Polycystic kidney

Question
QUESTION: Hello my question is can I eat all

the vegtable protein I want? Or do I have to

limit that just like animal protein? My

current creative is 1.17 urea is 11 Gfr is 68



ANSWER: Hi Robert,



Thanks for asking my help on "Allexperts".



Vegetable protein is not high biological value. You can eat all the vegetable protein you want.



Studies in humans indicate that an increase in the glomerular filtration rate (GFR) can be induced by animal protein and by amino acid mixtures; in comparison, vegetable protein and egg whites alone produce little or no effect. Why the latter sources of protein have little hemodynamic activity is not clear, but lower concentrations of the amino acids that cause renal vasodilatation (such as glycine and alanine) and lesser stimulation of vasodilator prostaglandins may be involved.



Sincerely,



Dr. shah



---------- FOLLOW-UP ----------



QUESTION: thanks for responding have a few more questions but first heres some background of me. Im 41 and was diagnosed with PKD 6 monthes ago, since then i have lost 30 pounds from diet change and exercise my lab tests are ,creatine 1.17,bun 11,GFR 68 my cholestorol is 185 total 132 LDL and 30 HDL i need to get that up, my blood pressure is 120/80 or lower i take blood pressure pills(lisinopril) and i drink at least 2 liters of water a day.



1. can i eat whole grain and wheat products like pastas and bread?

2.  can i eat chicken and fish but limit them to 4oz at a time?

i was told to eat about 66 grams of portein a day but im confused does that mean 66 grams total or is that just total animal protein?

3. egg whites are safe?



thank you.



Rob


Answer
Hi Rob,



Thanks for following up with me.



There is no need to compulsively drink 2 liters of fluid every day. Let your thirst guide you for fluid intake. Now on to you questions:



1. Yes. You can et whole grain and wheat products

2. Yes. As your caregiver said, please limit your protein intake to 66 grams per day. This includes all proteins

3. Yes, egg whites are safe.



Sincerely,



Dr. Shah