The fourth important thing you need to know, imho, is that you don't take anything for granted. I eat plantbased, with only a little animalistic product here and there. ..and i keep an eye on my urine PH, which at the time described was normal. Imagine my surprise when my C02 dropped, and my blood phosphorus got elevated. What caused this you ask? Who can say for sure, but when i removed Chia and a couple of other seeds (15 grams per day), and the 20 grams of tahini i mixed in a dressing every day, my CO2 and phosphorus jumped back to normal levels. You see... The seeds contain phosphorus, and tahini, which i absolutely love, also has a lot of phosphorus, and is positive PRAL. So.. Be inquisitive :)
Definitely important to be inquisitive and mindful of portion and what else you're consuming it with :) 1 Tbsp chia seeds (10 g) is 86 mg phos (with ~50% being absorbed) and slightly positive PRAL (+1.3 PRAL). 1 Tbsp tahini (15 g) is 110 mg phos and +2.8 PRAL. The most important thing is pairing the positive PRAL foods with negative PRAL foods (fruits and veggies). So that's great using it in your salad dressing. But if you notice improvement leaving it out, you definitely don't have to include those foods!
@@plantbasedkidneyskitchen Chia, 15 grams, is 129mg of phosphorus. Tahini, 20 grams, is 150,4mg of phosphorus. I don’t know how much phosphorus is allowed in a low phosphorus diet, but the standard answer to that question is 700mg/day according to google. Almost 280mg from those two sources alone, make up 40% of the allowed amount per day. That’s a lot. Disclaimer: I’m not on a phos-restricted diet, because I watch what I eat. ..but when I did eat tahini and various seeds every day, I got to a point where I was notified that if my numbers hadn’t improved next time at the doctors, I would be put on phosphorus inhibitors. . ..and shortly thereafter I allowed myself to eat a durum with kebab, peed blood, and got really sick. I can attest to the symptoms of phosphorus poisoning being true. That was a fun night… ..and I was SO freaking itchy. The experience doesn’t come recommended by me, that’s for sure. For people with very little kidney function, still staying off dialysis do to eating carefully/plantbased in my case, things aren’t as straight forward.
Correct! The milligrams of phosphorus will not be on a food labels because it isn't required by FDA labeling laws...BUT phosphorus additives will be included in the ingredient list. So if you check that, you want to make sure there is nothing with PHOS in the ingredient list. That type of phosphorus is absorbed 90-100%.
LOVE THIS. Please keep these videos coming. I’m a plant-based cardiologist and my patients really need this.
Yay! Thank you for being here and sharing with your patients!
Thank you I’m new at this!
I'm so glad it was helpful!
Great video, thank you!
My pleasure! Glad you liked it!
The fourth important thing you need to know, imho, is that you don't take anything for granted. I eat plantbased, with only a little animalistic product here and there. ..and i keep an eye on my urine PH, which at the time described was normal. Imagine my surprise when my C02 dropped, and my blood phosphorus got elevated. What caused this you ask? Who can say for sure, but when i removed Chia and a couple of other seeds (15 grams per day), and the 20 grams of tahini i mixed in a dressing every day, my CO2 and phosphorus jumped back to normal levels. You see... The seeds contain phosphorus, and tahini, which i absolutely love, also has a lot of phosphorus, and is positive PRAL.
So.. Be inquisitive :)
Definitely important to be inquisitive and mindful of portion and what else you're consuming it with :) 1 Tbsp chia seeds (10 g) is 86 mg phos (with ~50% being absorbed) and slightly positive PRAL (+1.3 PRAL). 1 Tbsp tahini (15 g) is 110 mg phos and +2.8 PRAL. The most important thing is pairing the positive PRAL foods with negative PRAL foods (fruits and veggies). So that's great using it in your salad dressing. But if you notice improvement leaving it out, you definitely don't have to include those foods!
@@plantbasedkidneyskitchen Chia, 15 grams, is 129mg of phosphorus. Tahini, 20 grams, is 150,4mg of phosphorus. I don’t know how much phosphorus is allowed in a low phosphorus diet, but the standard answer to that question is 700mg/day according to google. Almost 280mg from those two sources alone, make up 40% of the allowed amount per day. That’s a lot.
Disclaimer: I’m not on a phos-restricted diet, because I watch what I eat. ..but when I did eat tahini and various seeds every day, I got to a point where I was notified that if my numbers hadn’t improved next time at the doctors, I would be put on phosphorus inhibitors. . ..and shortly thereafter I allowed myself to eat a durum with kebab, peed blood, and got really sick. I can attest to the symptoms of phosphorus poisoning being true. That was a fun night… ..and I was SO freaking itchy. The experience doesn’t come recommended by me, that’s for sure.
For people with very little kidney function, still staying off dialysis do to eating carefully/plantbased in my case, things aren’t as straight forward.
I'm having a hard time because so few food labels give any information about phosphorus content
Correct! The milligrams of phosphorus will not be on a food labels because it isn't required by FDA labeling laws...BUT phosphorus additives will be included in the ingredient list. So if you check that, you want to make sure there is nothing with PHOS in the ingredient list. That type of phosphorus is absorbed 90-100%.
Do you have a recipe book for diabetic ckd
I have an E-Cookbook that is for CKD and applicable to Diabetes as well! plantbasedkidneys.com/e-cookbook/
I was told swiss cheese was acceptable as it is lower in phos and sodium. Wondering if this is accurate after seeing the cheddar cheese?
Swiss cheese is a lower potassium (20-30 mg per oz) and generally lower sodium cheese. It is not low in phosphorus though (~165 mg per oz).
What is iron phosphate. Is that ok
I don't believe iron phosphate is typically used as an iron supplement for humans.