Kidney Coach

Kidney Coach www.KidneyCoach.com is a website that helps people with kidney disease manage, reduce symptoms, and even reverse their condition, naturally.

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Two people, both eGFR 42. One is stable and will be for years. The other is in trouble.Same number. Here is what separat...
08/09/2026

Two people, both eGFR 42. One is stable and will be for years. The other is in trouble.

Same number. Here is what separates them.

**Protein in the urine.** The single biggest difference. eGFR tells you how much filtering is happening. uACR tells you whether the filter is leaking. Two people at 42, one leaking protein and one not, are not in the same situation at all.

**The direction of travel.** 42 on the way down from 60 is a different story from 42 on the way up from 33. One number is a dot. Two numbers are a line, and only the line means anything.

**What caused it.** Diabetic kidney disease, high blood pressure, an autoimmune cause and a structural cause all behave differently over time.

**Age and muscle.** eGFR is estimated from creatinine, and creatinine comes partly from muscle. A muscular 40-year-old and a frail 80-year-old with identical readings are not equivalent.

So when someone tells you their number, and it sounds worse or better than yours, you are comparing one letter from a much longer sentence.

Yours is the only one that matters, and the trend in yours matters more than today's figure.

It is the first thing most people picture, usually within about an hour of the diagnosis.So let us be accurate rather th...
08/09/2026

It is the first thing most people picture, usually within about an hour of the diagnosis.

So let us be accurate rather than reassuring, because reassuring is not much use to you.

Some people do reach dialysis. That is real, and pretending otherwise would be dishonest.

But "always" is doing enormous work in that sentence, and it is not true. A large number of people with kidney disease never need it. Many die at a ripe old age of something else completely unrelated. Many stay at the same stage for years. Some improve.

The diagnosis itself doesn't decide which group you are in. It is the rate. How fast, or how slowly, things move from here.

And rate is the part that responds to what happens between appointments. Blood pressure. Blood sugar. Sodium. Inflammation. Sleep. Consistency over months, not intensity for a fortnight.

A diagnosis tells you which road you are on. It does not tell you how fast you are driving, and it certainly does not tell you where you get out.

Forty minutes, one skillet, and it feeds four to five.Green beans, carrot, spring onion, garlic, and a full cup of chopp...
07/09/2026

Forty minutes, one skillet, and it feeds four to five.

Green beans, carrot, spring onion, garlic, and a full cup of chopped basil going in at the end.

Per serve: sodium 47 mg. Not a typo. Forty-seven.

Also 6.1 g of fibre, which is more than most people with CKD manage in a whole morning, and potassium at 548 mg.

The basil is not garnish here. A cup of it, stirred through at the end while the pot is still hot, is what makes this taste seasoned when there is almost no salt in it.

If you have been told to cut sodium and cannot work out what is left to eat, start here.

You sit down and do the maths without meaning to.Everyone else has twenty years on you. Someone assumes you are here wit...
07/09/2026

You sit down and do the maths without meaning to.

Everyone else has twenty years on you. Someone assumes you are here with your father. The leaflets on the wall have photographs of people who look nothing like you.

And underneath it there is a thought you probably have not said out loud: *this was supposed to happen much later, if at all.*

That feeling has a name, and it is grief, not self-pity. You are not mourning your health. You are mourning the timeline you assumed you had.

Being younger with this is genuinely different. The decisions stretch further ahead. The questions about work and family and the next thirty years are real questions, not hypotheticals.

It also means something else, and it is worth saying plainly. You have more time to change the things that set the pace than the person sitting opposite you does.

That is not a consolation prize. It is the one real advantage in the room.

The tiredness is not in your head, and it is not just "getting older".Your kidneys do a job almost nobody mentions at di...
07/09/2026

The tiredness is not in your head, and it is not just "getting older".

Your kidneys do a job almost nobody mentions at diagnosis. Alongside the filtering, they make a hormone called erythropoietin EPO for short, and EPO is the message that tells your bone marrow to build red blood cells.

Fewer working kidney cells, less of that message. Less of that message, fewer red blood cells. Fewer red blood cells, less oxygen reaching everything you are trying to do with your day.

That is renal anaemia, and it is common enough to be expected rather than unlucky: roughly 17% of people at stage 3, and around half at stages 4 and 5.

