We went through every drug an Indian CKD patient ends up on — what works, what barely works, and what we just keep prescribing. Some of it ruffled feathers. Most of it should have been said years ago. What we covered: - The Foundation 3 every CKD patient should be on — ACEi/ARB, SGLT2, statin - The conditional drugs that need a lab number, not a habit — phosphate binders, vitamin D analogues, iron/ESA - Why sodium bicarbonate is in half the prescriptions it shouldn't be in - Ketoanalogues — when they earn their price, and when they don't - Arkamin (clonidine) — the slide that caused the most uproar, with good reason - The yellow zone — cilnidipine, forever-PPIs, B-complex by reflex, herbal "kidney tonics" - A side-by-side of the typical 8-drug Indian CKD bag vs a clean 4–5 drug evidence-backed regimen The replay + slides are now in the Webinars section of the club. 👉 Here's what I want from you this week: 1. Watch the replay with your current prescription in your hand. 2. Drop a comment below with the medicines in your bag — I'll personally tell you which ones are foundation, which need a lab to justify, and which deserve a second-opinion conversation with your doctor. 3. Share this post with one person you know on a long CKD prescription. The single most useful thing this community can do is stop quietly tolerating polypharmacy. 4. Hit ❤️ if you found it useful so we know to keep doing the harder, more honest sessions. Reminder — never stop a prescribed medicine without speaking to your treating doctor. This is education to help you ask better questions, not a green light to deprescribe yourself. Let's clean up Indian CKD prescribing — one bag at a time. — Dr Arjun

Has anyone got a similar CKD situation like mine? Would love to chat about how they are the delaying the progress.

We’re now bringing a psychiatrist into the community. Because one thing is very clear: Mental health matters just as much as physical health Why this is important Living with kidney disease, diabetes, or ongoing health issues can feel overwhelming. And the reality is: - Around 1 in 4 people with chronic illness experience depression - Anxiety and low mood are very common — but often ignored Most people focus only on reports and medicines…but how you feel mentally affects everything. What we’re starting We’ll now have: Live mental health sessions every 2 weeks (starting next week) You’ll be able to: - understand stress, anxiety, and low mood - ask questions in a safe space - learn practical ways to cope Let’s talk honestly Have you ever felt low, stressed, or overwhelmed because of your health? Comment below — you’re not alone. One small ask If you’re finding value here,share this community with someone who might need it. The goal is simple: 👉 all the support you need — in one place

We’ve covered: - how much protein is right for you - what changes with kidney disease / diabetes - common mistakes (too much vs too little) - practical food examples Let’s make this practical Comment below: 👉 How much protein you take in a day 👉 Your eGFR (if you know it) We’ll help you understand if it’s: - too much - too little - or just right Small changes in protein intake can make a big difference — let’s get it right 👍

My eGFR was 28 as of 14th March. But it declined to 20 as of yesterday. I am scared as to what might be happening.