I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: Diet and Recipes => Topic started by: kitkatz on March 22, 2016, 04:40:10 PM
-
I am so damned frustrated right now. I have been doing weight watchers for several weeks now and I added a kilo. What the hell?
I cried at the cardiologist appointment today. I have to lose weight for the transplant stuff but instead gain it. I have halved my calories and am watching what I eat.
I am eating lean meats, fruits and vegetables. Sigh. Makes me cry over it all. I am so frustrated right now.
I have asked for a nutritionist referral. The cardiologist was so nice to me. He could see my frustration.
He wants me to use this as a springboard to do even more.
Got to put the big girl panties on and deal. Right now the big girl panties are in a knot.
-
could it be something other than diet? Is your thyroid function in check? It controls metabolism.
Also are you consuming enough healthy fats? Check out this article http://www.fitnessmagazine.com/recipes/healthy-eating/tips/why-non-fat-isnt-the-answer/
Lastly, could the weight gain have been fluid?
-
I have been on diets most of my adult life. Some succeed some failed. The one thing I know is weight loss is a that watch it on a short term and it will make you nuts this is very true for dialysis patient fluid gains, when you visit the facilities for eliminating solids all vary your weight by a amount that will upset you. The other thing I learned was women have a tougher time loosing weight. 25 years ago when I was turning 40' I went from 320 pounds to 180 over a year, whil I enjoyed it the part I hated was the women at the diet place were bummed I would loose more weight they they did, the reason is that I weigh a lot more so I could eat more and loose weight faster. The other sure thing is the body will occasionally stop dropping weight and occasionally gain weight in cycles. A kilo gain may seem like a kick in the butt but if you keep your eye on the prize over time you will loose the weight you want to. Some times it takes the body time to adjust but less food more exercise will work. Please don't be dismayed, if it was easy the world would be full of thin people. Please treat your self kindly during the diet. Follow the diet and visit your doctor and worry about your weight over a monthly value. This is tough with dialysis weigh in but give it a month or two and see how it goes, if at the end of a month if you still are un happy take your diet diary and go to the doctor and find out what's up.
-
Don't know if your routine includes exercise or any kind of weight-lifting but muscle weighs more than fat.
-
Way back i the late 70's I had some problems and a very wise old Dr at the VA Hospital in Seattle to me a couple of things.
"Prehistoric man did not eat processed foods."
"If it come in a can or a box, you probably should NOT eat it."
"All things in moderation."
Most everything that is processed has SALT or sugar hidden in it, and most likely is not good for us to eat on a regular basis.
Many of the diet programs, whether it be books, or prepackaged meals, are often containing LESS salt for the first week. Customers are thrilled to see an almost immediate weight loss. Not realizing it is simply the bodies normal reaction to a reduction of salt. If subsequent prepackaged meals are not of the same or less salt then the weight will return.
I myself try to follow a 'water diet'. Most times we have learned from childhood when feeling slightly 'off' we ASSUME that we are hungry and eat something. WRONG! Most of the time we are only needing a small drink of water. I happen to like water. Bubbles cause me pain so I switched many years ago.
Even fluid restricted, a very small drink should not be cause for alarm, depending on how often. Prior to meals I drink a bit more than that small glass, this takes up space in my stomach and I cannot eat as much, I get full quicker. Especially if I consciously eat slowly.
I believe these small changes can make a large difference given enough time. Not weeks, count years. The slower the loss, the more likely it will remain lost.
I hope this gives you good ideas and hope.
Take Care,
Charlie B53
-
Like Mr Murphy I have been on one diet or another most of my adult life. I have been as high as 380 and as low as 235. When I first starting getting sick I was about 340. In the last year of dialysis I have painstakingly lost about 35 pounds. Still not enough for transplant center but getting there.
I find it very difficult when my week consists of work, dialysis, sleep, repeat every day. Does not allow much time for exercise. For me a simple walking program has always worked very well but I need the time not tied to a chair.
