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Uric Acid Kidney Stone (Not!)
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<blockquote data-quote="Grateful" data-source="post: 1670216" data-attributes="member: 438800"><p>Have recently heard back from the kidney stone specialist.</p><p></p><p><em>"I've reviewed your 24 hour urine testing and this shows you have a very elevated level of urine calcium. I suspect this is the primary issue and would benefit from medical therapy, specifically with a class of drugs called thiazide diuretics. On the basis of these results, I think you would benefit from meeting with a nephrologist (an internist that specializes in the management of kidney disorders with medication and diet)...."</em></p><p></p><p>I emailed the doctor and reminded him that I had been taking calcium supplements, and eating mountains of nuts, both of which I discontinued only a few weeks before the urine test. I asked him for the actual results of the test. His response:</p><p></p><p><em>"I am still waiting for the form to be scanned in -- the hard copy is still in my office and not uploaded yet. You probably can't see the results [online] bc it is from an outside lab. My recollection is that it was in the 400's, which is very, very high and your urine sodium level was normal, which usually is the easiest diet link. You could get the levels up with calcium supplements, but that would be feasible only if you were taking those without food."</em></p><p></p><p>I now have an appointment with a nephrologist at the end of the month. I am not happy about the idea of going on thiazides, which are in fact a form of blood pressure medication (which happens, also, to be effective in lowering calcium levels). I am personally certain that the kidney stones are caused by my huge change in diet, post-T2-diagnosis, and therefore would like to try handling this entirely with diet, and see if that works. (If I start taking drugs immediately, I will never know whether a diet-only approach would have done the trick.) OTOH the doctor does seem to be convinced that the high calcium levels were not caused by diet (in which case, the appearance of kidney stones only three months after starting the LC diet is a hell of a coincidence!!!!).</p><p></p><p>Edited later to change "drugs-only" to "diet-only" in last paragraph.</p></blockquote><p></p>
[QUOTE="Grateful, post: 1670216, member: 438800"] Have recently heard back from the kidney stone specialist. [I]"I've reviewed your 24 hour urine testing and this shows you have a very elevated level of urine calcium. I suspect this is the primary issue and would benefit from medical therapy, specifically with a class of drugs called thiazide diuretics. On the basis of these results, I think you would benefit from meeting with a nephrologist (an internist that specializes in the management of kidney disorders with medication and diet)...."[/I] I emailed the doctor and reminded him that I had been taking calcium supplements, and eating mountains of nuts, both of which I discontinued only a few weeks before the urine test. I asked him for the actual results of the test. His response: [I]"I am still waiting for the form to be scanned in -- the hard copy is still in my office and not uploaded yet. You probably can't see the results [online] bc it is from an outside lab. My recollection is that it was in the 400's, which is very, very high and your urine sodium level was normal, which usually is the easiest diet link. You could get the levels up with calcium supplements, but that would be feasible only if you were taking those without food."[/I] I now have an appointment with a nephrologist at the end of the month. I am not happy about the idea of going on thiazides, which are in fact a form of blood pressure medication (which happens, also, to be effective in lowering calcium levels). I am personally certain that the kidney stones are caused by my huge change in diet, post-T2-diagnosis, and therefore would like to try handling this entirely with diet, and see if that works. (If I start taking drugs immediately, I will never know whether a diet-only approach would have done the trick.) OTOH the doctor does seem to be convinced that the high calcium levels were not caused by diet (in which case, the appearance of kidney stones only three months after starting the LC diet is a hell of a coincidence!!!!). Edited later to change "drugs-only" to "diet-only" in last paragraph. [/QUOTE]
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