Before You Buy Kidney Supplements, Watch This

Before you buy another kidney supplement, start with the evidence and your lab results. Dr. Sean Hashmi reviews vitamins, omega-3s, probiotics and prebiotics, niacin, ketoanalogues, calcium citrate, antioxidants, and emerging creatine research in dialysis patients. This guide explains the proposed mechanisms and studies behind each option, then shows how to discuss supplements with your kidney team. A deficiency, CKD stage, dialysis status, medications, and follow-up labs can change the decision. Supplements support an individual care plan; the options in this video are not a list for everyone to take. WHAT YOU'LL LEARN Why testing for vitamin deficiencies comes before adding more pills What vitamin D and omega-3 studies can tell us, and where the evidence is limited The gut-kidney connection and research on probiotics, prebiotics, and inulin Why ketoanalogues are discussed alongside a supervised protein-restricted diet What the early creatine studies in hemodialysis patients actually measured How to review possible interactions and monitor supplements with your kidney team CHAPTERS 00:00 Kidney supplements: evidence before buying 01:28 Water-soluble vitamins and deficiencies 03:26 Vitamin D and bone-mineral health 05:29 Omega-3s and cardiometabolic markers 07:49 Probiotics, prebiotics and the gut-kidney connection 11:33 Niacin and phosphate 13:05 Ketoanalogues with protein-restricted diets 14:48 Calcium citrate and inulin 17:02 Antioxidants under study 19:35 Emerging creatine research in dialysis 23:00 Discussing supplements and monitoring labs 25:04 Recap and closing thoughts WATCH NEXT More kidney health videos:    / @seanhashmimd   KEY REFERENCES Ikizler TA, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. American Journal of Kidney Diseases. 2020;76(3 Suppl 1):S1-S107. https://pubmed.ncbi.nlm.nih.gov/32829... Yeung WG, et al. Vitamin D Therapy in Adults With CKD: A Systematic Review and Meta-analysis. American Journal of Kidney Diseases. 2023;82(5):543-558. https://doi.org/10.1053/j.ajkd.2023.0... Effect of omega-3 fatty acids supplementation on cardio-metabolic and oxidative stress parameters in patients with chronic kidney disease: a systematic review and meta-analysis. BMC Nephrology. 2021;22:160. https://pubmed.ncbi.nlm.nih.gov/33933... Appropriateness of Ketoanalogues of Amino Acids, Calcium Citrate, and Inulin Supplementation for CKD Management: A RAND/UCLA Consensus. Nutrients. 2024;16(17):2930. Expert consensus in areas with limited evidence. https://pmc.ncbi.nlm.nih.gov/articles... Marini ACB, et al. Effect of Creatine Supplementation on Body Composition and Malnutrition-Inflammation Score in Hemodialysis Patients: An Exploratory 1-Year, Balanced, Double-Blind Design. Nutrients. 2024;16(5):615. https://pubmed.ncbi.nlm.nih.gov/38474... RESEARCH CLARIFICATIONS The 2021 omega-3 review reports standardized mean differences, which are not percentage changes. The 2023 vitamin D review found effects on fracture, cardiovascular, and kidney outcomes uncertain. The 2024 creatine trial's body-composition changes were likely related to increased intracellular water, and its malnutrition-inflammation score did not improve. These distinctions matter when interpreting the numbers discussed in the video. BECOME A MEMBER Members get new videos 48 hours early, plus a monthly live Q and A with Dr. Sean. Join:    / @seanhashmimd   SUBSCRIBE New evidence-based videos every week:    / @seanhashmimd   NEWSLETTER Free weekly tips on kidney health, metabolism, and longevity: https://selfprinciple.org/newsletter/ CONNECT Dr. Sean Hashmi | Website: https://www.seanhashmimd.com/ SELF Principle | Nonprofit: https://selfprinciple.org/ Instagram:   / seanhashmimd   Facebook:   / seanhashmimd   DISCLAIMER The information provided on this channel is for general educational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this channel to diagnose or treat any medical condition. Always consult your physician or a qualified health provider regarding any medical questions, conditions, or treatments, and before undertaking any new health regimen. Never disregard professional medical advice or delay seeking it because of something you have seen or heard on this channel. #KidneyHealth #Supplements #Omega3