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Published on November 12th, 2021 | by Katherine

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The diet PROVEN to stop Kidney Disease

This diet is proven to stop kidney disease progression
even in the advanced stages!

And science confirms that!

The very low protein diet. This dietary approach – which is criminally underrated in the US – could literally prolong the life of your kidneys by 10 years or more, if implemented correctly.

Today I want to show you how to do this from a practical
point of view.

We will see exactly what to eat, what to avoid and what
to supplement.

We are also going to see the easiest way in the world to
calculate protein, potassium and other nutrients – yes there’s an app for that
– so don’t miss even a second of this video!

More in this video!

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TRANSCRIPT

This diet is proven to stop kidney disease progression even in the advanced stages!
And science confirms that!

Katherine here, welcome to a very, very important video.
The very low protein diet. This dietary approach – which is criminally underrated in the US – could literally prolong the life of your kidneys by 10 years or more, if implemented correctly.
Today I want to show you how to do this from a practical point of view.
We will see exactly what to eat, what to avoid and what to supplement.
We are also going to see the easiest way in the world to calculate protein, potassium and other nutrients – yes there’s an app for that – so don’t miss even a second of this video!
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Very important question, before we start!

Is the VERY low protein diet really proven to stop kidney disease?

The very low protein diet, and I’m putting the emphasis on VERY here, or VLPD from now on, is used to treat the advanced stages, pre dialysis, kidney disease.
It is proven to work by a large review of studies published in the Cochrane Library.
Researchers and many doctors firmly believe that it can basically stop the progression of the disease, even in the advanced stages.
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This is a diet that will remove the greatest burden for the kidneys in existence, protein.
It’s not a secret that a plant based diet is the best way in the world to protect the kidneys and slow down kidney disease progression.
And that’s because plant foods are not rich in protein and they pack a punch when it comes to nutrition.
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Yet, we can still go one step further and almost completely removing protein from the diet – this is what the VLPD is all about – and this would in turn, completely STOP the progression of CKD.
Actually the aim of this is not just to stop the progression of CKD and live longer, it’s also to decrease the symptoms and greatly improve your quality of life.
Proteinuria, uric acid levels but also nausea, itching can all be greatly reduced with this diet.
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The VLPD is the most common diet for CKD in Europe, so there’s enough data today to be 100% sure that it works.

Guys, I don’t want to talk too much about studies and researches today, because, well, I’ve already done that.
In my video – up here – I’ve discussed the most commonly asked questions about the VLPD – such as “is the VLPD really proven to work” and “why hasn’t my doctor prescribed this diet to me” and more.
What you need to know, in short, is that Low protein and very low protein diets continue to be more readily used in Europe and minimally used in the US.
It’s not impossible to find a competent nutritionist, though, even in the US.
Also, anyone with kidney disease in stage 3, 4 and 5 pre-dialysis can benefit from a VLPD.
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What I want to show you today is a practical approach to the VLPD. There will be examples, there will be foods to eat and foods to avoid and more.
I’ve also found a very interesting app for your phone that I want to show you.
This is a 100% free app that will let you input all the foods you eat and that will show you exactly how much protein, carbs and fats you’re getting, but also potassium, phosphorus and a lot of other things.
More about this in the next part of the video.

Now, let’s see immediately what someone on a VLPD would eat in a day.

I know that this looks almost like a regular plant based diet, but there are differences.
Actually, if you are following a plant-based diet, congratulations, you are already following a low protein diet.
But what we want to achieve here is a VERY low protein diet. Which is different.
Now guys, I will never tell you to start eating like this all on your own. This kind of dietary therapy always need the help of a doctor.
Let’s take a look now. We can see breakfast, lunch, dinner, there are even snacks. All without exceeding a protein limit of 20 grams a day.
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So, there 4 things I want to highlight here.
First how much protein and calories you would be getting and why.
Second, what foods to eat.
Third what to avoid
And also, what are low protein foods, such as pasta, bread, crackers.

So, let’s start with protein quantity.
CLEARLY, there is pretty much no protein in these meals.
As we can see in this example, the aim is to get less than 20 grams of protein per day.
So, protein amount is the difference between a low protein diet and very low protein diet.
I know that many of you guys are already following a low protein diet – they are usually around 40g of protein per day.
But, according to literature, there’s a lot of difference in terms of progression of kidney disease between a low and a very low protein diet.
Low protein can help, very low protein can stop kidney disease.
And while the exact amount of protein will change depending on your body weight, mostly, it’s clear that the whole diet is made to avoid protein.
This is not necessarily a diet that makes you lose weight – someone already withing their normal weight or underweight would have to eat more fats and carbs to maintain their weight.
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So, what foods are always allowed in a VLPD?

