Jefferson Peeples

Christian. Husband. Dad. Friend. Literature Enthusiast. Former heavy metal guitarist/vocalist. Nephrologist in NC. Opinions are my own. @jpeeples.bsky.social

[Jefferson Peeples @NephroPeeps]

Twitter sucks and has sucked since it was sold. 3 days on @bluesky and I feel like I have my #Nephtwitter community back. I’m not pummeled with senseless BS. So refreshing and excited for the move to that platform. ✌️

[Jefferson Peeples @NephroPeeps]

But was it written by AI?

[Caleb Watney @calebwatney]

This is the best paper written so far about the impact of AI on scientific discovery

[Jefferson Peeples @NephroPeeps]

Emily Armstrong’s scream is the most flawless scream recorded since They’re Only Chasing Safety.

Looking forward to Friday

https://t.co/fbXNGpSuju

[Jefferson Peeples @NephroPeeps]

@rn_flex “Do you not trust your kidneys?”

[Jefferson Peeples @NephroPeeps]

This is largely felt to be disproven by nephrologists

[Joey Yochheim @joeyyochheim]

5. Boosts Kidney Function

Healthy kidneys are crucial for filtering toxins from your blood.

Baking soda helps balance acids in your blood, taking some stress off your kidneys.

For those with reduced kidney function, it may even slow disease progression.

[Jefferson Peeples @NephroPeeps]

No

[Joey Yochheim @joeyyochheim]

To wrap it up:

Baking soda is a powerhouse.

From balancing pH and reducing inflammation to boosting recovery and caring for your teeth...

It’s versatile, affordable, and incredibly effective.

[Jefferson Peeples @NephroPeeps]

Maybe sure

[Joey Yochheim @joeyyochheim]

8. Digestive Aid

Feeling bloated or sluggish after a meal?

A little baking soda in water can balance stomach acidity and ease digestion, breaking down food and relieving discomfort.

[Jefferson Peeples @NephroPeeps]

Sure

[Joey Yochheim @joeyyochheim]

7. Natural Deodorant

Need a quick fix or want to avoid the chemicals in store-bought deodorants?

Baking soda neutralizes odor naturally.

Just dab a bit under your arms for simple, effective, and chemical-free odor control.

[Jefferson Peeples @NephroPeeps]

Brush your teeth and floss

[Joey Yochheim @joeyyochheim]

6. Oral Health

Baking soda is a natural way to maintain healthy teeth and gums.

Brushing with it can:

• Reduce plaque
• Freshen breath
• Whiten your teeth
• Neutralize mouth acids

That’s why it’s a common ingredient in many toothpastes...

It works.

[Jefferson Peeples @NephroPeeps]

This is not true and is based off no data

[Joey Yochheim @joeyyochheim]

4. Reduces Inflammation

Baking soda can help manage inflammation, which is at the root of many chronic conditions.

Drinking a glass of water with a small amount of baking soda can:

• Reduce joint pain
• Decrease swelling
• Improve mobility

Less inflammation = better life.

[Jefferson Peeples @NephroPeeps]

This has not panned out in RCTs

[Joey Yochheim @joeyyochheim]

3. Muscle Recovery

Baking soda can be a game changer for workouts and recovery.

It neutralizes lactic acid buildup, reducing muscle soreness and boosting endurance.

By buffering that acid, baking soda lets you:

• Push harder
• Last longer
• Recover faster

[Jefferson Peeples @NephroPeeps]

This part is relatively true

[Joey Yochheim @joeyyochheim]

2. Natural Antacid

Got heartburn or acid reflux?

Mix a teaspoon of baking soda in water to neutralize stomach acid.

This quick and natural remedy provides fast relief, making it a much healthier option than over-the-counter antacids.

[Jefferson Peeples @NephroPeeps]

Your body balances your pH on its own. Taking a substance to do this is unnecessary

[Joey Yochheim @joeyyochheim]

1. Balances pH

Baking soda is alkaline, meaning it neutralizes acids.

This helps bring balance to different areas of your body.

• Acidic foods
• Stomach acid
• Acid build-up on your skin

People even use it to balance their internal pH, which is crucial for overall health.

[Jefferson Peeples @NephroPeeps]

@SPuro88 Same… I’m always tempted to wear a Christmas sweater when I work on the holidays. But having GOC conversations in a goofy sweater is so off putting.

[Jefferson Peeples @NephroPeeps]

@kidney_boy Utopf

[Adam Bruggeman, MD @DrBruggeman]

Physician conversion factors:
2000: $36.6173
2003: $36.7856
2006: $37.8975
2009: $36.0666
2012: $34.0376
2015: $35.7547
2018: $35.9996
2021: $34.8931
2024: $32.7442

UHC stock up 8,556%
Insurance premiums up 342%
Inflation up 86%
Physician pay down 10%

We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

[Jefferson Peeples @NephroPeeps]

@kidney_boy So I think we need more data in heart failure/decongestion/cardiorenal syndrome before we can let kidney injury biomarkers inform us on how to make clinical decisions for these patients

Until then…. DECONGEST

[Jefferson Peeples @NephroPeeps]

@kidney_boy Supporting the idea that decongestion is king whether biomarkers rise or not.

One caveat these studies say is that the biomarkers are validated to assess tubular injury in ATN but haven’t been well studied in other types of AKI