CHRONIC KIDNEY DISEASE (CKD), URINARY TRACT ISSUES

INCLUDING NEPHROTIC SYNDROME, IgA KIDNEY DISEASE, DIABETIC NEPHROPATHY, FSGS (Focal Segmental Glomerulosclerosis), AUTOSOMAL DOMINANT TUBULOINTERSTITIAL KIDNEY DAMAGE, KIDNEY STONES, RECURRENT URINARY TRACT INFECTIONS, DIALYSIS- & POST-TRANSPLANT CARE. Also Age-Related Kidney Decline, Alport Syndrome, Crescentic Nephritis, Fanconis Syndrome, Lupus Nephritis, Membranous Nephropathy, Minimal Change Nephrotic Syndrome, Nephritic Syndrome, Polycystic Kidney Disease, 

Renal Cell Carcinoma, Wilm’s Tumor

STUDIES SHOW that patients with chronic kidney disease (CKD) who receive nutritional counseling from a registered dietitian/nutritionist (RDN) were three times less likely to require beginning treatment with dialysis over a ten-year period.

As a Registered Dietitian specializing in functional medicine nutrition I HELP PATIENTS TARGET HEALTH ISSUES CONTRIBUTING TO THE DEVELOPMENT CHRONIC KIDNEY DISEASE (CKD). 

I OFFER  23 YEARS OF EXPERIENCE in helping those with chronic kidney disease (CKD) postpone or avoid dialysis...AND... helping dialysis patients enjoy greater energy, less fatigue, well-managed electrolytes and fewer complications. I also offer comprehensive pre- and post- KIDNEY TRANSPLANT care.

In my private practice you will find:

• ADVANCED NUTRITIONAL GUIDANCE for slowing the progress of renal disease and improving kidney function. Areas addressed include, but are not limited to: Appropriate hydration, a low or very low protein diet supplemented by keto-analogs of essential amino acids to ensure proper nutrition, appropriate and safe selection and dosing of nutritional supplements to support renal health and overall health (while addressing co-existing medical issues), reduce inflammation (evidenced by C-Reactive Protein levels), address fibrin accumulation, control blood glucose levels, optimize nitric oxide production, target conditions contributing to high blood pressure/hypertension, help patients achieve healthy weight, improve blood lipids, homocysteine levels, small blood vessel health and decrease environmental chemical load on the kidneys. 
• Effective nutritional care to prevent and address KIDNEY STONES (nephrolithiasis) and/or GOUT (hyperuricemia). 
• I WORK TOGETHER WITH THE PATIENT'S PHYSICIAN(S) to reduce medications that may be harmful to renal health (per physician recommendation).
• I will be glad to PROVIDE DOCUMENTATION TO YOUR PHYSICIANS REGARDING OUR WORK TOGETHER per your approval/request, so that we can all coordinate our efforts to help you improve your kidney function as well as address any other chronic health issues (including diabetes) with functional medicine nutrition.
• MENU MAKEOVERS to (as much as absolutely possible) creatively convert favorite meals into a diet that controls protein/ammonia load on kidneys, fluid and mineral balance (potassium, phosphorus, sodium, calcium, magnesium, etc.), addresses parathyroid health, Vitamin D and Vitamin K balance. 
• Expert nutritional guidance helps patients to SIMPLIFY MEALS to fit as closely as possible into a busy lifestyle, whether they eat-on-the-go, cook very little...or have limited time for meal preparation. Special attention is given to HOLIDAY MEALS tailored to help renal patients enjoy delicious, festive meals that other members of the family may also enjoy.
• Patients are encouraged to KEEP REGULAR APPOINTMENTS WITH THEIR NEPHROLOGIST, primary care physician and other health care team members and request that their most recent lab values and future results be faxed to us (888.872.7110) to confirm that they are making progress in managing their renal disease.
• I strongly encourage my patients to KEEP A DAILY FOOD DIARY and SEND IT TO US by e-mailed document or e-mailed photos of handwritten  notebook entries.
• EACH PATIENT RECEIVES A HGHLY-CUSTOMIZED WORKBOOK, including individualized meal plans based upon his or her taste preferences and other health issues (such as diabetes, kidney stones, gout or COPD) and any food issues/allergies to aid in his or her  journey toward improved renal function.
• I OFFER HIGHLY AFFORDABLE CONTINUITY OF CARE: Renal patients receive eleven weekly 30-minute sessions to guide them after their initial 2-hour session ($350 for a 12-session package). After consistent progress some patients may graduate to twice monthly or monthly sessions, available in a 12-session packages.

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