Zach's protien intake amazing to me

[boswife]

Im amazed 89 grams of protien.   WE are really working on hubbys protien levals and wonder how you achieve your goal each day.  Bo (hubby) does not like 'drinks' of protien stuff but does eat eggs, and meats all day, and now taking liquaCel, and whey protien 'shots'.    I guess i have to calculate once again how much he is actually getting per day, but im impressed at your intake!  i know it's huge towards a dialysis patients health, and that seems to be what you have........ HEALTH   

everyones input on protien intake is welcome 

And a list/chart of protien calculations would be great too!

[Jean]

Peanut Butter!!! It just tastes good and is high protein too, no? So, peanut butter and Jelly on low salt crackers in the evening?

[rsudock]

aren't peanuts high in phospherous though?

[Zach]

Hi boswife.
Thanks for starting this thread.

Let me try to explain my take on managing the renal diet.
I'll post a little at a time.

First there are the Nutritional Guidelines set up by the National Kidney Foundation (U.S.A) known as KDOQI:
http://www.kidney.org/professionals/kdoqi/guidelines_updates/doqi_nut.html

For those on Hemodialysis--Management of Protein and Energy Intake:
Dietary Protein Intake (DPI) should be 1.2 grams of protein per kilogram of body weight per day.

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a15.html
"... At least 50% of the protein ingested should be of high biological value. Protein of high biological value has an amino acid composition that is similar to human protein, is likely to be an animal protein, and tends to be utilized more efficiently by humans to conserve body proteins ..."

If you're overweight, use what your ideal body-weight should be (according to your dietitian) in figuring out the formula.

Daily Energy Intake should be 35 calories (kcal) per kilogram of body weight per day. Again body-weight means close to "ideal body-weight" if you are overweight.
http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a17.html

So for me, the first step is to make sure that I am meeting those two values --protein and calories-- every day.
If you don't get enough protein, then you will lose muscle mass.  And remember the heart is a muscle.
And if you don't take in enough calories, then your body will use some of your protein for energy instead of keeping your muscle mass stable.

The second step is how to do the first step while limiting the phosphorus and potassium (and salt).
I'll get to that later.



PS: 1 kilogram = 2.2 pounds.

Here are some meal suggestions by BigSky and myself from an older thread:
http://ihatedialysis.com/forum/index.php?topic=2291.msg11578#msg11578

[KICKSTART]

I know in the USA you have those places where they bring out a great big steak and if you can eat it all you get it for free ! How about going to a few of those places , that should solve the problem