To reduce protein in urine (proteinuria), the following approaches are recommended based on current medical guidance:

Key Strategies to Reduce Protein in Urine

1. Medications

• Taking prescribed medications is crucial, especially those that control blood pressure such as ACE inhibitors or angiotensin receptor blockers (ARBs). These medications help reduce protein leakage by lowering blood pressure and protecting kidney function

• For people with diabetes, managing blood sugar with medication or insulin therapy is important to prevent further kidney damage

2. Blood Pressure Control

• Maintaining good blood pressure control is essential, as high blood pressure can worsen proteinuria and kidney damage

3. Dietary Adjustments

• Adopt a kidney-friendly diet that is low in sodium (salt), protein, and sugar to reduce kidney stress and protein leakage

• Reducing overall protein intake can ease the burden on kidneys; a diet with moderate protein (about 15-20% of daily calories) is often advised

• Increasing fiber and fresh vegetable intake supports kidney health and may help reduce proteinuria

• Limiting salt intake helps lower blood pressure and kidney workload

4. Lifestyle Modifications

• Manage weight through healthy diet and exercise, as obesity can contribute to kidney stress

• Avoid excessive or very intense exercise, which can temporarily increase protein in urine

• Stay adequately hydrated, but drinking excess water alone does not reduce proteinuria unless dehydration is a cause

5. Regular Monitoring and Medical Follow-Up

• Regular urine and blood tests help monitor kidney function and protein levels, enabling timely treatment adjustments

• Managing underlying conditions such as diabetes and hypertension is critical for long-term kidney health

6. Advanced Treatments

• In severe cases with significant kidney damage, dialysis may be necessary to manage symptoms and protein levels

Summary

Reducing protein in urine involves a combination of medication adherence, controlling blood pressure and blood sugar, dietary changes (low protein, low salt, high fiber), lifestyle adjustments, and regular medical monitoring. Drinking more water alone does not treat proteinuria but staying hydrated is beneficial if dehydration is present. Consulting a healthcare provider is essential to develop a personalized plan based on the underlying cause of proteinuria

. This comprehensive approach helps protect kidney function and reduce the risk of long-term kidney damage associated with proteinuria.