CKD Stage 3B - reversing kidney markers and regaining muscle strength
What changed
- Creatinine ↓
- PTH and phosphorus normalised
- Muscle mass ↑
A middle-aged man diagnosed in 2019, presenting with high creatinine, urine glucose, blood traces and critically low muscle mass at 39.7%.
Would you have looked past the creatinine?
What happened
How the case unfolded.
The deeper assessment found emotional stress from his wife's cancer journey, low protein intake, possible hormonal imbalance and a medication mismatch. With a root-cause approach his kidney markers, PTH, phosphorus and strength improved significantly within months.
Clinical lens
What this case asks you to hold at once.
- Renal markers
- Protein intake
- Emotional load
- Muscle mass
A case like this is rarely resolved by the most obvious intervention. HNTP learners work through the presentation, the wider context and the reasoning behind each decision - then follow what actually happened.
The coach
Revathi Prasad
Holistic Nutrition & Lifestyle Medicine Expert · Speaker
Holistic Nutrition coach · Chennai · 18 years
See the full profile →How cases are worked
Present. Question. Connect. Refine.
Cases like this one are presented to the HNTP community every Friday. Coaches structure the case, articulate their reasoning, and take questions from peers and mentors.
- 01
Present
Structure the case and articulate your clinical reasoning.
- 02
Question
Explore what was observed, assumed, missed or learned.
- 03
Connect
Bring nutrition, lifestyle, physiology and human context together.
- 04
Refine
Return to practice with clearer thinking and better questions.
Case notes
Case discussions are educational in nature. Individual results vary, and holistic lifestyle interventions support - but do not replace - appropriate medical evaluation, treatment and professional judgement.
This is the kind of reasoning the Challenge assesses.
Two cases, about twenty minutes, and it sets your fee.
₹35,000from ₹3,500a year, with a scholarship
- Step 01
Take the challenge
Two real clinical cases, ten questions and six reflections. About twenty minutes. Your answers save as you go, so stopping costs you nothing.
- Step 02
Earn your band
Scored on clinical reasoning, not recall. Every completed challenge earns a scholarship of at least 30%; the strongest earn 90%.
- Step 03
Enrol and begin
Your band sets your fee for the year. Seven modules, weekly live case sessions, and the pathway to ALSM certification.
Or start today with Standard Admission at ₹31,500 a year - no assessment, no waiting.