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Transforming kidney function

1.Introduction:

Surya Narayana, a 75-year-old man, had been grappling with various health challenges over the years. His journey began with disorientation, which led to a diagnosis of Diabetes Mellitus. Over the following years, he was also diagnosed with hypertension, proteinuria, and knee arthritis. His health further worsened when he developed kidney problems and hypothyroidism as side effects of Remdesivir treatment during the COVID-19 pandemic. After years of relying on a growing list of medications, Surya Narayana sought an alternative approach to healing at SLNS Nature Cure Hospital, where he experienced significant improvements in his health, including stabilized blood sugar, reduced hypertension, alleviated knee pain, and improved kidney function. His story highlights the transformative power of holistic therapies in managing chronic conditions and restoring well-being.

2.Patient Information:

NAME: SURYA NARAYANA

AGE: 75 YEARS

The patient named SURYA NARAYANA 75 years old, had a major symptom of disorientation for months. His family physician, who he consulted out of concern, finally diagnosed as: DIABETES MELLITUS. Glimp and Glyxambi, two prescribed drugs, joined him in the battle against this new adversary.

A routine checkup eight years later revealed a new condition: HYPERTENSION. Amlodip and Dytor were added to the drug regimen, protecting against the growing prevalence of hypertension. A few years later in 2018, proteinuria made its appearance, raising doubt on Surya Narayana’s health and thickening the storyline. In the meantime, a harsh undercurrent developed as excruciating knee pain indicated arthritis. When COVID-19 emerged as a global threat in 2021, the course of events took an unforeseen turn. In the fight against the infection, Surya Narayana also sought safety in Remdesivir. Unexpected side effects from this treatment included High serum creatinine levels, poor kidney function, and the unwanted side effect of hypothyroidism. In the hallways of Star Hospitals, Surya Narayana took sanctuary out of desperation for relief. But the constant barrage of pills made him tired and yearn for something different. Whispers from worried family members directed him to SLNS Nature Cure Hospital in his search for a natural cure. Prior to entering SLNS, Surya Narayana struggled with diabetes mellitus, high blood pressure, hypothyroidism, osteoarthritis in his knees, and kidney problems. A change occurred in the protective arms of SLNS Nature Cure Hospital. The force of hypertension lessened, his blood sugar levels steadily returned to normal, and the severe knee pain eventually started to go away thanks to holistic therapy. Surya Narayana found solace in the straightforward remedy offered in nature. His health story, full of swings and turns, was a testament to the efficacy of complementary medicine. Surya Narayana felt better after receiving loving care from SLNS Nature Cure Hospital, and the weight he had been carrying started to decrease.

3.Medication History:
S.NoPresent medicationMedication
(After treatment)
Mechanism of the drug
1Gliclazide extendes release 60mg
(0-0-1)
TAPEREDIncreases beta cells in pancreas, thereby improving blood glucose control and managing type 2 diabetes mellitus effectively.
2Empagliflozin 10mg
(1-0-0)
TAPEREDSGLT2 inhibitor, reduces glucose reabsorption in kidneys, and DPP-4 inhibitor, increases insulin secretion.
3Amlodipine 5mg
(1-0-0)
0-0-1Calcium channel blocker relaxes blood vessels, improves blood flow, and effectively manages hypertension.
4Saroglitazar 4mg
(0-0-1)
TAPEREDIt acts as a dual PPAR agonist at alpha and gamma subtypes, improving lipid and glucose metabolism, used to treat diabetic dyslipidemia
5Atorvastatin 40mg
(0-0-1)
0-0-1/2Inhibits HMG CoA reductase, reducing cholesterol production in the liver and managing hyperlipidemia
6Levothyroxine 100mg
(1-0-0)
TAPEREDSynthetic thyroid hormone- by replacing thyroid hormone deficiency, regulating metabolism, energy levels, and body functions .
7Torsemide 10mg
(1-0-0)
1-0-0Blocks Na+/K+/2Cl cotransport mechanism, reducing fluid accumulation, treats edema and hypertension by increasing urine output.
8Febuxostat 40mg
(1-0-0)
1-0-0Blocks Xanthine oxidase responsible for uric acid formation.
9Sodium bicarbonate 1000mg
(0-1-0)
TAPEREDIncreases blood and urine pH. Treats metabolic acidosis, relieves acid indigestion, and alkalinizes urine to enhance drug excretion
10Diltiazem hydrochloride 60mg
(1-0-1)
TAPEREDInhibits calcium ion inflow into cardiac muscle during depolarization. Treats hypertension and angina, reducing heart workload.

