If you are experiencing low kidney function, and the only actions being presented to you are dialysis or transplant, there are other items that can be addressed while you are considering those decisions or are thinking about doing something differently.  The following is a list of how I can help and what I would suggest asking your current doctors to help with:

Managing medication side effects – this can be done in two ways:

  • Naturally improving whatever condition(s) you are on medication for (such as reducing blood pressure and cholesterol), and then you can work with your prescribing physician to decrease the dose of the medications after you see progress.  Decreasing the dose can lead to fewer or less severe side effects.  Your physician may be okay with you getting off of certain medications overtime if they see that you are doing well without them.
  • Side effects are sometimes caused by medications depleting certain nutrients.  If we supply those nutrients to your body, the side effects can reduce.


  • Dietary changes provided, and referral suggestions to certain nutrition focused renal dietitians to fine tune the diet further.
  • Diet can help preserve and improve kidney function, address any autoimmune component causing kidney damage (reduce inflammation, provide balance to the immune system), and create an alkaline environment to combat the acidosis that often accompanies a decline in kidney function.


  • The kidneys normally play a significant role in blood cell production.  As they decline further, they do not carry out that process as well, and that is why you can become anemic.  The more anemic you become, the more you may feel cold, weak and tired.  Dialysis is not a substitute for this role of the kidneys.  Thus, other things could be getting done right now to help.
  • Ask nephrologist what the lab numbers currently are that indicate anemia.  Ask about iron lab panel and supplementation, blood transfusions, erythropoietin shot – ask the nephrologist at what lab levels would they be thinking about doing any of these to improve your blood cell production.
  • Certain herbs can help build the blood.
  • As your kidney function improves, the ability of your kidneys to contribute to blood cell production may improve.

Vit D, Calcium, PTH

  • Ask nephrologist for these labs, and ask them for support in keeping these markers balanced while you wait for a transplant.

Herbs and other nutrients

  • Used in tandem with diet and lifestyle to address the condition(s) that damaged your kidneys and are still causing damage, such as high blood pressure, chronically high blood sugar, autoimmune conditions.  To help the kidneys, you also need to improve the risk factor.
  • Preserve and improve kidney function

Helping you with the conversations you have with your doctors 

  • Please view the things above I have suggested you ask your nephrologist about as examples of how I can help you to get the most out of your conversations with your doctors.

Kidney function and symptoms can change month to month, so we can monitor progress through these avenues.

Either I can help you 1:1, or if you just want to gain more knowledge first, I encourage you to take my online course mentioned below.


Click HERE today to schedule an appointment if you would like to improve your kidney function, reduce blood pressure or blood sugar, provide better balance to your immune system, or support your digestive health.

Online Course – “Natural approaches to high blood pressure and low kidney function” – Did you know that high blood pressure puts you at risk for kidney damage and a chronic decline in kidney function? Yet many are not told by their doctors in detail about this risk factor or about their kidney function declining until it is quite low and they are close to needing dialysis or a transplant.  In this course, I teach you 1) how to monitor your own kidney function, and I provide natural approaches to 2) reduce blood pressure and 3) preserve and improve kidney function.  The course includes research studies supporting the information provided.  Click *HERE* to schedule a 15 min intro call with Dr. Miles so we can determine if the course would be of great benefit to you!