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The 10 top foods to detox your kidneys Yes unfortunately unlike the liver the kidney is an organ that does no Not quite as enthusiastic about regeneration and in this video we'll take a closer look at A What causes kidney diseases and B and which foods are suitable for us These conditions can be halted and perhaps even partially reversed During my time as anesthesiologist in the operating theater at the university hospital I spent a long period in the urology operating room months on duty and I was already able to assist as anesthesiologist in kidney transplantations accompanying them—first at the donors' end and later at the recipients' end as well can tell you that this must absolutely be avoided as kidney transplantatio s the final stage of kidney disease and we'll briefly touch on that again in this video Welcome warmly to this video My name is Dr Selz I am a practicing physician and of course I also have Kidney patients and today we're taking a closer look at this kidney Here it is from the outside and here it is in cross-section Here you can see the renal calyces where urine is collected for example The kidney produces urine daily and thus the renal calyces appear in this 3D model as shown Terribly bad Incidentally right on top of that the adrenal gland is located — a hormone-producing organ — over whic I've already made many videos And here let's take a look at the smallest unit of the kidney—the so-called glomerulus where the final processes ultimately take place s what sets the kidney apart Many people think that the kidney itself It functions not as an excretory organ but rather as a reservoir and reabsorption organ They produce 180 liters of urine daily known as primary urine and then throug some mechanisms this primary urine is filtered and concentrated once more What we then excrete—the actual urine—is the result of this process The problem is that kidneys suffer silently meaning we therefore cannot detect kidney disease for an extended period It is said that in some cases functional impairments can reach up to 90% Kidneys often go unnoticed by those affected which is the problem—kidneys simply suffer silently They regenerate poorly and the kidneys become increasingly sensitive over a person's lifetime My kidney is getting worse every day just as hers is The Kidney function naturally declines with age starting around 40 and the kidneys begin to respond less effectively Unfortunately God made them extremely sensitive to food and they filter about 1 500 liters of blood per Tag an incredible achievement in the end And the problem is that protein you know that perhaps from the bodybuilding scene and just table salt which can potentially harm the kidneys and today we want to talk precisely about these topics No matter their age they look at watch this video because these mistakes can be easily avoided and each kidney will only get worse As mentioned it begins around the age of 40 from the 40th year of life onward What does that mean Kidney disease Kidney disease means the kidneys can no longer perform their filtration function can no longer be purified so we have what are known as uremic conditions Materials materials that accumulate daily every second and are then shed through the hair must be included such as urea and uric acid which you are familiar with from the Gout or perhaps creatinine which you may have heard of before if bodybuilders take too muc ake protein or any muscle-related issues arise And if we can no longer o filter properly when the kidneys can no longer eliminate it then it begins to accumulate Ultimately leading to poisoning And that is precisely what we must prevent as doctors both with dialysis and of course also with transplantation What is the frequency Te A significant percentage of humanity is affected by chronic kidney insufficiency meaning a Kidney that no longer functions properly Approximately 50 percent of people over the age of 75 are affected and there are two particularly interesting age-related differences here One of Five men aged 64 to 74 are affected as are one in four women in the same age group see also a completely widespread topic And you can imagine it a bit like this: coffee filter after all the kidney is nothing but a large filtering organ and This coffee filter does nothing in real life except hold back the coffee grounds These are our substances requiring excretion made excretable here Coffee grounds are ultimately what ends up in their urine what they must excrete Thus our blood which then becomes the coffee here is continually freed from these substances And we measure the whole thing using the so-called GFR or glomerular filtration rate This is therefore a Measure of filtration performance We'll be discussing the GFR extensively today Video It simply shows how well our kidney can still do this—how effective is our filter And the The question is yes what damages our filter How can we detect it How can we measure it And You can see the illustration here I've sketched it out for you showing the stages of chronic Kidney insufficiency So we have two stages here for example when the GFR is above 90 let's just say it's a normal function everything's fine And even in stage 2 when they're betwee 60 to 89 milliliters per minute and that gives such a strange number it's calculated as Body surface area you don't need to memorize everything—approximately in percentages you can just keep that in mind set Also if kidney function exceeds 100 to 120 percent or is above 90 percent we refer to it as simply from a normal function And then in stage 2 between 60 and 89 percent there we don't have any symptoms either so one could say it's a very mild kidney weakness But Then at stadiums 3 and 4 it becomes particularly interesting especially when the GFR drops between 30 and 60 en you already have issues reduced kidney function can subsequently lead to high blood pressure among other things High blood pressure can lead to fatigue and reduced performance and by stage 4 this may progress further also itching why the itching because the substances that need to be excreted in urine can no longer be removed can occur yes one could say or nausea and nerve pain The kidney is completely underestimated