[Music] is it possible to ameliorate chronic kidney disease using a whole food plant-based diet in my last video on kidney disease I talked about how randomizing people to cut just around 10 grams of protein from their daily diet could cut their risk of dialysis and death by a whopping 77% that was cutting protein across the board but while animal-based protein ingestion and meat Dairy and egg white protein ingestion promotes an acidic environment in the kidneys inflammation and stresses the kidneys to what's called hyperfiltration mode plant-based protein can be alkaline producing and anti-inflammatory and contain kidney
protective properties so what if you have kidney patients eat a plant dominant low protein diet abbreviated adorably as Play-Doh I guess for plant dominant if you fashion up a plant-based diet index score where you get points for healthy plant foods and get points deducted for eating animal Foods those with serious kidney disease with higher scores were found to have lower systemic inflammation but does that actually translate into living longer life apparently so even a 10% increase in the proportion of plant-based protein was associated with a significant reduction in all cause mortality even just eating more
servings of fruits and vegetables like two a day compared to two a week is linked to living longer without fully functioning kidneys there are concerns about phosphorus and potassium overload though on a plant-based diet but the phosphorus and plant-based Foods is not as much of a problem as the phosphorus additives in processed in animal foods and the risk of potassium overload from plant-based diets appears overstated and not supported by the evidence but you don't know about ameliorating chronic kidney disease using a whole food plant-based diet on until you put it to the test here's a
case report of a 69y old man with type 2 diabetes high blood pressure and stage three chronic kidney disease resulting in elevated phosphorus and potassium in the blood interested in changing his diet to improve his medical condition That's my kind of patient he was on 12 different medications eating a diet that may actually be slightly better than the average American some whole grains and beans but then his doctor advised to try eating Whole Food plant-based so yeah you know oatmeal with fruit and flax beans and greens whole wheat spaghetti and veggies fruit to snacks Cel
to eat as much as he wanted from Whole healthy foods no carb counting no calorie counting no portion size restriction improving the quality of food rather than restricting the quantity of food he adopted the whole food plant-based diet packed with carbs yet rapidly reduced his insulin requirements by more than 50% and subsequently saw Improvement m ments in weight blood pressure and cholesterol because eating healthy can have such a rapid effect on improving your body's insulin sensitivity immediate adjustments and Insulin dosing were made within 4 days his insulin dose was able to be reduced from roughly
210 units of insulin a day down to 70 units daily and an oral blood sugar lowering medication had to be stopped due to rapidly improving blood sugar he also was able to stop his carvol hydrochlorizide amlodipine acidic liptin Within the first two months due to improving blood pressure and blood sugars his insulin dose was steadily titrated downward his prostatin dose was cut in half and he lost about 50 lbs okay so what happened to his stage three kidney failure he was no longer in stage three kidney failure doctors watching this will understand what all these
numbers mean here's a graph of his GFR which is a measure of kidney function declining for years before shooting up after he started eating healthy he experienced an increase in estimated GFR of 73% suggesting that the Improvement in estimated kidney function was greater than what would be expected from weight loss alone for example lose about 60 PBS from bariatric surgery you only get about 12 to 15% boost bottom line for individuals with chronic kidney disease especially those with obesity hypertension or diabetes a strict all you care to eat whole food plant-based diet May confer significant
benefit I mean apart from the kidney specific outcomes overall mortality is significantly lower among kidney patients who eat more plants and that's critical because most kidney patients don't even make it to dialysis because they die first most often from cardiovascular disease let's hear from the patient at the outset it seemed like this was going to be a difficult and restrictive way to eat but I began feeling different almost immediately we had to decrease my insulin after one day it seemed like almost overnight I had more energy than I'd had in years weight I've been trying
to lose for a decade began dropping off as the weight came off I felt lighter more able to move my body again this lifestyle change has been the greatest gift I've ever received I'm off most of my medications I've lost over 70 pounds and I've regained control over my health I feel empowered by this lifestyle change I finally feel like I'm in charge of my health and not just an unlucky victim Shuffling from one specialist to the next my only regret was that I didn't know about this [Music] sooner for
