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Milk and Phosphorus Chronic Kidney Disease (CKD) patients, and especially those on dialysis - referred to as End Stage Renal Disease (ESRD) - are told to limit the intake of milk and dairy products. The reason for this is the nutritional contents of milk. One cup of whole milk (8 oz.) contains about 10% of the recommended daily intake (RDI - I know, so many initials to remember), 22% of phosphorus, and 23% of saturated fat. That’s very high for a glass of milk. Especially because you will find phosphorus in nearly all of the foods we eat. So getting almost one quarter of your RDI in a small glass of milk could push you over the recommended limit. So why is this a problem? People with functioning kidneys can process out excess amounts of nutrients through urination. Have you ever heard the joke about certain vitamins and supplements? It just creates expensive urine. That’s right, if you ingest more nutrients that your body needs, you just pee it out. That’s not to say that there isn’t…
Barbecue Sauce - Make it at home Summer time means grilling, BBQ, and picnics. CKD patients can have a difficult time navigating all the wonders of the outdoor grilling season with all the dietary restrictions. There are dry rubs with high sodium levels; Wet sauces that are high is potassium, sugars, and sodium; High fat meats that have high phosphorus levels. All of these are on the “avoid or limit” list. This recipe accommodates many of the problem areas and can relieve some of the stress that occurs when trying to enjoy the outdoor cooking season. The use of tomato paste helps with the potassium levels; limited brown sugar reduces carbs and sugar levels; using minimal salt limits sodium; and using the chile paste listed above, greatly enhances the flavor without adding to the negative aspects of jarred BBQ sauce. If you choose to use a pre-made chili paste, I recommend adding 2 chipotle peppers for the smokey flavor, and find one with the least amount of sodium and sugar.
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