organ and these processes can unfortunately occur silently which is why it's truly We'll stick with this video since in principle everyone is affected by it And what is stage 5 A terrible situation—we're seeing GFRs as low as zero percent down from under 15 percent all the way to complete kidney failure and in this case we're left with only two options: a donor kidney or Dialysis And as I said it all starts around 40 this game and you can figure it roughly at about a A one percent or one milliliter per minute reduction per year—these are the figures cited in the literature a bit different but basically the kidney doesn't get better so that's how it is mark The total length of all blood vessels in the body and here too there are varying reports in the literature are between 60 000 and 120 000 kilometers or one and a half to three times the Earth's circumference Why mentio s that Because the kidney is especially dependent on the smallest vessels as I mentioned earlier— Just showing you this video of the smallest unit of the glomerulus because right here exactly at this point this level of filtration takes place causing the blood vessels to narrow on and on ever onward until they reach capillary size that capillary These capillaries whose total length is roughly one and a half to three times the Earth's circumference as mentioned depending on which book or studies you read and I find that just by itself covers 60 000 kilometers yes grandiose You might one day have the chance to visit the Bodies Worlds exhibition see where you actually prepare a blood vessel system on anatomical specime see it and then you're completely captivated utterly amazed and think to yourself this can't possibly be real 's not possible that so many blood vessels run through our body and there you see it anatomically showing only the larger blood vessels This fascinated me deeply during my studies and raised the questio What's damaging these tiny blood vessels right now since our kidney function essentially depends on them evitably involved and they are microvascular diseases such as diabetes ype 2 diabetes also known as adult-onset diabetes and high blood pressure—those are the two conditions in question e most common causes that can lead to such chronic kidney damage and these are precisely e two things we truly need to pay close attention to must ensure you prevent this at all costs and then this can also The glomerulus itself cannot become inflamed for instance an acute inflammation can be caused by bacteria This could be caused by viruses numerous other factors but you might also have a chronic glomerulonephritis which as it happens has some connection to autoimmune processes can also be an inherited condition and then you're likewise prone to chronic Kidney insufficiency However the most common issue besides microvascular diseases will be medications specifically NSAIDs the painkillers you can buy over the counter so easily Here goes we assume that prolonged use may lead to kidney damage or certain conditions Antibiotics—perhaps you've already had to take metronidazole an extremely severe case indeed Antibiotics are used for certain intestinal issues and specific gut bacteria Also Contrast agents can harm the kidneys which is why you must always check thyroid function and Provide kidney values before undergoing a contrast agent imaging procedure Some X-rays for example where contrast agent is used or during the CT examination at the Computer tomography and then something for high blood pressure like ACE inhibitors for example They are also known for potentially damaging the kidneys when necessary just as with potent chemotherapy agents We also have deposits in the kidneys within the glomerulus itself one can imagine it as if it were closing off so to speak as it goes through These tiny microcalcifications can occur precisely when you consume a diet high in salt and sugar at kidney stones develop slowly or if you consume salty foods such as nuts such as consuming too much chocolate phosphorus calcium or purines People who Those who have issues with uric acid know this Or if you consume too much vitamin D for instance ake them It's currently very very trendy to go on vitamin D regimens and an extremely large number of people do so Millions of units in a short time— I can only warn you not to do it please don't They are written by people who have never even seen it themselves at a kidney can be damaged for example by vitamin D if precipitation occurs for instance kidney stones Or very very frequently the older we get e more our sense of thirst fades into the background and when one then simply doesn't consume enoug drinks it's clear somewhere that there's insufficient filtration capacity the pump is virtually ot enough water down there which is why she's also prone to kidney stones There's still a genetic disorder polycystic kidney disease which also tends in this directio or even kidney failure That's the paradox So if you're now for example for briefly experience kidney failure for example after a car accident yes something along those lines or if you have a severe kidney infection then it could lead to Acute kidney failure can happen suddenly The doctors will help you the doctors will save you but this short-term episode can lead to chronic kidney insufficiency over the long term rigger Now in this video we'll focus on stages 3 and 4 These are therefore ruly the two stages where we must truly pay attention to nutrition—stage 1 and stage 2 a few tips are provided at the end of the video but by stages 3 and 4 we'll need to rely on other strategies Ultimately counteract it through diet I'm continually amazed that people here come into practice and when I then ask how long the poor kidney value has been like this Well known then they've been telling me for several years now And then I ask what exactly is one supposed to do on the other hand No nothing at all He's always checked regularly And then when you ask you have Have you ever had nutritional counseling or anything like that No people really don't know anything and unfortunately in our medical system it's simply accepted that kidney function is poor and then it is ultimately the doctor's task to continually monitor this kidney value check it and then at some