Home Podcasts Sean Hashmi, MD
Sean Hashmi, MD

Sean Hashmi, MD

Sean Hashmi, MD 77 Episodes Aug 2, 2026

Dr. Sean Hashmi is a board-certified kidney and obesity medicine specialist who explains the science behind common lab results, food choices and everyday habits. Each episode breaks down kidney and metabolic health topics in plain English, helping listeners understand their own numbers. He is the founder of SELF Principle, a nonprofit focused on Sleep, Exercise, Love and Food. The show is intended for general education and is not personal medical advice.

Episodes

Dialysis Timing: What Actually Decides When You Start
Dialysis Timing: What Actually Decides When You Start Aug 2, 2026 00:14:49 Three people can have the exact same kidney number, and completely different futures. One needs dialysis this year. One never will. Nephrologist Dr. Sean Hashmi breaks down the biggest myth in kidney care: that a single eGFR number decides when you need dialysis.There is no eGFR threshold that automatically triggers dialysis, according to a 2024 review in JAMA. What actually decides timing is a co
This Sign Means Your Kidneys Are Already Damaged
This Sign Means Your Kidneys Are Already Damaged Jul 26, 2026 00:12:17 Your kidneys can lose more than half their function and never once make you feel sick. Nephrologist Dr. Sean Hashmi walks through the real warning signs of kidney disease, including the ones almost everyone misses because they blame them on something else.Fewer than one in 20 people with early kidney disease are aware they have it, because kidneys are built with so much spare filtering capacity th
Do Proton Pump Inhibitors Cause Kidney Disease?
Do Proton Pump Inhibitors Cause Kidney Disease? Jul 20, 2026 00:15:10 Do heartburn pills like omeprazole really damage your kidneys? Nephrologist Dr. Sean Hashmi breaks down what the actual research found, how big the risk really is, and who carries it versus who barely does.Large observational studies do show a higher rate of chronic kidney disease in people who take proton pump inhibitors daily for years, roughly 26 to 50 percent higher depending on the study. But
Can Kidney Disease Be Reversed? Here's What Really Happens
Can Kidney Disease Be Reversed? Here's What Really Happens Jul 19, 2026 00:11:21 Can kidney disease be reversed? A five-year study in PLOS Medicine found that about one in five people with kidney disease saw their numbers return to the normal range. Nephrologist Dr. Sean Hashmi explains what that finding actually means, and why it is different from the "reverse it naturally" promises flooding your feed.You cannot regrow kidney filters that have scarred or died, and c
Silent Kidney Stone: Should You Watch It or Treat It?
Silent Kidney Stone: Should You Watch It or Treat It? Jul 15, 2026 00:14:36 Roughly one in twenty CT scans done for something unrelated turns up a silent kidney stone, and "just watch it" is the advice most people hear afterward. Dr. Sean Hashmi, a board-certified nephrologist, walks through what long-term data actually says happens to a silent stone left alone: the risk of a real problem climbs from about 3% at one year to 19% at three years and 31% at five yea
Can Food Really Lower Your Creatinine? What Actually Protects Your Kidneys
Can Food Really Lower Your Creatinine? What Actually Protects Your Kidneys Jul 12, 2026 00:16:28 Can food really lower your creatinine? Right now your feed is full of morning drinks and five-food lists that promise it will. Here is the part they leave out: you can move your creatinine number tonight without helping your kidneys at all.In this episode, Dr. Sean Hashmi separates what moves the number from what actually protects your kidneys.Creatinine is not a toxin your kidneys struggle to pus
The 2026 Cholesterol Guidelines: The 2 Numbers Most Panels Leave Off
The 2026 Cholesterol Guidelines: The 2 Numbers Most Panels Leave Off Jul 9, 2026 00:14:37 Your "normal" cholesterol may be missing two numbers. In March 2026, the American College of Cardiology, the American Heart Association, and ten other organizations rewrote the cholesterol guideline your doctor has used since 2018.In this episode, Dr. Sean Hashmi breaks down what changed and the two numbers you actually want to know.The new guideline does two things. It brings back hard,
Should You Take Blood Pressure Pills At Night? 21,000 Patients Answer
Should You Take Blood Pressure Pills At Night? 21,000 Patients Answer Jul 5, 2026 00:12:10 Should you take blood pressure pills at night or in the morning? For years the advice was to dose at night to protect your heart. Then 21,104 patients put that to the test.In this episode, Dr. Sean Hashmi walks through what the trials actually found and what protects your heart and your kidneys.In the TIME trial, published in The Lancet in 2022, evening dosing was no different from morning dosing
The Real Problem With Seed Oils Isn't What You Think
The Real Problem With Seed Oils Isn't What You Think Jul 5, 2026 00:15:49 Are seed oils actually bad for you? Seed oils have been blamed for inflammation, weight gain, diabetes, and heart disease. The uncomfortable part is what happens when you test it: when researchers feed people more of the main fat in seed oils and measure inflammation in their blood, it mostly does not go up.In this episode, Dr. Sean Hashmi walks through what dozens of human trials and a brand-new
Fatty Liver Doesn't Need Bitter Tonics—It Needs This
Fatty Liver Doesn't Need Bitter Tonics—It Needs This Jul 1, 2026 00:10:25 Fatty liver: the only thing that truly reverses it. A video with over 100,000 views says a bitter tonic will empty the fat out of your liver. It will not.In this episode, Dr. Sean Hashmi covers what genuinely reverses fatty liver and why the detox drinks sold everywhere do nothing.Fatty liver, now called MASLD, affects about one in three adults. Fat builds up inside liver cells, driven mostly by i
High Creatinine? Here's What Actually Works.
High Creatinine? Here's What Actually Works. Jun 24, 2026 00:12:41 Your creatinine is high, and here is what actually lowers it. Your social media feed is full of teas and morning drinks promising to flush it down. Most do nothing, and some can actually harm your kidneys.In this episode, Dr. Sean Hashmi explains what really moves creatinine, what moves your true kidney function, and the three therapies with hard evidence that slow kidney disease.Creatinine is not
MUSCLE → BRAIN
MUSCLE → BRAIN Jun 21, 2026 00:10:06 Creatine isn't just for muscle. A video with millions of views says it shrinks your fat cells by 30%. The evidence does not show that, and the real story runs past muscle into your brain and into your kidney lab results.In this episode, Dr. Sean Hashmi sorts the creatine claims with data behind them from the ones invented for clicks.The muscle story is not in dispute. A 2017 meta-analysis by C

Recommended