Care needed in selecting dietary and herbal supplements for patients with kidney disease

Wetherington reports no relevant disclosures.

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Complementary and alternative medicine is a multibillion-dollar industry made popular by people looking for improved well-being. This effort can be done with or without guidance from a health care provider.

Many people look to dietary and herbal supplements for a healthier lifestyle. There is a perception that herbals, vitamins and minerals are harmless or safer than pharmaceuticals because these are “natural.”

Amanda C. Wetherington

The recent recall by TruVision Health LLC of various nutritional supplements brings into question the safety of these products for patients with kidney disease. The supplements contained unapproved ingredients hordenine and/or octodrine dimethylhexylamine, which behave as stimulants, and are possibly unsafe and are not permitted to be sold.

Unseen harm

Patients with kidney disease are more vulnerable to the unseen harm of supplements, which can contribute to kidney damage (see Table 1). A published review by Gabardi and colleagues examined reported cases of dietary supplement-induced renal dysfunction in humans. They found 17 dietary supplements associated with complementary and alternative medicine (CAM)-induced immune-mediated nephrotoxicity, nephrolithiasis, rhabdomyolysis with AKI and hepatorenal syndrome. In some cases, the renal dysfunction was diagnosed either through renal biopsy or clinical observation.


Creatine may be the most controversial of these offenders as there are several small-scale trials that argue against nephrotoxicity of creatine supplementation. However, there have been at least two reported cases in which the consumer acquired renal dysfunction from acute focal interstitial nephritis and tubular injury with a 2 g to 5 g per day dose of creatine. One patient had a previous existing condition of focal segmental glomerulosclerosis. It is important to assess for CAM in patients at higher risk for renal injury from common supplements used for exercise performance.


There have been cases in which chromium picolinate supplementation dosing and product purity may have played a role in kidney injury.

Renal dysfunction has been reported due to kidney stones/oxalate formation with ascorbic acid (vitamin C) and vaccinium macrocarpon (cranberry). Vitamin C supplementation is commonly used to enhance wound healing or iron absorption and for benefiting immune system resiliency. Cranberry tablets are commonly used to prevent or treat bladder and urinary tract infections. A 450 mg concentrated cranberry tablet contains approximately 180 mg of oxalate.

In a study by Terris and colleagues, an analysis of urine samples saw an increase of oxalate excretion by 43.3% after cranberry tablet ingestion. Cranberry and vitamin C supplements may increase risk for calcium-oxalate stone formation.


Supplements like licorice, that have diuretic properties, have been associated with severe hypokalemia. Others include kava, aloe vera, creatine, ephedra,

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Benefits of cold water: Health guru and extreme athlete Wim Hof says we have ‘power within’ to heal disease

The ability to control our health could be right inside us.

This is according to the philosophy and practices of Dutch athlete Wim Hof, father of the Wim Hof Method.

Hof, 63, revealed how his teachings have revolutionized public health in an on-camera interview from the Netherlands with Fox News Digital.


The Wim Hof Method has three pillars: cold plunging, breathing and mindset.

The method has been proven scientifically — according to numerous medical journals, including the Proceedings of the National Academy of Sciences (PNAS) — to have monumental impacts on mental and physical health.

Wim Hof, known as the "Iceman" for his ability to withstand seemingly impossible levels of cold, demonstrates at a hotel in Kathmandu in May 2007.  

Wim Hof, known as the “Iceman” for his ability to withstand seemingly impossible levels of cold, demonstrates at a hotel in Kathmandu in May 2007.   (DEVENDRA MAN SINGH./AFP via Getty Images)

Nicknamed “the Iceman,” Hof shared that one chief benefit of his method is reducing inflammation. It’s the leading cause of most ailments and autoimmune diseases, he noted.

“I’m bringing my knowledge from nature through science to global health care, showing that through science — no speculation — we are able to do so much more within our physiology,” he said. 


“And I think it’s time to have that get out to the world to bring people some consolation in these confusing times, that there is much more autonomy over mind and body,” he said.

“I’m a man on a mission. I want everybody to be happy, strong and healthy.”

Wim Hof joined Fox News Digital from the Netherlands for an on-camera interview on March 27, 2023.

Wim Hof joined Fox News Digital from the Netherlands for an on-camera interview on March 27, 2023. (Angelica Stabile/Fox News Digital)

His “powerful” techniques are “available for anybody” worldwide, he said. All it takes is commitment and a little cold water.

Who is Wim Hof?

Hof is best known for his daring physical feats, such as running marathons while barefoot beyond the polar circle and climbing through the “death zone” of Mt. Everest in only his shorts.

“I began to have control over my emotions.”

The extreme athlete first felt the pull to immerse himself in the cold as a kid growing up in Sittard, Netherlands, according to his book, “The Wim Hof Method.”

At 17, Hof took his first cold plunge on a Sunday morning in winter at Beatrixpark in Almere, Netherlands — and discovered the power of cold water.

Hof met his wife, Olaya, when he was 22 years old. The couple had four children together.

Olaya struggled with depression — and in 1995, she fell victim to the illness and committed suicide.

“The whole of psychiatry could not help [Olaya],” he said. “How broken I was in my heart and there was nothing that could help me.”


