E 12: Low potassium foods for your kidneys: How to lower potassium levels?
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- เผยแพร่เมื่อ 9 มิ.ย. 2024
- Episode 12: In this episode, we continue our discussion of high potassium or hyperkalemia. Here we discuss what medications cause hyperkalemia, different ways to treat and prevent hyperkalemia, and the best plant sources of low potassium.
Check out part 1 of our potassium series here: • E 11: Potassium: Is it...
0:00 Intro
2:00 What medications and conditions impact high potassium?
9:37 How do you get rid of high potassium?
18:00 What foods are lower in potassium? How do people include higher potassium foods in their diet?
25:42 Is potassium absorbed differently from plant vs animal foods?
27:41 Serum vs red blood cell potassium test? When should you use each?
Connect with us:
Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
www.instragram.com/seanhashmimd
Michele Crosmer, RD CSR
plantbasedkidneys.com/
/ plantbased.kidneys
Disclaimer
The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.
Content starts at 2:00. If you missed part 1 of our potassium series, here is the link: th-cam.com/video/YrCK6uTL6jg/w-d-xo.html
Thank you very much. We’ve learned through trial and error that if he exceeds 2,300-2,400 mg daily his blood test nudges past normal. It did so 5 weeks ago, causing him to cut back to 1,800 daily. It improved his serum levels but raised his BP & testing pulse 10+ points. Now that he’s increased his dietary intake to
…2200 mg,his vital signs are slowly returning to normal.
@@williamjohnson3692 "ľ
I tried to be on the waiting list suggested by dietitian Hernandez, but the link doesn’t work.
@@williamjohnson3692 2200 mg of what?
Thank you so much for this. I found out in January of this year that I have Diabetes2 and have kidney disease with a eGFR of 66, also had a potassium of 6 with A1C at 9.3. I had a heart attack 7 years ago so this high potassium thing scares. They redrew the potassium 2 days later and it was in the normal range. But I chose the side of caution and have been writing everything I eat in a notebook and making sure I don’t go over the 2000 a day limit of potassium on myself. So far so good. I go back in late April to have it all redrawn again. I also eat plantbased, low fat, high carb, and do not use salt, oil, nor sugar. Hoping and praying I can reverse this diabetes, high blood pressure, kidney disease and heart disease. My chron’s disease is already in remission!! 🙏
Wow, so happy to hear that you have been monitoring your intake, making diet/lifestyle changes and are already seeing improvements! Keep it up!
Can't tell by your name if you are a male or female?? I would like to know who I am talking too.. brother Harvey here.. Yes you can get rid of diabetes 1 or 2 weather your on insulin or not... Keep taking meds till numbers come down.. I was a type 2 as well, for 15 yrs untreated.. 2015 doctor told me I am diabetic. Doctor gave me metformin, never took it..In 2016 or 2017 a new doctor in new town told me I was diabetic, gave me metformin, never took it.. I started in 2017 to eat only vegetables with 5.oz,s rotisserie chicken from Walmart, all weighed out. Was gulping down 4 & 5 fruit servings a day, was eating bean & cheese burritos 3 times a month.,, Also I started walking as fast as i could walk in the 4 miles, steps 10,678. Walks are three days a week even if it rains, I am going.. I walk up & down hills, nothing flat at all... Mostly veggies and the 5.oz chicken in veggie soup. After a short time the diabetes was NO MORE, The doctor said... I still have bananas half yellow and half green, always Organic, so when I was told officially about diabetes, I never gave up any fruit choices.. I continue to eat what God gave me to eat, Bananas, strawberries, Mandarins, Ruby red grapefruits, Red large Grapes 🍇🍇... Avocados 🥑🥑🥑🥑 ,,. Honeydew melons,, watermelon 🍉🍉🍉, Blackberries, Blueberries, Cashews raw unsalted, Almonds, Walnuts, other mixed unsalted nuts & seeds. I am still doing good, have not been to the doctor in 2 yrs.. Going to do a blood test after I loose the last 30 lbs to go.. I was 242 lbs. Then 235 lbs for 5 yrs , now I am around 165 lbs, shooting for 145 lbs, where I was at when I was 23.. working on spare tire that's almost gone & the chest & in-between those..most of my fat was an is in that area...Get a SMART HEALTH WATCH to monitor pulse & Steps Taken & time.. keep record of every bite you eat and what you eat & your hikes along with start & end time, steps taken, TOTLE hike time. Take water & drink some every 40 mins.. Take rolled oats & mandarin for a lunch..Practice holding in stomach when walking...that will actually work on chest & stomach at the same time, look on internet for butt exercises & stretching exercises. Remember, the healthiest & longest living people,. Do Not Go To A Gym Or Pump Iron, and those are CENTENARIANS, those are people who live into the hundreds while they still play with the grandkids.. CENTENARIANS all live in the BLUE ZONES, and there are Only 5 places in the world 🌎 that are BLUE ZONES, Google BLUE ZONE COOKBOOK , and Google two doctors that are to must have, DR ESSELSTYN, he is all about feeding the body, and he has two books out...and Google DR ALAN GOLDHAMER, he is 40 yr expert in nutrition & fasting & intermittent fasting. These two guys have been a blessing to me and many others..DR GOLDHAMER has a fasting & refeeding clinic with a team of Doctors to monitor all patients while doing more then 5 day fasts while at the clinic, it's a large apartment building like place..