point refer them to a nephrologist That's what it could be after all probably not But first let's take a look at Stage 5 since that's where we should all be as much as possible focus on the fact that we'll never make it there as I've already mentioned There are only two options: dialysis or transplantation The problem is at there are few organs available and from my practical experience I can tell you tha at a transplant is truly a procedure accompanied by great excitement and tension comes with nervousness among staff Why Because they always maintain a healthy sense of Cutting into people to remove a healthy organ and then transplanting that healthy organ onto the The donor is typically someone from the recipient's own family For example The father gives to the daughter or vice versa and these are already tense situations e patient then experiences in the operating room and often this leads simply to rebleeding occurring find For instance in the donor or bleeding episodes in the recipient that the organ is o The stand is tipping over These are all hot items It sounds great on TV shows but so beautiful and then I got a kidney and all that but what was actually going on in the background It's truly high art and requires immense experience I have deep respect for that e surgeon ahead of the urologist who will then perform the transplant and assume responsibility for Keep taking it and continually fix the problems that may arise How does the five-year survival rate look for dialysis patients Yes 66 percent of people ose who received dialysis still live five years later in the United States In Germany we have significantly better figures 90 percent You can see it here and the issue is often that people while they're hooked up to dialysis undergoing blood filtration then just die simply because they've lasted that long The funding body is waiting In the BAD we have around 80 000 dialysis patients by far the largest number we have two million dialysis patients Amazingly in America there are completely a huge number of dialysis patients As I said absolutely avoid it—the diseased kidney The issue is a filtering problem specifically related to sodium for example to excrete potassium then nitrogen produced during protein breakdow with the phosphorus and then she also has a problem getting rid of her water actually getting rid of the water their body You're constantly drinking water and everyone knows that People with kidney disease then have Fluid accumulations known as edemas and we essentially need to address these in stages three and four Reduce food intake and implement restrictions in your diet—there's no other way In the stadium however it's an emergency meaning a major incident has already occurred here Organ damage present We need nephrological care here The patients have an extremely strict intense liquid intake restriction allowed only a very small amount of fluid ey have very strict limitations regarding sodium potassium and phosphate They have a so-called albumin loss Albumin is the protein that essentially determines our blood proteins Ultimately due to this albumin loss they develop edema and through the kidneys experience this loss of albumin as the liver's production of albumin declines and we lose even more albumin during dialysis which is why there is a recommendation to also consume adequate protein during Stadium five should ultimately consume more protein Why Because precisely that There's albumin loss present and which protein that is we'll see shortly There is amely a whole bunch a whole lot of differences namely high-quality protein and best of all one should take the eight essential amino acids in a specific ratio and one should be cautious here with protein powder Why Because you need to avoid what's known as nitrogen waste and that's something I can explain to you Exciting slides on the topic follow Now let's move on to the nutrition tips and Nutritional interventions in stages three and four which you can essentially already implement as such Leverage prevention strategies for kidney diseases We should therefore consume no more than six grams of table salt per day That's two grams of sodium per day We should limit phosphorus to one gram per day or less than one gram per day and with protein we should aim for between 0.6 and 0.8 grams per kilogram which sounds theoretical right now—I've prepared an example for you here 100 A healthy person should consume between 60 and 80 grams of protein as previously mentioned and that is actually a normal amount of protein and in stage 5 renal insufficiency we should en actually take in a bit more protein but which protein would we add to that Right And we just have to be careful with potassium Here we make a distinction between the Stadium 3a and 3b I didn't show you that at the beginning but just keep it in mind between 30 and 45 percent kidney function GFR 30 to 45 Therefore if they have less than three grams per day Potassium levels should remain at 3 000 milligrams or below 2 000 milligrams if the GFR is still Worse Now let's take a look at the groceries How should they be They should be low in sodium low in potassium low in phosphate and of course and low in sugar especially if they're already dealing with diabetes Fundamentally we should really eat low in sugar so we don't develop prediabetes or age-related diabetes either And take a look We're picking up some groceries First the raspberries which have a moderate potassium content slightly raised and contain moderate phosphate levels and only a small amount of sugar In the next slide we blueberries for example Potassium is also present in moderate phosphate but already sweeter So Always keep this in mind the values here are always given in milligrams per 100 Gramm of food kept And here you simply see a few items that are suitable such as fresh apples which also contain slightly more sugar here And the Now let's compare it to dried apples And there you see the potassium content it goes Jumps sharply upward just like phosphate I've also placed that comparison right here for you Also the dried apples those would be the dark beams here And you can see here at first dark bar unlike our line the blue line indicates the fresh ones Apples which ultimately contain far too much