There is a second half to it that gets missed. Iron. You can have iron sitting in storage and still not be able to use it, because inflammation locks it away. A normal-looking iron result does not always mean the iron is available.

Which is why the useful question at your next appointment is not "am I anaemic?". It is: **have we looked at my haemoglobin, my ferritin and my transferrin saturation together?**

Three numbers. One conversation.

Has anyone ever explained the EPO part to you?

Some of these are long stories. This one is a single line.> "My eGFR went from 54 to 66! Thank you Kidney Coach"Victoria...
06/09/2026

Some of these are long stories. This one is a single line.

> "My eGFR went from 54 to 66! Thank you Kidney Coach"

Victoria M., September 2025, writing about the Kidney Support Protocol, which is Kidney Prime and Kidney Advance.

That is the whole review. No arc, no dramatic doctor moment, no before-and-after photo.

Just a number that went in the direction people are told it does not go.

Most weeks it does not look like a story. It looks like this. Somebody quietly kept taking the thing, and the next test was better than the last one.

Results are individual, and Victoria's are her own.

Worth separating these, because most of the exhaustion in kidney disease comes from spending energy on the wrong column....
06/09/2026

Worth separating these, because most of the exhaustion in kidney disease comes from spending energy on the wrong column.

**Not yours:**
Your age. Your genetics. Whatever caused this. How your last specialist spoke to you. How fast your kidneys filtered before you knew any of this was happening. Whether your eGFR moves this quarter or next.

**Yours:**
What is on the plate. Whether the blood pressure gets checked at home. Whether the blood sugar is steady or spiking. How much sleep you actually get. Whether you move today. What you take, and whether you take it consistently. Which questions you ask at the next appointment. Whether you keep going in month four when nothing visible has happened yet.

The second list is shorter than people expect and more powerful than they are told.

The first list is where the sleepless nights live.

You are allowed to stop working on column one.

Five ingredients, fifteen minutes of hands-on, and it comes out of the oven as something you actually want to eat standi...
05/09/2026

Five ingredients, fifteen minutes of hands-on, and it comes out of the oven as something you actually want to eat standing at the bench.

Cauliflower, garlic, olive oil, turmeric, salt and pepper. That is the entire list.

Read that again, because it is the point. No stock powder. No sauce. No coating. Nothing with a number in it. The only sodium in this is the pinch you decide to add, which means you control it rather than a factory doing it for you.

Hot oven, 440°F, foil on, 25 to 30 minutes.

The turmeric is not decoration. It is what makes it taste like something rather than steamed cauliflower with regrets.

You did not sleep properly for three nights.You rehearsed the bad version in the car. You had already decided what you w...
04/09/2026

You did not sleep properly for three nights.

You rehearsed the bad version in the car. You had already decided what you would do if the number had dropped again.

And then it took eleven minutes; the number was steady, and you were back outside in the car park holding your keys, feeling something that was not quite relief.

Nobody talks about that bit. The dread does not get refunded. You spent it, and the appointment did not need it.

If that was you this week, it is worth naming what actually happened: you carried three days of fear for a result that did not require it, and you would do it again next time, because that is what caring about the outcome feels like.

Steady is a result. Take the win. Sleep tonight.

Two questions people ask about us, usually in the same comment. Are these people actually trained? And does any of it wo...
04/09/2026

Two questions people ask about us, usually in the same comment. Are these people actually trained? And does any of it work?

Here is one answer to both.

Rich P. was diagnosed with stage 3A in September 2022 with an eGFR of 49. In his own words:

> "I decided to try their recommended product made by Kygenesis, which included only two bottles (Kidney Prime and Kidney Advance). I must admit that I did not do the diet shown in the Kidney Coach program... My eGFR went from a 49 on 9/2/22 to now over 60!"

He also drank nettle leaf tea, twice a day, and said so himself. The lab only reported "over 60", so he ran his creatinine of 1.27 through the National Kidney Foundation's own calculator and it returned 79.

Eight months. Rich P., May 2023.

He is clear that he did not follow the diet. He thought his number would have been better if he had.

The formulas he took were codeveloped by a naturopath who has spent his career on kidneys.

*Duncan Capicchiano, ND, Naturopath, Nutritionist & Herbalist · 20+ years*

Results are individual. Rich's are his own.

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