Dr my pottasium creatinine is high dr give me adco Zetomax 20 for morning and at night is that right
@@harvdog5669 How you doing now Harv?. Give a tick, if your reply at all. Blessings
Kathy you mention (high carb) I think that’s a No, No if you are a Diabetes. I’m Type 2. I stay away from Carbohydrates and sweets.❤
Thank you to the both of you for being such a blessing not just to your patients in the US, but also to the rest of us around the world. Your page has amazing content and I have learnt so much about my own CKD journey. Knowledge is empowering. FYI my K results went from 5.5 to 4.3 recently. Pseudo-hyperkalemia it was. I have one less thing now to worry about.
You both are a gift - thank you SO MUCH for this!!!!
Thank you for tuning in! We are happy you have found the channel and episodes helpful! :)
Another amazing explanation potassium. Thanks to both of you great doctor Sean Hashmi n Michelle.
Glad you enjoyed it!
So much information, thank you very much! My friend's father is having trouble and I promised I would do research. I am whole food plant-based (taking classes to become a health coach) and am hoping to be able to help!
Happy to see doctor hashmi we learn alot
My brother is stage 3A. Your channel is wonderful. We are both learning so much. Thank you both for educating on kidney disease. What cookbooks do you recommend, specific names, please. Do you have a book out?
Absolutely great show! Thank you both !
Our pleasure! Glad you're enjoying it!
Thank you. I have learned so much from u-tube than my doctors and its a shame. Moving forward, I'm in my fourth stage and presently my Potassium level is 5.1. I must watch this video again to understand of the potassium cell inner vs. outer. Then, I can ask my Nephrologist more questions. I'm noticing that these doctors aren't volunteering information for your health, you have to know what your asking, as if having kidney failure is so normal. For me, I'm learning more and I'm seeking to do my best in keeping my Kidney as long as possible. I'm in a fight. Thanks again.
We're so happy you're able to learn from our channel! Definitely a good idea to write all your questions down to take to your doctor and advocate for yourself and your care! :)
From Curaçao. Tnnx for the valuable information.
Great episode again thank you! Thanx for the blood potassium answers as well :)
Of course! We're glad you found it helpful!
This is so helpful- my husband is a CKD3 and has a pacemaker due to fibrillation so he has regular INR checks- this is so difficult with diet and does not seem to leave many choices. Can severe diaharee affect this and his eGFR?
Thank you so much. For me and many others you are life savers!
You are so welcome! So glad our videos are helpful!
Loved this, super awesome
Low potassium foods; arugala romain cabbag hikima green beans cucumber garlic onions bellpeppers blueberries apples pinapple cranberry brown and wild rice chickpeas garbanzo
Thank you so much
I got the call last week my potassium was 6 I went to the er and they gave me localma to bring it down. The doctors weren’t happy that I switched from eating meat to plant based diet. They were trying to infer that my change in diet effected my potassium level. I also have moderate kid I’m trying to better to live but I’m discouraged. This video is a great resource thank you so much.
