there is a lot of conflict over what to do may I suggest you have a show with Dr. Berry on it and have this discussion again since I like you both! Oh yes I'm proud of the fact that I've had no alcohol for a year, and no sugar and/or salt. In the morning I also eat blue berries, black berries, straw berries, watermelon, and cantaloupe, with onions in almond milk! Not bad! Oh yes thanks to David Sinclair I am not an OMAD! And that wasn't easy to do either!

What brand of protein supplement is recommended that is safe?

Thanks for this! And loved the ending!

Animal fat is awesome!! Its super healing

Wow, very informative 👏 thank you!

Its derived from the Gila Monster.. a venomous lizard that paralyzes your stomach short term. thats why you aint hungry. your food just sits there thats why some people feel bloated and sick

Hi Kashi Is this true

We need a GFR explanation as clear as this one.

So creatine is not harmful in and on itself, but your reading will go up if you take it for muscle grow, for example. Right?

I am 34 years old and my medical test results show normal blood pressure, normal blood glucose, normal Hb1AC, normal TSH, T3, T4 levels , normal kidney size, and normal ultrasound results. However, my creatinine level is 1.7, eGFR is 53, GGT is 132, and uric acid is 8.3. Please, whoever reading please provide a diagnosis based on these results? Also, can I start the keto diet? Thank you.

No medication has been able to treat my proteinuria so far which proves proteinuria has no cure!

I am 34 years old and my medical test results show normal blood pressure, normal blood glucose, normal Hb1AC, normal TSH, T3, T4 levels , normal kidney size, and normal ultrasound results. However, my creatinine level is 1.7, eGFR is 53, GGT is 132, and uric acid is 8.3. Please, whoever reading please provide a diagnosis based on these results? Also, can I start the keto diet? Thank you.

Is allopurinol contraindicated in people with certain genetic variants?

I'm at stage 3 . And I always lock of sleep because of my work. Now I feel tightness in my left chest which I'm afraid a heart problem. And the waste build up in my body is starting and my legs are starting to sweell because of salt intake . The cook here in our shop put a lot of sodium in our food. That's why it's so hard for me... Because I see some small black spots around my body specially in my face.. please pray for me. I'm in a plant base diet now. But it's hard for me since I'm working on a commercial vessel. I cannot control the balance food which I need. In August 30 I will go home. And try to regain my condition back to be better

I don't agree. I'm now weaning myself off of BP med, and I now put sea salt or Himalayan salt on my food and my BP has dropped. Also, I'm taking Nattokinase which works great at lowering BP naturally. Magnesium and increased potassium are a must too.

Lying son of a bachelor😅

Thank you doctor from the philippines

Test carnivore in the Philippines on Stage 5 CKD in Prisoners

What is the research on the protein intake on CKD guidelines? Are these guidelines based on research?

I would love a discussion on migraine. Thank you Dr Hashmi!❤

Interesting but is the sucralose 6 acetate the same sucralose you get in a drink you buy at the store?

Thank you so much!!! Excellent information!!!

Dr Hashemi, what salt are plastic free? Thank you

Dr Hashemi can you name a salt without microplastics. Thank you

since the study was conduct during the height of the pandemic should we expect that some of the excessive number of deaths (approx. 15%) were due to COVID ?

Isn't keto dieting bad for your kidneys ?

Here's the reference for the study, for those who want to look at it themselves: Adrián Carballo-Casla, Carla Maria Avesani, Giorgi Beridze - Protein Intake and Mortality in Older Adults With Chronic Kidney Disease, JAMA Netw Open. 2024;7(8):e2426577. doi:10.1001/jamanetworkopen.2024.26577

95 years old, stage 4, which oral anticoagulants can be used? are they nephrotoxic? Thanks

High protein intake means high phosporous intake, it is not good for kidney as per study

❤ Thank you for the update..

Thank you for providing so much data and your invaluable interpretation of these studies.

I'm on a very low protein diet supplement with pharmadeutical grade complete amino acids and have been stable since 2009, I ain't messing around! Beans, except maybe garganzo, affedt me, I don't eat eggs, meat, fish, nuts and most legumes. I'm 73 and won't be going on dialysis with this diet. I also keep my fat intake under 20% usually closer to 15%. My kidneys were damaged when I had a twisted ureter in 4th grade. Decades later I discovered I had a problem when eGFR was put on blood tests. I immediately started researching....Kidney doctors have not helped me at all, though my current doc. calls me here "special patient' because I haven't declined! I'm stage 3 with eGFR in my mid-40's to low 50's depending on what is going on....Creatine hovers around 1.2. Serum albumin 4.4. When I was first diagnosed I went to a renal dietetion who put me on a "quality" protein diet and it made me literally sick...so, I figured out the low protein diet ALL BY MYSELF. An old timer who subbed for my doctor to keep doing what I was doing, since before dialyis, low protein was the way to go. Europe is advanced on this...the US is not helping us at all.

Is it safe for a diabetic,heart and ckd patient of age 60 to have high diet food.

I am over 65 and I cut my protein but I notice I am losing muscle mass. I have slight protein leakage and at stage 2b - 3a. I started lifting weights about 6 weeks ago so I am happy to hear I need to increase my protein consumption. This study makes sense to me because there are studies about longevity and muscle mass is a big factor. My biggest problem since I had surgery removing 1 kidney is fatigue. For the past 10 years fatigue is getting worse over time. I now have CFS that has gradually gotten worse and now that is one of my biggest problems. Is it toxins in the blood for kidney disease or something else. That is what I am working on to find out. One reason is I can only sleep 4-6 hours a night, usually 5. But my strength is not as good anymore.