From: Pramesh Rutaji on
Anyone find that they get a lower estimated GFR for kidney function on a
high protein diet due to the increased protein level and did it go away
by increasing complex carbs and/or fat along with not over indulging in
too much protein?

I'm thinking of managing my protein level to something like 100 grams
from meat/egg/cheese sources and see what effect that has on kidney
function. Otherwise, my kidney function has always been good and even
the creatine/bun levels that are used to do the eGFR estimate are within
normal range although the fluctuate from mid range to high normal from
test to test.

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Pramesh Rutaji

p297tongue6221(a)newsguy.com - remove tongue to reply
From: Scott W on
On Aug 4, 9:33 am, Pramesh Rutaji <p297tongue6...(a)newsguy.com> wrote:
> Anyone find that they get a lower estimated GFR for kidney function on a
> high protein diet due to the increased protein level and did it go away
> by increasing complex carbs and/or fat along with not over indulging in
> too much protein?
>
> I'm thinking of managing my protein level to something like 100 grams
> from meat/egg/cheese sources and see what effect that has on kidney
> function.  Otherwise, my kidney function has always been good and even
> the creatine/bun levels that are used to do the eGFR estimate are within
> normal range although the fluctuate from mid range to high normal from
> test to test.

In the short term your GFR will drop as you reduce protein, seems
backwards I know.
The idea is that having a higher GFR is hard on the kidneys and will
result in a long term reduction in GFR, for people on a high protein
diet.

You might want to look at this study.
http://jasn.asnjournals.org/cgi/content/abstract/7/12/2616

So if you reduce you protein intake don't be surprised is you see a
drop in your eGFR, but this is a good thing really.

Scott

From: Pramesh Rutaji on
Scott W wrote:
> On Aug 4, 9:33 am, Pramesh Rutaji <p297tongue6...(a)newsguy.com> wrote:
>> Anyone find that they get a lower estimated GFR for kidney function on a
>> high protein diet due to the increased protein level and did it go away
>> by increasing complex carbs and/or fat along with not over indulging in
>> too much protein?
>>
>> I'm thinking of managing my protein level to something like 100 grams
>> from meat/egg/cheese sources and see what effect that has on kidney
>> function. Otherwise, my kidney function has always been good and even
>> the creatine/bun levels that are used to do the eGFR estimate are within
>> normal range although the fluctuate from mid range to high normal from
>> test to test.
>
> In the short term your GFR will drop as you reduce protein, seems
> backwards I know.
> The idea is that having a higher GFR is hard on the kidneys and will
> result in a long term reduction in GFR, for people on a high protein
> diet.
>
> You might want to look at this study.
> http://jasn.asnjournals.org/cgi/content/abstract/7/12/2616
>
> So if you reduce you protein intake don't be surprised is you see a
> drop in your eGFR, but this is a good thing really.

How so? Lower eGFR is indicative of worsening kidney function. My
inital thoughts were that a high protein diet and a lot of exercise was
producing false low eGFR readings since it is estimated based on blood
creatine which can be elevated by exercise and high protein diets.

> Scott

--

Pramesh Rutaji

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