We're glad the video was helpful! A plant based diet can still be low in potassium if needed! We would highly recommend working 1:1 with a renal dietitian to help you do this. www.kidney.org/ckdrd has a database of renal dietitians!
@@PlantBasedKidneyHealth darn, I just checked that link and the only renal dietician near me in Ohio doesn't accept my health insurance.
@@Jahalang82 zee
I can't find a renal dietitian at all in Connecticut. Doctors never mention a renal dietitian when I ask question about diet. In fact, i wonder if I am receiving adequate care for my CKD.
@@grandmajane2593Where in CT do you reside? Hartford Hospital is a good place. My team is at Baystate Medical in Mass though. I don't really have a good nutritionist either. I had one back in 1990 that was excellent. They don't make them like that anymore.😢
Thank you so much.
LOVED your video & GRATEFUL for sharing this AMAZING LECTURE.
For instance, a person has a precancer & or hyperplasia (cancer feeds on sugar/simple carbohydrates) ,so is it amenable to do fasting / intermittent fasting regardless of that person has only one kidney ( donor) ?
I'll be so GRATEFUL for your DIRE RESPONSE.
GOD BLESS!
So happy you loved the video. Please check with your physician for individualized recs! We have a video on fasting and what type of intermittent fasting would have potential benefits. Dr. Hashmi also lists the potential downside for people with kidney disease. It will all depend on your individual health though!
Hi, I had an ultrasound saying I had mild prominent renal pelvis and just had bloodwork and says my potassium is 5.5. Could that be the cause? Only thing urine test showed was moderate leukocytes... never had kidney issues before.
TQyour video is a great help
Amazing information.
I have stage 4 ckd and have afib issues. I had ablation performed but did not stop it. I used to eat mostly what I wanted bc dr never told me not too. Could potassium spikes be triggering afib episodes? I tried to cut out your typical causes like dehydration, caffeine, stress etc but still occurred. I even asked my nephrologist and cardiologist if my ckd had anything to do with my afib and they gave me indirect answers.
Thanks!
Very informative
i was going to ask i just watched your lil episode, will oatmeal be consider low or high potassium levels and what type of oatmeal will be consider low. Will it be steel cut oats, roll oats or old fashion oats? Thank you: Cefe
Tnk you so much for your clear explanation about the effects of high potassium! God bless you both.
Our pleasure! Glad it was helpful!
I am in celery juice regimen every morning with an empty stomach for two weeks now my renal function is 17.7 with 50 50 ration 8+ ea. Will this increase my potassium level
Do you have a video on the use of Allopurinol ? And Calcitrol. .? Is Atenolol ok to add to medications telamesartin and amlodipine for high blood pressure. I have auto immune contributing to very high inflammation rate in blood vessels . Hope to hear back from you. Can I email you for the information?
Be careful with Allopurinol, for my own experience made me cough a lot to a point will make you pass out , I told my Dr. a butcher called Christopher Penoyar in Shelton WA. he told me to ignore it, until I end up in a car accident that left me with DOUBLE VISION, to this day and he got away with it, because the State democrat Atty. Grl. did nothing about it.
So with stage 3 kidney disease I can eat close to 2000 g of potassium in a day?
Amazing video
Thank you so much for the very informative video. I learnt a lot about how to deal with my kidney disease level 3. I do have a question though. I exercise a lot and worry about electrolytes I may need while doing so. Most of them have potassium which I try to avoid. I have found a stable diet where I eat most everything but with low frequency for high potassium foods. I also use Veltassa to keep my potassium level under control. I have been very stable for years now. How does it work? I assume potassium is released through my sweating as well as magnesium and sodium. Do I replace that potassium as anybody would by using these commonly used electrolytes? Or do I use one with no potassium at all? Thank you for your help on this.
What is the cause of high renin. CKD stage 3a. High systolic causes me to pass urine every 2 hourly at night and will not stop until systolic drop below 140.
Thank you so much. I was given a list f the low foods I should eat, and there were no green veggies.
Kale is low in potassium
Another tip: Make tags that talk about the actual episode instead of being general. I want as many people to see these episodes since you all are so amazing :)
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Thank you so much!!!
Im told that eldearly ppl and diabetes 2 patients had to take potasium. I am in that category. I hav also kidney stones for ever and often urinary infection and uric acid. What shall I do about potassium?