A reasonable diet (not too restrictive) and exercise to lose the weight slowly is best. Hard, but best for you. I read once that if you cut out too many calories all at once your body goes into defensive mode and tries to store more calories since it is not getting as many. I have NO idea if this is true but that has been my excuse and I am sticking to it.
As one who has struggled with weight since high school (when all the sports kept it off) I wish you the best of luck. Stick to it and it will come off.
-
If you try to starve to loose weight the body goes int starvation mode and it becomes difficult to loose weight. If several weeks go by without weight loss it may pay to take a weekend off from the diet and splurge on the treats you are abstaining from. There is a fine line between starving and getting the best weight loss possible. One good thing as. A dialysis patient you get monthly blood tests. Trying to get to your goal weight in a hurry can actually have negative effects. Good luck it's tough to get a diet going but worth the effort.
-
Kit, I don't know how much you want to lose, but I have been very successful with an app called LoseIt. You keep a log of all your food intake AND your exercise.
I have read many places that the real key to losing weight and keeping it off is to keep that food diary. I lost 40 pounds. It took me about a year to do that. But I have kept it off. I STILL keep a log of what I'm eating.
Another strategy that I used is called "Full Plate Living." They recommend that 75% of every meal be high fiber. That fills you up, but doesn't add lots of calories.
And I heartily second what Charlie says. Stay away from processed foods. I know that cooking isn't your thing, but this is your health and your very life that we are talking about. I mentioned earlier to you about fixing up a week's worth of salads at one time. That takes me about 30 minutes and then I'm set for the week. I also plan out my dinners so I don't get caught without the food I need and cave in to something less nutritious.
These my seem like big steps, so only pick one at a time to implement. You CAN do it. Don't think of it as dieting, but rather taking control of your life.
:grouphug; :flower; :cuddle;
Sending love.
Aleta
-
I do a lot of freezer cooking. Maybe that can be one of your tools. I set aside a day every once in a while and cook several different meals. Each is individually packaged into single-serve freezer containers. Most recipes make either 4 or 8 servings. I fill up the freezer with my little freezer boxes and take out one meal at a time. Since it's all pre-sized, I don't have to worry about eating too much at once, and I never have to think too much about what I'm going to eat that day.
-
It's a good thing that I like all vegetables, in all forms, fresh, frozen, and of course canned.
Salads are good, but one must find ways to change them up greatly as I get very tired of pert near the same thing time after time.
Some day, I will have teeth again. When I do I WILL have those raw veggies and applies that I used to eat regularly, back when I didn't have any type of 'weight problem'.
Those crunchy fruits and veggies are very helpful, and not just at meal times. They are great for snacks, high in fiber, lots of oral gratification. Finger food! Just try not to use any dip.
Another little thing I did was to sprinkle some of most any hot canned veggie over my salad and then either leave off the dressing or use less. Switching to a vinegar and oil can sometimes have faw few calories and fat than prepared dressings.
Add up all the tips in this thread and you may find a nice slow easy weigiht loss that if you continue eating like this, the weight will NOT return.
Good Luck everyone, Diets are not a temporary thing. It has to become a whole new way of eating for your lifetime.
-
I also deal with a very persnickety tummy. Salads make me ill now, used to be able to eat them all the time.
After my intestinal surgery I have had a very sensitive intestine. I have given up flour products for the most part.
I am putting things into individual serving sizes in the house so when I go to get into it I have a serving size.
I have changed my dialysis snacks from pure carbs to either an apple, grapes, or carrots along with some Cheerios in a serving sized bag.
I talk myself out of the junk I usually have eaten.
I am using Lean Cuisine chicken dishes for my lunches and adding green beans or raw carrots in addition to the meal.
I need to up the exercise. Cardiology says do not overdue it but I can return to the gym. I plan to go three days a week.
However I need a but kicking to get going on it again.
-
When you go to the store where do you park, if you go close to the store park further and walk, during dialysis do leg lifts for 5 minutes every hour, there are many ways to incense your exercise.
