Process

The goal of the initial visit is to establish your risk for kidney stone disease.  It is a series of questions that will allow your coach to assess risk.  Those with low risk will be given general fluid and dietary guidelines that can lead to a stone free life.

Those with low risk may request testing for reassurance. Testing will be ordered if requested and a follow up visit scheduled.
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Those at high risk will be advised of the Kidney Stone Coach testing and a 3 visit protocol that identifies abnormalities in urinary and/or blood chemistry. Testing allows your coach to give you specific dietary and fluid advise.

The 2nd visit is will be your most intensive session.  The Kidney Stone Coach will have objective data to begin the process of asking specific questions about your current diet and fluids habits. Using the test results, your coach will provide an evidence based dietary and fluid plan for you to follow.

Given complete understanding and commitment to the program, our clients will follow the dietary and fluid advice with retesting in 4 weeks. This measures outcome from your dietary changes.  No guessing or assumptions.
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Visit # 3 will be two weeks after testing is complete.

Visit 3 is scheduled when the repeat data is available from visit 2. Repeat testing will confirm your new diet and fluid advise is working.
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Visit 3 most often finds improvement or correction of urine volume and chemistry.  There will be additional coaching that address diet and portion control on specific fluids and foods. With our client's complete understanding a virtual visit #4 will be in 3 months with confirmatory testing preceding that visit.

This visit offers assurance that dietary and fluid changes are working.  A 24-hour urine test will need to be completed 2 weeks prior to this meeting. Testing will confirm that urinary volume and chemistry are favorable.  This visit will also be an opportunity to ask questions and address the future of living stone free.  

At this time, we may agree that a 5th visit will be a safe way to gain confidence that the changes in diet and fluids are still working. This can be scheduled 6-12 months following visit 4.  As before, a 24 hour urine test will precede virtual visit #5.

We offer individual check-in visits. They are completely voluntary to give our client's reassurance and confidence that their program is working.

With Kidney Coach, it is possible to reduce stone risk by 85-90%. There may be metabolic problems that require more traditional medical attention.  Most of these issues will be identified by our testing protocols.  Our customers will be given advise for referral and all testing information will be available to facilitate this process.  
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Kidney Stone Coach will not prescribe.  There may be conditions where dietary and fluid advise may not be sufficient.  Through testing, prescription advise may be given to our customers. Coaches will rely on the customer’s primary care physician or specialist to prescribe.  Most of these conditions will be identified at Virtual Visit #3.  Additional visits will be advised to measure outcomes if prescription medications are advised.

Payment for testing is the financial responsibility of the client.