Check your oxalate levels,,they are the main cause of kidney stones
DO you do any paid virtual consulting?
Wondering if Vitamin D3 is good for the kidney??? If you are with an inmune system low the type of food and vitamins are a variety but not sure if kidneys will be affected in the same way or not
When I had high Potassium they hospitalized me and gave me a intravenious saline drip for the day and then they took more tests and let me go home.
After listening to you, I wonder what they did give me in the hospital that tiime I had high potassium. I'm not sure.
I’m 65. My potassium is 4.4. I’ve been eating wfpb with some clean meats like fish, chicken 1 or 2x/week. Juicing a few times a week. 1 coffee or tea a day. My most recent gfr is 86. I’m just wondering listening to you guys should I be choosing consciously low potassium now in case it rises in the future.? I do 10 000 steps 4 or 5 days/wk. I’m 45 kg. 1.54m.
In general it is not beneficial to restrict potassium intake unless labs indicate needing to limit intake (especially in early stages of CKD). Always check with your nephrologist/renal dietitian for individualized advice though!
@@PlantBasedKidneyHealth lp o
I just went to my nephrologist last week and they said I need to go on a low potassium but high magnesium diet. All the foods that was suggested to me by searching the internet said that it was high in both minerals. Also they increased my Lokelma to 20g a day
Oh I was eating two medium sized bananas for breakfast everyday, I guessed that's what did it.
@@Jahalang82 absolutely!
Dr. Here told me to not eat to much white rice because it's high potassium and also can increase blood sugar.. Please Dr.Sean and Miss Michele correct me if they are wrong... Advice me what rice and food to eat ... I have hypertension problem and my mother have kidney stones
Thank you and God Blessed for helping people through your you tube channel
Hello! White rice is low in potassium. It is also low in fiber and high carb so can contribute to spikes in blood sugar. Brown rice, farro and barley all have more fiber compared to white rice and are great options. They contain low-moderate amounts of potassium.
Mom has been admitted with her potassium was 2. She was delirius, obviously dehydrated. She is 86 the doctor said she must have blood tests every month and the Specialist didn't want to involve any discussion about what's wrong with kidney. Maybe because he didn't want thr risk of invasive surgery. She has frontal load dementia still in early stages. Has had numerous serious falls where surgery was needed. Can you advise. She NOW drinks lots of water. Being Scots only tea. But I would just like some insight on what could be wrong with kidney. Could you advise me. Thank you both. COLLEEN FROM SOUTH AFRICA
Do you have a meal plan example?
Do you have any discussions, about what happens when someone has one kidney ?
We do! Episode 10, Living With One Kidney. It is under Kidney Disease Overview playlist.
I just had my potassium checked 2 weeks ago it was 4.7 is that good or ok?
That is in the normal range for potassium (3.5-5.2)
Can you use bicarbonate of soda if you have CKD daily
My aldrenal glands produce too much aldosterone. I have been on Spironalactone for years.
I eat Pumfu. It has a nice nutty, umami kind of flavor.
I HAVE PKD, SO IS EVERYTHING ABOUT THE SAME FOR THIS AND THE KIDNEY DISEASE PHRASE
Is hydrochoratizide retains potassium in the body?
I'm eating oat bran regularly, 6 times a week and now aware of the potassium in oats. Ok or not?
How can you messure potassium in your body at home?
You cannot measure potassium in your blood at home. You can track your intake and see how much potassium you're consuming from your food though!
@@PlantBasedKidneyHealth I experiencing a bit high Creatinine, what suitable food should I take?
What about potatoes and beans? Are they safe to eat..
My daughter hyperglycemia, and I am struggling to feed her a variety of foods, she's has special needs and is on a blended food diet. I have a varied menu that I make for her but I am feeding her the same things over and over again. I need some advice on this. If you would ha e the time.