Surya Narayana’s treatment plan involved tapering several medications, alongside the continued use of others, which helped him achieve significant health improvements. Gliclazide extended-release (60mg), which was tapered, works by increasing beta cells in the pancreas, improving blood glucose control and effectively managing type 2 diabetes. Empagliflozin (10mg), also tapered, is an SGLT2 and DPP-4 inhibitor that reduces glucose reabsorption in the kidneys and increases insulin secretion. Amlodipine (5mg), shifted from a once-daily dose to a bedtime dosage, relaxes blood vessels and effectively manages hypertension by improving blood flow. Saroglitazar (4mg), which was tapered, acts as a dual PPAR agonist to improve lipid and glucose metabolism, helping manage diabetic dyslipidemia. Atorvastatin (40mg), taken intermittently, inhibits cholesterol production in the liver, effectively managing hyperlipidemia. Levothyroxine (100mg), tapered down to match thyroid function, replaces thyroid hormone deficiency, regulating metabolism and energy levels. Torsemide (10mg), which remained in the treatment plan, helps manage edema and hypertension by increasing urine output, reducing fluid accumulation. Febuxostat (40mg) continues to block xanthine oxidase, responsible for uric acid formation, which aids in managing gout. Sodium bicarbonate (1000mg), tapered, treats metabolic acidosis and relieves acid indigestion while enhancing drug excretion through alkalinization of urine. Lastly, Diltiazem hydrochloride (60mg), tapered, treats hypertension and angina by reducing the heart’s workload through inhibition of calcium inflow into cardiac muscle.

4.Naturopathic And Lifestyle Interventions:

Dietary Adjustments: He followed a diet rich in fiber, lean proteins, healthy fats, and antioxidant-rich fruits and vegetables.

Herbal Support: Herbs like turmeric, ginger, and cinnamon were incorporated to support blood sugar control and cardiovascular health.

Supplementation: Vitamin D and Omega-3 fatty acids were added to boost immune function and support joint health.

Yoga and Physical Activity: Gentle, low-impact yoga exercises were introduced to improve joint flexibility, alleviate knee pain from osteoarthritis, and promote heart health.

Stress Management: Meditation and other stress management techniques were emphasized to reduce psychological stress, which had contributed to his health conditions.

Hydration and Detoxification: Adequate hydration was prioritized, along with detoxifying herbal teas like ginger and dandelion root, to support kidney function.

5.Results And Follow Ups:
S.NoParameterInitial Value (Day 1)Final Value (Day 31)
1Weight84.6 kg76.5 kg
2Blood Pressure130/70 mmHg110/60 mmHg
3Fasting Blood Sugar136 mg/dL100 mg/dL
4HbA1c6.15.8
5Vitamin D10.6368.7
6LDL11077
7Uric Acid2.343.62
8Creatinine6.83.3

The treatment plan yielded remarkable benefits over 31 days, significantly improving key health parameters. Weight reduced from 84.6 kg to 76.5 kg, enhancing overall fitness and reducing strain on joints. Blood pressure improved from 130/70 mmHg to 110/60 mmHg, indicating better cardiovascular health. Fasting blood sugar decreased from 136 mg/dL to 100 mg/dL, showing improved glucose control, while HbA1c dropped from 6.1 to 5.8, reflecting long-term stabilization of blood sugar levels. Vitamin D levels increased dramatically from 10.63 to 68.7, boosting bone health and immunity. LDL cholesterol reduced from 110 to 77, lowering the risk of heart disease. Uric acid levels normalized, rising from 2.34 to 3.62, reducing the risk of gout, and creatinine levels improved slightly from 5.06 to 4.78, indicating better kidney function. These improvements collectively highlight the success of the comprehensive treatment approach in enhancing overall health and well-being.

6.Discussion:

The remarkable improvements observed in Surya Narayana’s health after just 31 days of naturopathy and yoga treatments underscore the power of integrating holistic practices with conventional care. The improvements in HbA1c, vitamin D levels, LDL cholesterol, and kidney function (as seen with the reduction in creatinine and uric acid levels) emphasize the importance of a comprehensive approach to managing diabetes, hypertension, and kidney health.

These outcomes also illustrate the potential for enhancing traditional medical treatments with natural therapies, enabling patients to achieve better overall health and a greater sense of vitality. Holistic approaches like yoga, dietary changes, and herbal supplementation can complement medical interventions, offering patients a sustainable path toward improved long-term wellness. This case exemplifies how such integrated care can lead to profound changes in both physical and emotional well-being.

7.Conclusion:

In conclusion, Surya Narayana’s health transformation after 31 days of naturopathy and yoga illustrates the profound benefits of integrating holistic treatments with conventional medical care. Seeking relief from the burden of constant medications, Surya Narayana turned to SLNS Nature Cure Hospital, hoping for a natural remedy. Under the care of holistic treatments, his hypertension and blood sugar levels steadily improved, while his knee pain began to subside. His kidney function showed positive changes, and his overall health improved significantly. This case highlights the potential for natural therapies to not only complement but also enhance the outcomes of standard medical treatments, empowering patients to lead healthier, more vibrant lives.