potassium as well as far too much sugar and much more a lot of phosphate—these are subtle fine distinctions and if you don't engage with them the In the end you're consuming the wrong food Pears are also extremely suitable In this case e kidney stone remedy also known as watermelon which actually contains far less sugar than one might Actually they think and especially green peppers also keep this potassium low and especially sodium You can see here that there's always a one listed for foods which I'm introducing—excellent highly kidney-friendly foods just like zucchini and a few others I'll show you some more for instance head lettuce Then let's move on to the essential proteins over In chronic kidney diseases the protein from food plays a very special role Rolle Why Firstly we should therefore consume as high-quality protein as possible so that our kidneys can first prevent protein loss and secondly perhaps even trigger repair processes But on the other hand we face the problem tha at dietary protein releases what is known as nitrogen during protein digestion And this Nitrogen further damages our kidneys and there's a specific parameter for that To determine what we're dealing with here is a protein that generates an enormous amount of waste so to speak or are we dealing with a protein that produces relatively little nitrogen waste And that is s known as net nitrogen utilization And that is dicates the percentage of amino acids contained that serve as building blocks for the construction of Protein from the body can be utilized and the remainder that's left behind must simply be detoxified about the liver and the kidneys And you will now immediately see that there is a complete difference here a very clear difference Now we can see on the left side the yolk also combine the protein and the yolk And the number below indicates that 48 percent of this prote evaluate very very well And 52 percent is the waste the net nitrogen load In the case of Yolk if were to eat only yolk we could utilize just 18 percent of it and 82 percent would be waste The same is true for egg white so you should consider the egg as a whole Eat it as a whole even though dietary guidelines for kidney health often provide recommendations only for the egg clear because one keeps focusing again on phosphate and such matters Therefore recommendation Eat all the eggs so you'll at least have one that can be evaluated and you have lower nitrogen loss thus sparing your kidneys If you are But if you look at other proteins such as soy you'll see that it's only 17 perce can be evaluated 83 percent nitrogen load waste Meat-like but better than soy 32 Fish is also evaluated at 34 percent while milk is assessed at only 17 percent 83 percent are nitrogen waste Yes now you see here on the right side three ominous Question marks — and there it says 99 percent usable just one percent waste What on earth is that supposed to mean Yes this refers to the so-called MAP Master Aminopattern—essentially eig essential amino acids carefully blended so that nearly no net nitrogen load remains more comes out meaning liver and kidney strain either no longer occurs or occurs almost never For instance this Master Amino Pattern is present in my protein blends in the Amino-Elements available but also present in many other means as well And you might still be familiar with the term biological value This is another term used to describe protein Biological Worthiness means the degree of efficiency or how well certain proteins can be built exactly from that egg white exactly another term And what interests us here regarding chronic Nitrogen pollution rather than this net nitrogen load Yes many will ask themselves can I because now eating meat and eating fish And the answer is yes because your kidneys do need gh-quality protein which she can also obtain just as easily from eggs And as you can see here of course goes a little into the phosphate and naturally it also goes a little into the Potassium With salmon for example it's similar but you've just heard from me these things get which you need to pay attention to and thus you can always check whether it's good or Poor-quality food Finally I'd like to share a few tips with you First stay fit and active ensuring good circulation Second pay attention to ese nutrition tips Third check your blood sugar level And if you're already at the The threshold is when your HbA1c your long-term blood sugar level starts to rise slightly then you should proceed ruly get back on a low-carb diet because you can catch that you ca ruly positively influence it You can also go low-carb high-fat so there are several options Opportunities Important: also check your blood pressure regularly measure it dr Enough because only a filter that's thoroughly rinsed will stay healthy for you in the long run Smoking causes microvascular disease everyone knows that which is exactly why Guarantee against stroke heart attack and also against chronic kidney insufficiency And Be careful not to overuse nonsteroidal anti-inflammatory drugs such as ibuprofen and similar medications Why There are simply pain patients who don't think twice about taking a painkiller aking one after the other and still ending up with a kidney problem in the end And importantly Don't believe these internet gurus telling you to now make fifty millio Take vitamin D units in one week There are certain relevant American books and people trust it because miracles are promised there I ave also witnessed several individuals whose kidney function significantly improved as a result of these measures worsen And importantly make sure to regularly check your kidney function This can truly make a difference every doctor performs it and it's genuinely included in every routine check-up And if it happens to be the case that Even if you already have declining kidney function please pay attention to these dietary tips and you should regularly see your doctor if you have high blood pressure diabetes or Being overweight or obese is common Thank you for listening Wishing you great success with these tips Subscribe to my channel First it's free Second I appreciate every subscriber and there's Give me the motivation to keep going And then stay healthy see you in the next video See you soon