We would definitely recommend working 1:1 with a dietitian as this is a very specialized case and requires individualized recommendations for what to feed her! This is a database of renal dietitians that you can check out to help find one: sites.google.com/view/ckdrd/home
Great chat filled with alot of info. I was just hit with a bomb, my recent lab shows my eGFR at 57 low and 66 high, my potassium at 4.7, Creatnine at 1.28. I met with a dietician who said I can consume potassium but not to exceed 2000 mg per day. Just trying to get a second opinion. Your thoughts, thanks. James
I would think that you’d also want to run that advice by your nephrologist. I erred on the side of caution, limiting my potassium intake to under 2,000-mg daily and after two months, my BP had skyrocketed from 100-110/60-70 to 160+/90! A subsequent blood test showed my potassium level dropped to 3.3! Once I added back in more dietary potassium, my BP quickly returned to normal. But I hasten to add that while doing so, I made sure to keep dietary sodium to around 1,000-mg daily. A potassium to sodium ratio at least 2:1 is normally considered vital to maintaining your BP. But don’t self-experiment: make such changes after receiving medical advice.
@@williamjohnson3692q0
What is the role of Magnesium deficiency in potassium imbalance in the body?
Great topic to discuss! We will address magnesium and kidney health in an upcoming episode!
@@PlantBasedKidneyHealth Did you do a video discussing this? Thank you
Another great 👍 video, Eat the color of the rainbow 🌈 will keep your body working. Fruits and vegetables
Yes! :)
I’m worried because my husband has CKD Stage 3A and also has been limited to under 2,000 mg of dietary potassium daily. He’s noticed that his blood pressure, historically about 110/66 for years, has just started to climb over the past two weeks. Ditto for his pulse. My question is this: I know that his lower intake of potassium can lead to a rise in blood pressure over time and if so, what can interventions can be done to bring his blood pressure back down? Thank you so much.
You will want to talk with his doctor and renal dietitian to make sure that he needs such a tight potassium restricted diet. Potassium is beneficial for lowering blood pressure and often times people in earlier stages of kidney disease with normal potassium blood levels have no potassium restriction in their diet.
Can you guide on what dialysis patients in stage 5 ckd eat so as to keep potassium levels in check.
Please
I bloat with water in legs and abdomen i am diabetic 2 i got chronic obstructive lung disease and allergic astma and from food. High pottassium
Thankyou so much Dr for very helpful information about Potassium. Under which name I can find you on Instagram? Please let me know 🙏
Point blank, list the best foods to be eating for a low potassium diet.
My Calsium is 9.3
can exercise help lower potassium????
I was on losartan medicine but I got worsened
Can you do jiu jitsu with CKD?
Only 3 visitss and its already a WOW.
Think of if you started with Soccer and
not American Football.
Brazilian? My brothers are both into it.
What herbal supplements should be avoided with hyperkalemia? Any herbs help it? Is biotin, MSM & collagen safe to take with hyperkalemia? Thanks!
Here is a link for info on herbal supplements that contain potassium: www.kidney.org/atoz/content/herbalsupp We will have future episodes addressing biotin, collagen and other supplements specifically coming up in the future!
@@PlantBasedKidneyHealth Thank you, I took a look at that. Is papaya enzyme ok? That’s sometimes recommended for CKD.
Got my potassium down in a week and a half due to diet from 5.5 to 5. Wanted to take medicinal mushroom supplement, ie - Cordyceps, lion’s mane, shiitake, reishi & turkey tail, as they help pull out toxins from the body & help with liver & kidney function. Do your patients w/ hyperkalemia have good or bad experiences taking these functional foods? I’m hesitant, because they say mushrooms are high in potassium, but I don’t know if these medicinal mushroom supplements have an effect on the body’s potassium levels. Thanks!
So, at 8:30, are ACE inhibitors good or bad, reduce or increase, potassium in the blood? Unclear, as you only say that they're common medications.
ACE inhibitors are one of the preferred blood pressure medications for people with CKD. They can raise blood potassium levels, so that has so be considered/monitored when a person is prescribed it depending on the stage of CKD they have.
This Is all difficult for me to remember I need dictation sheet
What about Sago?
How can someone with kidney issues and fatty liver manage his diet here please?
Hello! We have added CKD and fatty liver to our list of topics to address in upcoming episodes so stay tuned! :)
Fruits is also watery oøif on condtriction in water 1.5
Talk again of loop diaRetics And Latosa
How do you with constipation if you have kidney problems and you have multiple sclerosis how are you supposed to have a bowel movement I'm in constant agony all the time
We have an episode that we just recorded that will be out in the next few weeks on constipation with some tips so stay tuned!
