Chicken, quinoa, eggs, peanut butter, kale, spinach, broccoli, green beans, lean steak(seldom), salmon(seldom), lots of oatmeal(Not blended, old fashioned), multigrain GF bread, lean ground turkey, fruits. Generally speaking, my fats are from mostly monounsaturated and polyunsaturated. Carbs mostly complex(except around workout), protein mostly complete and lean. All of this ensuring I get all nutrients as well. I’m very particular with my diet.
Supps- protein(whey isolate), creatine(5g/day)(discontinued use for a few months and did not change lab values), preworkout(most probable cause if not TRT, no DMHA or any of that though), fish oil, turmeric w/ black pepper, vit D(lab values low), that’s about it.
Ok I’d say that “clean” was a very accurate description! lol Great job on food selections man.
Scrutinize your preworkout supps, but other than that…I’d definitely say that your issues lie somewhere other than diet.
Elevated creatinine is an early indicator of reduced kidney function (which you already know), so just make sure that you keep an eye on calcium, oxalate, and uric acid intake (think kidney stones, etc…) Also, make sure that you are never letting yourself get dehydrated, as that has an effect as well. Water water water!
I try to be the same way with my supps, my 1 trade off is preworkout, almost a necessary evil for me. I do try to stay with transparent label(no proprietary blends) and clinically dosed ingredients that are tried and true, however, it can be a challenge finding those benefits in an effective preworkout.
Actually, that makes sense… I go on these phases where I really dedicate myself to getting 1-2 gallons/ day. Other phases I’m busy and might have like 1 cup in a day. I’d say recently with it being winter, my intake has also decreased even more. But thank you, I’m gonna start looking out more for those things.
Something to keep in mind is someone with higher muscle mass will always have higher creatinine levels and this will mess up the E-GFR, A’s it’s just an estimate.
My EGFR always comes back low at 60-80 which is pretty poor but I did a 24 hour urine creatinine clearance test with a blood test and it was actually 150 GFR
Vonko, there are different types clinical and basic research studies. Every study type has its pros and cons and thereby leading to different ‘levels of evidence’.
An illustration of the Oxford levels of evidence
Case studies typically provide a relatively low degree of evidence, whereas case series as linked above provide a higher degree of evidence. If mechanistic studies (so basic research) is added to the clinical presentation the evidence is even stronger.
Eg in one of the studies linked above material of the biopsy was subjected to ex vivo investigation. These studies revealed that the hepatic adenoma was testosterone receptor positive and that ex vivo treatment with T caused proliferation of the cells.
Its a very rare occurance, but clinically relevant to keep in mind in case of any liver abnormalities.
Yeah, creatinine is waste product of muscle function so it makes sense that it would be higher but to be safe I’d recommend taking a 24 hour creatinine clearance test, this way you’ll know for sure how your kidneys are, you’ll probably need to go to the Dr to ask for it as they need to take your bloods also to run the test accuralty.
Should give you peace of mind to confirm it.
Also dehydration at the time of test also leads to higher levels, so if you had just woke up and not drank much before the test this can also effect the results, so for accuracy make sure your well hydrated at test time
