How to Make A Kidney-Friendly Summer Reset

Written July 16, 2025

Hello Dear Readers,

Another scorcher in Nashville. Since the end of last summer, I’ve been trying to outsmart the heat by waking up earlier and starting my runs before the sun fully clocks in. My wife’s been doing this from the get-go—she actually likes it. For her, that early run is like nature’s espresso shot. She has low blood pressure, so getting her heart pumping first thing in the morning helps set the rhythm for her day.

I, on the other hand, started my run at 7 a.m., thinking I was ahead of the heat. Nope. It was already warming up, and the rising temperature slowed me down halfway through my 5K. My wife had taken yesterday off to help me with extra chores, so today she was back at the office, while I was sweating it out solo.

Last June, I had a minor gout flare-up, which led to a check-up with my nephrologist. That’s when I got the disappointing news: my kidney function had slipped into stage 4. I’d held steady at stage 3 for so long that the sudden drop felt like a punch in the gut. But these things usually have a culprit, so my doctor and I retraced my steps.

Everything else checked out fine—heart rate, blood pressure, diet—all good. But then I admitted something: I’d been struggling to maintain my weight and had started leaning a little too hard on sugary comforts. Ice cream, specifically. Guilty.

Turns out, that was likely the culprit. So I made a switch—out with the ice cream, in with homemade yogurt and cantaloupe. The result? My weight stayed stable, and my kidneys got a break. With my doctor’s approval, I also upped my protein intake slightly, which has helped too.

Exercise remains a must. My doctor emphasized it again, especially after my rehab. But hydration is key—especially in a Nashville summer, where the humidity hugs you like a damp wool blanket. Changing my run time has made a world of difference. At 7 a.m., it’s still a bearable 73–74°F (23–24°C), though it climbs quickly once the sun kicks into high gear.

I’m counting the days until fall. Cooler mornings mean faster runs and less sweating just from tying my shoes. Honestly, summer running feels like training with a weighted vest—once autumn hits, I expect to feel lighter, quicker, and a whole lot happier out there.

Level 4 Kidney Function: A Gout-Friendly Diet Update

Written July 2, 2025

Hello Dear Readers,

I had my regular rendezvous with the nephrologist this week. And guess what? My eGFR has officially slid into Level 4 territory. Ah, kidneys—always keeping life suspenseful. Suddenly, the mystery of my marshmallow feet makes perfect sense.

Armed with a list of burning questions (like a medical Sherlock Holmes), I peppered my doctor with inquiries. One lab glance later, he asked me a lot of questions. I showed my bios, I told him what dietary changes I made.  “You’re probably riding the sugar train a little too hard.” Now, aside from a slight uptick in ice cream over the past month—okay, maybe more than slight—I haven’t exactly been swimming in syrup. 

Weight management came up (as it always does), and my doctor gave me a surprising green light: I can have a bit more protein! The catch? Sugar’s gotta go. So, farewell to frosty treats, and hello again to yogurt and fruit. It’s not a tragic breakup—I happen to love our homemade yogurt, courtesy of my wife. It’s just the right kind of bland. Not too sour, not too sweet. Honestly, I think store-bought yogurt has trust issues—it’s either overly tangy or suspiciously processed. Ours? Pure probiotic poetry.

Medication for gout got a little upgrade too—because, let’s be real, that red, angry foot of mine isn’t fixing itself overnight. But I’m hopeful. The pain’s still there, but I’m optimistic it’ll chill out soon, especially now that I’m being kinder to my kidneys. They’re finicky little organs—throw in too much sugar or a rogue meatball, and they stage a protest.

All in all, the doctor and I agreed on a simple plan: keep the hydration goal steady, scale back the sugar, gently boost the protein, and stay vigilant. It’s a delicate dance, but I’m not doing it alone. My wife and I made a pact a decade ago to face kidney issues as a team—and we’re still two-stepping our way through it together.