Which country are you in i have the same with MS aswell problem but i think i can help you From
Australia
I have to take potassium to combat leg cramps and have polycystic kidney disease. I only take the supplement every other day and that seems to do the job. Is this a problem?
You'll want to discuss any concerns with prescribed medications/supplements with your physician. Some people with CKD have low blood potassium levels and are prescribed potassium supplements though. You can also discuss increasing potassium in your diet with your physician/dietitian as well!
What would you say - is a tablespoon of tomato paste on the safe side?
1 tablespoon of tomato paste is ~ 165 mg potassium. So this amount spread amongst a few servings in a recipe would definitely not be high in potassium!
What type of grains has high potassium?
Bran and quinoa are two grains that are higher in potassium.
Love your show but have been unsuccessful in sending you an email. The address you give comes back as non existent???
Hi Harry. The email is plantbasedkidneyhealth@gmail.com
Most relatable podcast,? and kidney disease made it understandable. Thank you both so much. Real healers .
Potassium levels 5.3
Hello! First time here.
My potassium has increased little lately.
I’m a pure vegetarian.
Can I eat orange, cantaloupe, Papaya,Oats & whole grain tortillas?
2% Milk is good?
Please suggest
Use a diet tracker. Mine is called kidney diet
So don't eating's like bananas or stuff that has potassium in it, but eat more foods with magnesium? But don't you also need potassium
Is it ok to eat oatmeal?
Oatmeal is a great whole grain option. Just make sure the only ingredients are oats. Instant oatmeal packets generally have sugar or artificial sweetener added and often phosphorus additives!
What do you do if your kidneys have been removed?
We have an episode on solitary kidney you can check out!
I would like segment telling what eat and what to stay away from.
Definitely check out our diet playlist for more videos specifically on food! What to eat is highly individualized based on stage of CKD, health history, size, etc. We highly recommend working 1:1 with a renal dietitian so they can customize recommendations!
Hazelnut's ?
Hazelnuts have ~ 193 mg potassium per 1 ounce portion.
I eat 2-3 avocados a day. I am stage 3. Is that too much avocados?
That would depend on the person and blood potassium levels. If someone with CKD (especially stage 1-3) has normal blood potassium levels, there is no reason for them to restrict potassium. However, it is important to get variety/diversity of different foods in the diet vs getting most/all potassium from just one food. We always recommend working 1:1 with a renal dietitian so they can assess your intake and needs and make individualized recommendations!
@@PlantBasedKidneyHealth I have lots of food sensitivities and I am limited in what I can eat. I heard a renal dietician say that if I keep below 2500mg of K per day I would be ok.
I have blood pressure and heart palpitation issues as well as dialysis. For me, potassium has become a Boogeyman.
Me too. That’s the electrolyte I’m afraid of the most.
Go Joe
My doctor told me if I don’t eat I gained weight even I told him I only eat if I’m hungry
Do you have Arabic
I wish we had more drs like these. Western drs these days are careless, they are not thorough. We have to do our homework and then have a plan, because they don't care.
escarole
escarole is lower potassium too! ~110 mg potassium per 1 cup raw, cut
My father had diagnosed with kidney's function 36%. Can he drink coconut water?
You'll want to check with his physician and renal dietitian for individualized recommendations. In general, coconut water is high in potassium (~400 mg per 8 oz) so that will depend on individual potassium needs. Some brands have added sugar which I would not recommend.
@@PlantBasedKidneyHealth I used to gave him fresh coconut water for 10 days then I stopped after watching some videos
My urine is foamy what does it mean ?
U need fasting
It means your kidneys are spilling protein, which means there is a possibility you have damaged kidneys, get this checked out asap if u haven't already as I see you posted this 9 months ago, I hope things are going better for you now
Protein in urine
Please answer lotass
Low potassium foods for babies
Leafy greens - Arugula, curly kale
Cabbage
Green beans
Onion
Berries - blue berries
Apples
Pineapple
Brown Rice
Millet
Legumes
Green peas
Tofu
Pumfu
Walnuts
Macadamia nuts
Chia seeds
Flax seeds
All great options! :)
Is flax seeds and black cumin safe for kidney tranplant patients?
Add pecan nuts to list. Pumfu is made of pumpkin seeds so I guess you can have the seeds just like chia and flax