He continued, “I had no money. I had four kids left behind and the love of my

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CDC probing mysterious liver disease suspected in children’s fatalities

NEWYou can now hear to Fox News article content!

U.S. overall health officials are hunting into more than 100 probable situations of a mysterious and serious liver sickness in children, such as 5 fatalities.

About two dozen states claimed suspected scenarios just after the Facilities for Condition Handle and Avoidance place out a connect with for doctors to be on the lookout for surprising situations of hepatitis. The cases date back to late October in children underneath 10. So considerably, only nine scenarios in Alabama have been verified.

This photo illustration shows a disposable syringe with hypodermic needle, HEPATITIS B written on a white board behind. (Photo Illustration by Frank Bienewald/LightRocket via Getty Images)

This picture illustration exhibits a disposable syringe with hypodermic needle, HEPATITIS B composed on a white board guiding. (Photograph Illustration by Frank Bienewald/LightRocket through Getty Illustrations or photos)
(Frank Bienewald/LightRocket by using Getty Illustrations or photos)

“We are casting a extensive net to broaden our knowledge,” the CDC’s Dr. Jay Butler reported Friday.


Butler stated that while the CDC is “casting a wide net” in its investigation, not all of the cases may be linked to the exact trigger.

“Investigators each here and across the globe are tricky at get the job done to ascertain the cause,” Butler continued.

What is actually creating the illnesses isn’t clear. Adenovirus was detected in half the youngsters, “but we do not know if it is the induce,” he said.

There are dozens of adenoviruses, lots of of them involved with coldlike indications, fever, sore throat and pink eye. But some variations can result in other difficulties, together with irritation in the abdomen and intestines. Officials are checking out a link to a single specific edition that is normally linked with gut irritation.

Almost 200 Conditions OF Mystery LIVER Sickness IN Young children: Officers

The Facilities for Sickness Control and Prevention mentioned in a press briefing that the infections across 25 states may well be related to a world outbreak of the sickness that has killed many youngsters. This week, there have been 300 possible circumstances in 20 countries, in accordance to the Earth Health Group.

In the U.S., 94% of the children had been hospitalized and 8 received liver transplants.

“It is nonetheless a quite scarce prevalence,” Butler reported. “A bulk of these circumstances have recovered and recovered thoroughly.”

Father comforts a child with a fever.

Father comforts a little one with a fever.

In April, the CDC issued a wellness advisory in reaction to the cluster of mysterious hepatitis instances in Alabama involving 9 young children.

The mystery goes again to November, when Alabama wellness officials began wanting into the to start with of nine situations of extreme hepatitis in small children in that point out. None tested positive for the viruses that usually trigger hepatitis. Even so, testing was beneficial for adenovirus.

Woman checking sick daughters throat

Woman examining unwell daughters throat

Butler explained none of the Alabama little ones were being vaccinated in opposition to COVID-19. That has been ruled out as a possible induce, “and we hope this facts helps make clear some speculation circulating on the net.”

Signs of

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Gum Disease And Over

Health Style
While many Americans imagine we’re in one of many top countries for well being care, the truth is we’re not. Residence care providers equip patients with a familiar, dwelling surrounding by which they are snug. Under the most effective plans, they only have to worry a couple of small co-pay. Not like a major medical coverage where the coverage pays for all eligible expenses after the deductible and out-of-pocket most, a Mounted Benefit Well being Insurance Coverage states precisely how much might be paid for each specified service.

Practices like acupuncture and aromatherapy are instance of different well being care that some insurance coverage insurance policies are starting to cowl. Wholesome dwelling is truly the very best medicine. With a wholesome life-style, you have got extra control of your life as you work together with your body in opposition to those aspects of living which may work to hold you again should you would let them.

If bone loss continues to occur, the dentist will almost certainly suggest the affected person discuss the issue with different healthcare providers. The copays – In an try to make routine well being care accessible many policies embrace a copay for doctor visits and prescriptions in lieu of getting to meet a deductible.

The well being care planning process is rarely accomplished till the affected person is discharged from the current care setting. The problem is easy: health insurance premiums are too high for most working Americans in the absence of a subsidy and when mixed with extraordinarily high deductible and out of pocket prices, healthcare becomes unaffordable.

Why Home Health Care Is Essential

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PPO Well being Insurance Plans

Lesser-identified plans include Tricare, COBRA and excessive-risk insurances. House care suppliers equip sufferers with a familiar, dwelling surrounding during which they are snug.
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Health Care Professionals

Social health, along with psychological and physical well being, is one of the key points to find out the final nicely-being of an individual. Along with paying for their personal medical insurance coverage, they would then need to pay taxes for Universal Well being care, a service they’d not likely use. The use of natural health merchandise as options to trendy drugs has made Chinese conventional well being remedies a superb possibility.

In Singapore, the Ministry of Health has drawn up the TCM Practitioners’ Ethical Code and Ethical Guidelines to forestall any unscrupulous practitioners from preying on their patients and making the most of their beliefs, for example, molesting ignorant patients.

Well being And Wellness Tips For A Much Higher Way of life

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The treatment for cancer remains to be some way off however it’s something that science expects to occur presumably inside the subsequent few a long time; medical research continues to advance in it is war with this illness that plagues humanity. Nevertheless, within the current past, factors such as aversion to observe the … Read More...

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