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"Dear, doctor. Is there natural home remedies for kidney disease, especially for Creatinine 8.1 patients. Many patients asked about what to do when blood pressure falls during dialysis and consequences of doing dialysis. My father is a CKD stage 3 and sufferer from pain on his left side between and left hip and last rib. How to alleviate it?"

How to avoid dialysis for PKD stage 3 patients? As we all know, Polycystic Kidney Disease is a kind of genetic kidney disease, with the disease goes worse, doctors will recommend dialysis to patient.

evaluation via equilibrium dialysis found free testosterone in men to be only 2-3% with these levels being even smaller in women.  

This study of inner city men found low T associated with methadone use.  Narcotics are a known risk factor for low T.  The free T was calculated from serum.  This equilibrium dialysis is based on too many variables.  Look at the studies on equilibrium dialysis.  This study also found calculated free T was not associated with insulin resistance.  However, insulin resistance is a peripheral tissue dysfunction not a serum dysfunction.  So, a calculated free T (not reality) in the serum shows me nothing of the peripheral activity.  For example, inflammation has been shown to increase aromatase activity in the prostate tissue only.  The thinking in the conclusions of so many of these studies is soooo flawed.

It is known that dialysis is the most common ways to treat kidney failure, but what if the patient don't want to take it or can not take it ? Are there any other treatment besides dialysis for kidney failure with 15% kidney function ?

"Hello, doctor. My father is Renal Failure patient. His creatinine is 880 and get rid of dialysis.

the standard technique of "free testosterone" calculation today is via equilibrium dialysis.  This article describes the problem with current evaluation techniques of current free testosterone evaluation: "this method, although sensitive and reproducible, is cumbersome and not easily adaptable to automated methods".  Most values of "free testosterone" today are either calculated or estimated as this article points out.  Why not just measure with saliva?!

SHBG and albumin shown to be quite variable in the equilibrium dialysis calculation of free testosterone from blood.

Silver Line is one of the top hospital in Kochi, Kerala, India for Diabetic Kidney Care. Silver line provide expert surgeons for kidney transplantation, dialysis and treatment for kidney failure, diabetic kidney disease, diabetic kidney problems, chronic kidney disease and diagnosis the symptoms of kidney failure like fatigue, nausea and vomiting, heartburn, itchy skin.

this study looked at salivary testosterone to serum testosterone and found poor correlation.  One major problem with this study is the significantly smaller amount (10 fold) of testosterone in women than men in healthy individuals.  This study took place in postmenopausal women, which would have significantly lower levels than healthy women.  They also don't discuss the pitfalls of equilibrium dialysis of serum free testosterone.  Another major flaw is the mere logic of looking at serum for tissue activity.   What is the correlation between serum levels and tissue activity.  There is tremendous assumptions being undertaken that serum levels of testosterone whether total or free translate to genomic or non-genomic signaling.  I also wonder if newer techniques using Mass Spec can better detect the typically pico levels of testosterone in women's saliva?  This study does nothing to dissuade the use of salivary testing.

low T is found in 20-70% of men with HIV.  What is interesting about this article is that Total Testosterone was found to be a poor assessment of biological active Testosterone.  Free Testosterone assessed in the am was shown to be a better functional assessment in these men.  Serum is a poor choice though.  The process of equilibrium dialysis to calculate free Testosterone is filled with variables that will effect reliability.  Increases SHBG was found associated.

Not clear in its association here, but lower Testosterone was associated with increased mortality in men with chronic kidney disease not on dialysis.  This was found in the 2nd lowest quintile only.  What the authors did find was that diabetes and increasing BMI are were associated with increasing incidence of low T.  This studies definition of low Testosterone was <350 ng/dl.  This differs from other definitions.

"Hello, doctor. My father has Diabetic Nephropathy which is cause by diabetes, he don't want any surgery or dialysis, is there any alternative treatment for him. I heard about Chinese medicine is good for DN, is not it?" In fact, your father is not the only patient who want to avoid dialysis and surgery, but in the past there is no other choices for them.

low dose IV vitamin C in patients with dialysis found to lower ferritin levels.

Other factors raising the risk of future hypertension were CHD repair surgery at age 3 months or younger, needing kidney dialysis during recovery from the low cost of pediatric cardiac surgery in India, and one or more cardiac surgeries after the initial repair.

Study finds variations in calculated free testosterone.  Most of the variability is from the total testosterone, lesser due to the formulas, and third to the SHBG assay.  The point here, is there are too many variables to place a lot of weight on calculated free T in serum. Jus test it in the saliva.