Dr. Isreb- The Integrative Nephrologist

Dr. Isreb- The Integrative Nephrologist Specializing in integrative kidney therapies, Nephrology, Hypertension, Dialysis and Transplant

🥛 Is Your “Healthy” Plant Milk Harming Your Kidneys? 🧠⚠️A new UK study just dropped a phosphorus bombshell:“Some plant-b...
11/24/2025

🥛 Is Your “Healthy” Plant Milk Harming Your Kidneys? 🧠⚠️

A new UK study just dropped a phosphorus bombshell:

“Some plant-based milks contain more phosphorus than cow’s milk—thanks to phosphate additives hidden in the ingredients list.”

📊 Researchers tested 14 popular plant-based milk alternatives (PBMAs). The findings?

🔸 Additive-free PBMAs: ~7 mg phosphorus/100g
🔸 Additive-laden PBMAs: ~58 mg phosphorus/100g
🔸 Some even had higher phosphorus-to-protein ratios (PPRs) than dairy!

🥴 For people with advanced CKD, this matters. High phosphorus intake can silently drive:

⚠️ Vascular calcifications
❤️ Cardiovascular disease
🦴 Mineral bone disorders

Yet most labels don’t clearly list phosphorus content—and “healthy” branding can be misleading.

💬 Is it time for plant-based milk brands to disclose phosphorus content?
💬 Should CKD nutrition guidelines explicitly warn against certain PBMAs?

👉 Have you ever checked for phosphate additives in your favorite non-dairy milk? Drop your go-to brand and let’s discuss what’s safe for CKD.

📖 Read the study [link in bio]

https://www.jrnjournal.org/article/S1051-2276(25)00137-2/fulltext

Lead doesn’t just poison pipes — it poisons people.Even small, chronic exposures can silently damage your kidneys, raise...
11/23/2025

Lead doesn’t just poison pipes — it poisons people.

Even small, chronic exposures can silently damage your kidneys, raise blood pressure, and trigger gout — the classic triad of lead toxicity.

What’s more disturbing?

👉 Lead is 10 times more efficient than calcium at entering your kidney cells.
👉 It can hide in your bones for decades, only to re-enter your bloodstream during pregnancy, menopause, or weight loss.
👉 And genetic variations in how you process calcium, iron, and vitamin D can make you far more vulnerable than someone else to the same level of exposure.

💬 So here’s the question:

If “safe” levels aren’t safe for everyone, should we be testing more routinely for low-level lead exposure?
And how many cases of CKD might actually be preventable with proper detox and mineral balance?

Share your thoughts below 👇

Read the full blog to explore how nutrition, genetics, and detox support can protect your kidneys from heavy metals. [link in bio]

https://inkidney.com/lead-exposure-and-kidney-health/

Most kidney disease patients never get a genetic workup.Yet up to 1 in 4 diagnoses can be reclassified with broad-panel ...
11/22/2025

Most kidney disease patients never get a genetic workup.

Yet up to 1 in 4 diagnoses can be reclassified with broad-panel genetic testing.

That means tens of thousands may be on the wrong treatment path… or worse, told their condition is “unknown.”

🧪 New genetic tools like Renasight can reveal:

✅ The true cause of kidney disease when everything else comes back negative
✅ Whether a biopsy or immunosuppression is necessary
✅ How to match transplant patients with the right donor
✅ And which medications are safest based on your genes

We’re entering a new era of precision nephrology.

But it starts with asking the right question:

🧠 “What if my kidney disease isn’t what I think it is?”
💬 Have you ever wondered if your kidney disease has a genetic cause?
Do you think genetic testing should be routine in nephrology?

Drop your thoughts or questions below 👇

Read the blog [link in bio]

https://inkidney.com/genetic-testing-in-kidney-disease/

Unlock the Secrets to Kidney Health! 🌿Ever wondered which supplements truly make a difference for your kidneys? Our guid...
11/21/2025

Unlock the Secrets to Kidney Health! 🌿

Ever wondered which supplements truly make a difference for your kidneys? Our guide reveals the Top 6 Essential Supplements for optimum kidney health! 🧪 Dive deep into the science behind each choice and understand the 'why' and 'how much' for your daily intake.

