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Monday, March 24, 2008

PHOSPHORUS AND YOUR CKD DIET

What is phosphorus?

Phosphorus is a mineral found in your bones. Along with calcium, phosphorus is needed for building healthy strong bones, as well as keeping other parts of your body healthy.

Why is phosphorus important to you?

Normal working kidneys can remove extra phosphorus in your blood. When you have Chronic Kidney Disease (CKD) your kidneys cannot remove phosphorus very well. High phosphorus levels can cause damage to your body. Extra phosphorus causes body changes that pull calcium out of your bones, making them weak. High phosphorus and calcium levels also lead to dangerous calcium deposits in blood vessels, lungs, eyes, and heart. Phosphorus and calcium control is very important for your overall health.

What is a safe blood level of phosphorus?

A normal phosphorus level is 3.5 to 5.5 mg/dL. Ask your doctor or dietitian what your last phosphorus level was and write it
here ________________________ .

Will dialysis help with phosphorus control?

Yes. Dialysis can remove some phosphorus from your blood. It is important for you to understand how to limit build up of phosphorus between your dialysis treatments.

How can I control my phosphorus level?

You can keep you phosphorus level normal by understanding your diet and medications for phosphorus control. Your dietitian and doctor will help you with this. Below is a list of foods high in phosphorus.

HIGH PHOSPHORUS FOOD TO LIMIT OR AVOID

Beverages
ale
beer
chocolate drinks cocoa

drinks made with milk
canned iced teas

dark colas
Dairy Products cheese cottage cheese
custard ice cream
milk pudding
cream soups yogurt
Protein carp crayfish
beef liver chicken liver
fish roe organ meats
oysters sardines
Vegetables dried beans and peas:
baked beans black beans
chick peas garbanzo beans
kidney beans lentils
limas northern beans
pork ’ n beans split peas

soy beans

Other foods bran cereals brewer’s yeast
caramels nuts
seeds wheat germ

whole grain products

What are medications for phosphorus control?

Your doctor may order a medicine called a phosphate binder for you to take with meals and snacks. This medicine will help control the amount of phosphorus your body absorbs from the foods you eat. There are many different kinds of phosphate binders. Pills, chewable tablets, and powders are available. Some types also contain calcium, while others do not. You should only take the phosphate binder that is ordered by your doctor or dietitian.

Write your phosphate binder here: ________________________ .

Directions: ________________________ .

What do I do if my phosphorus level is too high?

When your phosphorus level is too high, think about your diet and substitute lower phosphorus foods for a while. Talk to your dietitian and doctor about making changes in your diet and ask about your phosphate binder prescription.

HIGH PHOSPHORUS FOODS
INSTEAD OF
LOW PHOSPHORUS FOODS
TRY

Phosphorus (mg)
Phosphorus (mg)
8 ounce milk 230

8 ounce nondairy creamer or
4 ounce milk

100
115
8 ounce cream soup made with milk
275
8 ounce cream soup made with water 90
1 ounce hard cheese 145 1 ounce cream cheese 30
½ cup ice cream 80 ½ cup sherbet or 1 popsicle 0
12-ounce can cola 55 12 ounce can of Ginger Ale or lemon soda 3
½ cup lima or pinto beans 100 ½ cup mixed vegetables or green beans 35
½ cup custard or pudding made with milk 150 ½ cup pudding or custard made with nondairy creamer 50
2 ounce peanuts 200 1 ½ cup light salt/low fat popcorn 35
1 ½ ounce chocolate bar 125 1 ½ ounce hard candy, fruit flavors or jelly beans 3
2/3 cup oatmeal 130

2/3 cup cream of wheat or grits

40
½ cup bran cereal 140-260 ½ cup nonbran cereal, shredded wheat, rice cereals, or corn flakes

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