Protein Needs: Cirrhosis and Chronic Kidney Disease
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This video provides an overview of protein needs in cirrhosis and chronic kidney disease.
You will learn about the basics of both disease states, how they affect protein metabolism, and the current recommendations for intake.
Part 1 of this video series can be watched here: • Introduction to Protei...
In the video, I talk about recent guidelines from the American Association for the Study of Liver Diseases (AASLD) and National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI).
Both of those guidelines can be found here: aasldpubs.onlinelibrary.wiley... and www.ajkd.org/article/S0272-63...
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📩 Email me at clinicalnutritionu@gmail.com if you would like to see the resources used to make this video
📸 Follow me on Instagram: / mitchellzandes
🔥 Check out my 5 book recommendations here:
1. Human Metabolism: A Regulatory Approach - amzn.to/3fybubh
2. Krause and Mahan's Food & the Nutrition Care Process - amzn.to/399GoXE
3. AND Pocket Guide to Nutrition Assessment - amzn.to/3wgIYml
4. Being Mortal - amzn.to/3EQXy6t
5. When Breath Becomes Air - amzn.to/3stM6KK
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📚 Chapters for this video:
0:00 Protein needs in cirrhosis and CKD (pre-dialysis and dialysis)
0:56 Introduction to cirrhosis
1:37 Cirrhosis and protein metabolism
5:42 Protein recommendations for cirrhosis
10:07 Introduction to CKD
11:54 CKD and high protein diet
13:15 Protein recommendations for CKD stages 3-5
16:20 Hemodialysis and peritoneal dialysis
18:43 Protein recommendations for dialysis
20:31 Summary of recommendations
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This video is for educational purposes only. It is in no way intended to serve as a way to diagnose medical conditions or replace individualized care from a physician.
Thank you for supporting my work on KZfaq! 🙏🏼
#medicalnutritiontherapy #clinicalnutrition #protein
@clinicalnutritionuniversity Жыл бұрын
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.
@karen9av 2 жыл бұрын
Renal dietitian here. Great job on this video! Will recommend my future interns to watch this video before starting their rotation.
@clinicalnutritionuniversity 2 жыл бұрын
Thank you so much!! I really appreciate you taking the time to watch it 😊
@dtmater 2 жыл бұрын
I'm a Clinical Dietitian and i need to say thank you so much for these helpful videos in your channel. This is absolutely the best channel ever when it comes to Clinical Nutrition topics. We appreciate your hard work to make such wonderful videos. JUST KEEP IT UP BRO 👏🏻
@clinicalnutritionuniversity 2 жыл бұрын
Thank you so much! The kind words truly add to my drive to keep going 🙏🏼
@maduhumashini8775 2 жыл бұрын
CNU is my best source of medical Nutrition .Great job MITCHELL.
@Anima7e 2 жыл бұрын
This is why I love nutrition. It’s so interesting.
@Yokai_senpai 2 жыл бұрын
Pleaseeeee keep making these videos, they're so helpful to remember the important facts in a few minutes. You're awesome!
@clinicalnutritionuniversity 2 жыл бұрын
Thank you so much! I’m so happy to hear you find them helpful 😊
@InnerFireme 2 жыл бұрын
Thanks so much. This video is very concise, coherent, and well researched. Much appreciated your thoughtfulness
@clinicalnutritionuniversity 2 жыл бұрын
Thank you, Lily!! I’m very happy to hear you enjoyed this one 🙌🏼
@sanelemazibuko1726 2 жыл бұрын
It's very informative and I'm impressed. Thank you so much .
@clinicalnutritionuniversity 2 жыл бұрын
Thank you!
@normazayed2100 Жыл бұрын
This channel is becoming one of my favorites 💖
@clinicalnutritionuniversity Жыл бұрын
Thank you so much! I’m glad you enjoy it 😊
@victoracosta4299 2 жыл бұрын
Excellent presentation! Keep up the good work!
@clinicalnutritionuniversity 2 жыл бұрын
Thank you, Victor! 🙌🏼
@katemcmanus2496 2 жыл бұрын
Thank you!! Great info!
@clinicalnutritionuniversity 2 жыл бұрын
Happy to hear you liked this one! 😊
@moon1999_ 2 жыл бұрын
Excellent explanation! Thanks CNU👌🏻
@clinicalnutritionuniversity 2 жыл бұрын
Thank you, Mahsa!
@moontaeilsolostan3729 Жыл бұрын
Your video help me alot
@clinicalnutritionuniversity Жыл бұрын
I’m happy to hear that!
@maduhumashini8775 2 жыл бұрын
Kudos video with a huge statistics info. I like ur lecture. But which protein sources(is it plant- based or animals) foods are best to CKD patients so as to achieve their recommendations .
@clinicalnutritionuniversity 2 жыл бұрын
The current KDOQI guidelines do not provide a recommendation based on protein type (plant vs. animal). Generally speaking, we should be guiding patients to increase their intake of plant-based foods. But in terms of a % split, there isn’t one established. With CKD, adding plant-based foods must always be done with consideration for blood potassium levels.
@kidneydietitian6054 2 жыл бұрын
What CNU said, plus to elaborate in terms of practicality: CKD dietitian here - Very strong studies / research now has shifted to focus on source & quality of protein matters. Animal protein, particularly red meats are least preferred. Goal is make realistic goals & try and include plant based proteins & minimize red meats & overall reduce animal protein realistically from current intake (vs. “calculated needs” that may not be very attainable or sustainable for (most) pts. Additionally, hyperk+ mgmt with limiting fruits/veg. is no longer a primary focus for CKD pts - remember, animal proteins increases acid load & in turn can result in higher K+. (There are also several other factors to take in account including medications (ace/arbs/ loop diuretics, sodium bicarb for metabolic acidosis mgmt, lack of insulin, chronic constipation and the fact that content of K+ in fruits & veg may vary based on prep methods).
@clinicalnutritionuniversity 2 жыл бұрын
@@kidneydietitian6054 Thank you so much for taking the time to add to the conversation! Your insight and expertise is greatly appreciated! 😊
@quietstorm7489 Жыл бұрын
I’m 6’3 215 and I’m stage,3 I work out almost everyday but I still don’t know how much protein should of eat do I still fit in that 0.6 grams recommendation and is it pound or it’s just 0.6 grams ??
@quietstorm7489 10 ай бұрын
@@christopherlindloff8331that’s the ruff estimate I got but are there anyway I can build muscle I’m not trying to be super big but I’m trying to be slim with a muscle but I keep seeing you need to consume a certain amount of protein to build muscle but I know I can’t eat a of protein because of the ckd
@sanelemazibuko1726 2 жыл бұрын
I would like to ask for PEG feeding guidelines please help guys.
@clinicalnutritionuniversity 2 жыл бұрын
If you browse my Playlist on Enteral Nutrition, you will find plenty of information on this!
@sanelemazibuko1726 2 жыл бұрын
@@clinicalnutritionuniversity Alright, thank you.
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