But remember, everyone's unique. ✨ For the perfect dosage tailored to you, make sure to consult your nephrologist and a specialist in functional or integrative nutrition.

Ready to embark on a kidney-healthy journey? [link in profile]

🔗 https://inkidney.com/product/six-essential-supplements-for-kidney-health/



Chronic stress may silently drive inflammation, high blood pressure, and insulin resistance — all powerful accelerators ...
11/20/2025

Chronic stress may silently drive inflammation, high blood pressure, and insulin resistance — all powerful accelerators of chronic kidney disease (CKD).

Even more striking?

Your kidneys produce an enzyme called renalase that helps break down stress hormones like epinephrine and norepinephrine.

When kidney function drops, renalase drops too — leaving stress hormones unchecked.

That means stress can damage the kidneys, and kidney damage can magnify stress. A vicious cycle few people ever talk about.

💬 What do you think:

🔹Should stress management be considered as essential as medication in CKD care?
🔹Have you noticed stress worsening your labs or blood pressure?
🔹What’s your go-to method to protect your kidneys from stress?

Let’s open the conversation 👇

Full article on our blog [link in bio]

https://inkidney.com/stress-and-kidney-health/

Navigating the paths of cognitive decline & CKD? Many prevention strategies intersect, urging us to prioritize total wel...
11/19/2025

Navigating the paths of cognitive decline & CKD? Many prevention strategies intersect, urging us to prioritize total well-being. Here's your blueprint:

🥗 Diet: Boost cognition with foods high in fiber, antioxidants, & omega-3s! 🌿 Did you know? The Mediterranean diet is linked to reduced dementia risks & slower CKD progression. But remember, in CKD, also monitor sodium, phosphate, & protein!

🏋️‍♀️ Physical Activity: More than just a fitness routine! Aerobic activities increase brain blood flow & enhance cognitive functions, while also benefiting BP control & kidney health.

🧘‍♀️ Stress Management: Say no to chronic stress! Whether you prefer meditation, hobbies, or deep breathing, keep stress in check to safeguard both mind & kidney.

🚭 Avoid Toxins: A double win for cognition & kidneys - limit alcohol, say goodbye to smoking, and be wary of over-the-counter meds like NSAIDs.

💓 Blood Pressure Control: Diet, exercise, & sometimes meds, are pivotal for maintaining BP—vital for both vascular health & your kidneys.

🍞 Insulin Resistance: Beyond diet & exercise, focus on carb reduction, quality sleep & weight management. Reverse insulin resistance for holistic well-being.

🧩 Mental Stimulation: Keep that mind razor-sharp! Dive into puzzles, books, or new hobbies—it's a cognitive booster!

Join us in championing a holistic approach to health—because a sound mind in a sound body is true wellness. 🌟

For more info read the blog (link in bio)

https://inkidney.com/dementia-and-chronic-kidney-disease/

A sweeping global study just revealed a sobering reality:🧬 In 2021 alone, high BMI was linked to 418,000 deaths and 1.04...
11/17/2025

A sweeping global study just revealed a sobering reality:

🧬 In 2021 alone, high BMI was linked to 418,000 deaths and 1.04 million years of disability from chronic kidney disease (CKD).
And it’s not slowing down.

🔹 From 1990 to 2021, CKD burden tied to high BMI rose steadily
🔹 Men and older adults are disproportionately affected
🔹 Global population aging is a key driver—and the future projections through 2050 are alarming

📉 The longer we wait to address obesity and metabolic health, the heavier the burden on the kidneys worldwide.

💬 Is it time we stop seeing CKD as just a medical issue, and start treating it as a public health emergency tied to nutrition, aging, and equity?

Let’s talk:
👉 Should kidney health be a core metric in obesity prevention programs?
👉 What role can lifestyle medicine and early intervention play?
👉 Are we underestimating how much metabolic health shapes our renal destiny?

📲 Comment below—what’s one strategy you think must be prioritized in the fight against obesity-driven CKD?

Read this study here [link in bio]

https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1582534/full

11/16/2025

📢 New Research, Same Commitment

A recent clinical update is finally recommending what we've been advocating at the Integrative Kidney Institute for years:

➡️ Targeting a vitamin D (25D) level of ≥50 ng/mL in chronic kidney disease (CKD).
Why it matters:

💡 Most CKD patients can’t reach therapeutic vitamin D levels with conventional supplements.

