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Chronic kidney disease (CKD) affects more than 1 in 7 adults in the United States—yet most people don’t realize they have it until it’s already advanced. On this episode of Hybrid Healing Hour, we sit down with renowned nephrologist Dr. Wayne Kotzker to unpack the silent progression of kidney disease and what patients and clinicians can do to detect it earlier and slow its course. Dr. Kotzker explains how the kidneys influence far more than just filtration—from blood pressure regulation and cardiovascular health to electrolyte balance, bone metabolism, and longevity. We explore the most common drivers of CKD, including diabetes, hypertension, metabolic dysfunction, and medication-related kidney stress, while also discussing why many cases go undiagnosed in routine medical care. The conversation also dives into practical prevention strategies: early screening markers, emerging therapies such as SGLT2 inhibitors, nutrition and lifestyle approaches that support kidney function, and how integrative and functional medicine perspectives can complement traditional nephrology care. Whether you’re a clinician, patient, or simply interested in protecting one of the body’s most vital organs, this episode provides a clear and empowering roadmap for understanding kidney health before problems become irreversible. In this episode we explore: Why chronic kidney disease is often called a “silent epidemic” Early warning signs and lab markers that clinicians often overlook The powerful link between kidney disease and cardiovascular risk New medications and therapies changing the trajectory of CKD Nutritional and lifestyle strategies that support kidney function How integrative medicine can complement conventional nephrology care Tune in for a fascinating and practical discussion on how protecting your kidneys can dramatically improve long-term health and longevity.