All vegetables and fruits suitable for a renal diet will fit in a VLPD.
They don’t contain protein.
The exception is legumes, nuts and seeds. These do contain some protein.
They can be had, but in very small amounts.
High fat foods, such as vegetable and olive oils, but also olives, flaxseeds, chia seeds are very recommended.
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Now, as we can see someone with potassium levels under control may add avocado and coconut – two very healthy fat sources – to their diet.
In some cases, even low sodium dressings and mayonnaise may be acceptable.
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What foods should you always avoid in a VLPD?

High protein foods are to be avoided completely in a VLPD.
This includes any kind of meat and fish, but also eggs and dairy are to be completely removed.
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Nuts and seeds are a grey area, as we have seen, because they are lower in protein and richer in healthy fats than meat and fish.
How to tell how much nuts and seeds can you fit in a diet that requires 20g of protein?
There’s an app for that. More about this in a moment.
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Before that, what about Low protein pasta, bread and biscuits?

Low protein food items are now available even in the US and many other countries.
We have been using these food items in Italy for decades now, they’re true and tested.
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Low protein foods are zero or very low protein alternative to pasta, flour, cookies, bread and more.
Like many foods, pasta contains some protein.
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Not as much as meat, for example, but if you eat pasta frequently, protein will add up quickly.
This is why these products exist.
They’re especially developed for people with kidney problems, so they’re also gonna be low on potassium, phosphorus and sodium.
Actually, some brands also fortify them with the vitamins you need – but not all of them.
Talking about brands.
These products are pretty easy to find almost anywhere in the world.
This is a brand is called Aproten, some websites in the US, Canada and Australia carry it.
Another brand is called FLAVIS. This one actually ships only in the U.S.
This brand is called Loprofin and ships in Australia and New Zealand.

Now, very important. There’s a supplement you absolutely need to take to make this diet work.

Ketoanalogues of amino acids.
Very low protein diets are always coupled with some Ketoanalogues supplementation.
The reason is malnutrition. Because while your kidneys really suffer from breaking down protein into amino acids, your body really needs amino acids.
Amino acids are the building block of all the tissue inside your body.
Ketoanalogues of amino acids are nitrogen-free analogs of essential amino acids.
Nitrogen free is the key here. Nitrogen is the part of protein that’s actually putting all the burden on the kidneys and making CKD progress.
So, to get the benefits of a low protein diet and avoid malnutrition, you can use these special amino acids.
Now guys, there are 3 brands of ketoanalogues available today.
Ketosteril, a calcium-based ketoanalogue. It was created from Fresenius, a well-known dialysis company and requires a prescription to be sold.
Then there’s Albutrix, a magnesium-based ketoanalogue product that comes in tablet form.
Ketorena, a calcium-based ketoanalogue sold in both powder and tablet form.
Ketorena is made in the US and doesn’t require a prescription.
It’s the cheapest of the bunch but it’s recommended to choose the different ketoanalogue based on calcium levels of your most recent blood test.
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In short, the very low protein diet works based on the notion that the kidneys are damaged by protein.
Once you remove protein from the diet almost completely, the kidneys will improve.
A very low protein diet is not something you can self-prescribe, though: it requires very precise calculations and a special supplementation.
And while the help of a good nephrologist and a specialized dietitian are almost a requirement, you can still do a lot by yourself with the right tools.

Yes, there’s a free app for that.

I mean, these days, it looks like that if you need to do anything in your life, there’s an app for that.
And calculating macros in a renal diet definitely is one of those things an app can make easier.
I’ve tested and researched various macros tracking apps –
Nutritionix, myfitnesspal, cronometer, loseit and more.
they all do a similar job. They all let you track, with sufficient approximation, your macronutrients.
The two I can recommend you to try are myfitnesspal and cronometer.
The way they work is very easy. You can input any food you want as breakfast, lunch, dinner and so on, and the app will tell you exactly how much protein, but also phosphorus, potassium, sodium etc. you would be getting.
Also, you can set daily goals for these nutrients, which is very useful.
Both these apps are free and can be used on Android, Iphone and even on a PC via web browser.

Now guys, if you want to know more about what foods are perfectly safe and suitable for a low protein renal diet, there’s a video up here just for that!
A new video is coming this Sunday and I bet you’re gonna like it! In the meantime keep taking good care of your kidneys! Bye!

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About the Author

Hello, this I Katherine, welcome to 00Kidney! Here you will find how tos and guides for kidney disease patients, how to lower creatinine, how to improve kidney function, the best recipes for you kidney friendly diet and... much more!



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