💡 Cholecalciferol often falls short, especially in people with obesity or advanced CKD.

💡 New trials show that extended-release calcifediol (ERC) can restore active vitamin D, lower PTH, and may slow CKD progression.

At Integrative Kidney Institute, we’ve always looked beyond outdated thresholds. Science is catching up, and your kidneys deserve better. Our good old friend vitamin D3 can achieve this.

🔗 Read more here https://journals.lww.com/kidney360/pages/articleviewer.aspx?year=9900&issue=00000&article=00749&type=Citation
💬 Drop your questions below.

📲 Follow for evidence-backed kidney care.

🔍 Depression affects up to 30% of people with CKD, and anxiety is even more common—yet mental health often goes unaddres...
11/16/2025

🔍 Depression affects up to 30% of people with CKD, and anxiety is even more common—yet mental health often goes unaddressed in routine care.

📉 Without emotional support, patients face higher rates of:

– Isolation
– Faster kidney function decline
– Poor treatment adherence

💡This blog explores:

✔ The mental toll of CKD
✔ Why therapy and peer support matter
✔ How mindfulness and integrative care can help
✔ The importance of routine mental health screening

🫂 A healthier kidney journey starts with compassion for the whole person.

📖 Read the full article → [https://f.mtr.cool/fwuynonvlf

🔍 What if we told you your urine could reveal early kidney damage long before traditional tests like eGFR or ACR show a ...
11/15/2025

🔍 What if we told you your urine could reveal early kidney damage long before traditional tests like eGFR or ACR show a problem?

💡 Meet urinary citrate—a small molecule with big implications. Low levels may point to hidden acid retention, tubular stress, and a higher risk of kidney disease... even when your labs look “normal.”

In this blog, we cover:

✅ What urinary citrate tells us about kidney function
✅ Why it drops before other markers do
✅ How diet and supplements like potassium citrate can help
✅ Simple ways to measure and track this early-warning biomarker

📣 Have you ever checked your urinary citrate?

🤔 Should it be part of routine CKD screening?

👇 Drop your questions or thoughts below—we’d love to hear what you think.

📖 Read the full blog here: [https://f.mtr.cool/ghyfhaxbtp

Still navigating glomerulonephritis? Let’s connect. 💬📢 The Glomerulonephritis Protocol is still available — and it’s mor...
11/14/2025

Still navigating glomerulonephritis? Let’s connect. 💬

📢 The Glomerulonephritis Protocol is still available — and it’s more than just a download. It’s a conversation starter.

From IgA nephropathy to Membranous nephropathy, this 40-page guide is packed with insights on how to evaluate, monitor, and manage autoimmune kidney disease—designed for both healthcare providers and patients who want more clarity and control.

🔍 What's inside:

Disease-specific evaluation strategies
Immune system pathways and testing
Treatment frameworks: conventional and integrative
Monitoring tips and red flags to watch for

🧠 Whether you're a clinician refining your approach or a patient trying to make sense of your labs, this protocol offers actionable knowledge.

💬 What’s been your biggest challenge managing glomerulonephritis—confusing test results? Medication side effects? Feeling unheard?

Let us know in the comments — your experience might help someone else.
Ready to go deeper?

🚀 Dive in NOW and enrich your knowledge!

🔗 Download here:

https://inkidney.com/product/the-glomerulonephritis-protocol/


Today, we are sharing our dietary approach to kidney stone prevention.➡️ Kidney stone formation (also called urolithiasi...
11/13/2025

Today, we are sharing our dietary approach to kidney stone prevention.

➡️ Kidney stone formation (also called urolithiasis or nephrolithiasis) is a complex disease 😷 influenced by multiple factors, including diet, genetics 🧬, and environment.

Conventionally, the approach to treatment is a multi-pronged approach and may include medication, dietary and lifestyle interventions, surgical removal, and using ultrasonic waves to break up stone.

However, dietary guidelines tend to focus on stone composition instead of on the underlying pathology.

In this blog series, we’ve been discussing the combination of upstream risk factors that impact the risk of stone formation. Details are at the Link in profile.
https://inkidney.com/dietary-approach-to-kidney-stone-prevention/


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