Which Supplements Are Safe for Your Kidneys? A Nephrologist’s Guide

Which Supplements Are Safe for Your Kidneys? A Nephrologist's Guide

Walk down any supplement aisle and you will see bottles promising “kidney support,” “detox” or “natural cleansing.” None of those labels needed FDA approval before reaching the shelf. In the United States, supplements do not have to prove they are safe or effective before they are sold. For people with healthy kidneys, many supplements are … Read more

Is CT Contrast Dye Safe With Kidney Disease?

Is CT Contrast Dye Safe With Kidney Disease?

Your doctor orders a CT scan with contrast. Then someone mentions your kidneys, and suddenly the scan is on hold. Maybe it gets switched to a scan without contrast, one that shows less. That hesitation made sense 20 years ago. Today, research tells a different story. For most people with chronic kidney disease, IV contrast … Read more

Blood Pressure Still High on 3 Medicines?

Blood Pressure Still High on 3 Medicines?

You take your pills every morning. Three of them. Your doctor adjusted doses twice this year. And the cuff still reads 152/94. You are not alone, and you are not out of options. When blood pressure stays high on three medicines, the answer is rarely “add a fourth pill and hope.” It is a structured … Read more

What Is Your Kidney Stone Made Of?

What Is Your Kidney Stone Made Of

You passed a kidney stone. The pain is gone, the ER bill has arrived, and someone told you to “drink more water.” That advice is fine, but it is incomplete. About half of people who pass one stone will form another within 5 to 10 years. The best way to break that cycle is to … Read more

IgA Nephropathy: Signs, Tests and Treatment

IgA Nephropathy Signs, Tests and Treatment

A 28-year-old gets a sore throat on Monday. By Wednesday, his urine looks like cola. He drinks more water, it clears up, and he forgets about it. Two years later, a work physical shows protein and blood in his urine and a creatinine that is higher than it should be. That story fits IgA nephropathy … Read more

New Medicines That Protect Kidneys in Diabetes

New Medicines That Protect Kidneys in Diabetes

For about 20 years, people with diabetes and kidney damage had two tools: tight blood sugar control and an ACE inhibitor or ARB. That was it. Kidney function still drifted down, and many patients ended up on dialysis anyway. That picture has changed. Three newer drug classes now have hard trial data showing they slow … Read more

Pregnancy After a Kidney Transplant: What to Know Before Starting a Family

Pregnancy After a Kidney Transplant What to Know Before Starting a Family

A working kidney transplant often gives back more than energy and freedom from dialysis. For many women, it gives back fertility. Periods frequently return within months of a successful transplant, and pregnancy becomes possible again. Thousands of transplant recipients have had healthy babies. Still, a transplant pregnancy is a high-risk pregnancy. The difference between a … Read more

How to Monitor Your Blood Pressure at Home and Keep a Useful Log for Your Nephrologist

How to Monitor Your Blood Pressure at Home and Keep a Useful Log for Your Nephrologist

A single blood pressure reading in a clinic tells your nephrologist very little. You might have rushed in from the parking lot, skipped your morning pill, or felt nervous in the exam room. Two weeks of well-taken home readings tell a much clearer story. For kidney patients, that story shapes real decisions: which medicine to … Read more