-
I also deal with a very persnickety tummy. Salads make me ill now, used to be able to eat them all the time.
After my intestinal surgery I have had a very sensitive intestine. I have given up flour products for the most part.
I am putting things into individual serving sizes in the house so when I go to get into it I have a serving size.
I have changed my dialysis snacks from pure carbs to either an apple, grapes, or carrots along with some Cheerios in a serving sized bag.
I talk myself out of the junk I usually have eaten.
I am using Lean Cuisine chicken dishes for my lunches and adding green beans or raw carrots in addition to the meal.
I need to up the exercise. Cardiology says do not overdue it but I can return to the gym. I plan to go three days a week.
However I need a but kicking to get going on it again.
Here's some butt kicking for you! :boxing;
or this:
:Kit n Stik;
This is just butt exposing:
:sir ken;
Sorry about the salads not sitting well. That's a bummer. My salads have very few greens, though. :thumbup;
Aleta
-
As usual Michael beat me to the parking tip.
Gym's can be a drag if you do not have a partner. Pretty much the same with just taking regular daily walks. Having a partner along and chatting while you walk makes it feel a lot like exercising. And it will help you know when you are feeling better. Initially it may be difficult to walk AND talk, until you start getting your body into a little bit better shape. Then you will be able to yak freely while walking. Trust me on this one. I didn't realize it until I lived it. Right now I may not be able to speak much at all after the first 100 yards!
Find a partner, family, Friend, Neighbor, someone willing to spend some time pretty regularly just walking. You don't have to go far. Maybe a lap around your neighborhood. Build on that once it becomes easy.
Take Care,
Charlie B53
-
Don't know if your routine includes exercise or any kind of weightlifting but muscle weighs more than fat.
To clarify, depending on the type of exercise and/or weightlifting, it can make a person bulk and firm up. When you step on the scale, it's possible that any weight gain may actually be muscle and muscle weighs more than fat. Doesn't necessarily mean the person gained weight from eating or from fluid. So if a person is wanting to lose weight but also wants to be in good shape, they need to find out what kind of exercises to do that won't make them bulk up. If you notice, long distance runners are usually very lean. While they do have firm muscles, they are not big and "bulky" muscles. On the other hand, sprinters tend to have muscular arms and particularly muscular thighs. My point is, what you eat and what you do may or may not correctly be reflected when you step on a scale.
-
Sometimes I just need encouragement. I know intrinsically what to do, just need to do it every day. I bought a mini pedaler to use in my office regularly. Should arrive on Monday. IF I use it while watching TV then I should get more exercise in each day than I do now. It will do both arms and legs. So committing to using it every day and watch my TV and pedal on it.
-
That's great! I have an exer-cycle in my den, too. I got to the point that I was spending an hour or more on it in the evening while watching TV. Those calories were kind of effortless!
I'm almost back to the point where I can use it again. I get on it to warm up before my knee exercises now, but it takes concentration still. I'm looking forward to reaching the point where pedaling is natural again.
You can DO THIS! Every little step is a good one. Celebrate each little victory!
:grouphug; :grouphug; :grouphug;
Aleta
-
The mini bike arrived today and it sits by my desk. I am having a Project Runway binge today on the TV so when they do the runway I am peddling through it.
I did 20 minutes so far today and 4 minutes hands and arms.
-
The mini bike arrived today and it sits by my desk. I am having a Project Runway binge today on the TV so when they do the runway I am peddling through it.
I did 20 minutes so far today and 4 minutes hands and arms.
Yeah! :2thumbsup; :yahoo; :clap;
Way to go! :cuddle;
Aleta
-
Good for you! Peddling a bike while watching TV is actually real exercise. Some of us only channel "surf".
-
Great upping your exercise will help, however if you try to judge progress day by day it will make you nuts pick a day like Friday and compare that so at least you have a week worth of effort. Remember if a week goes by with only a minor loss don't be discouraged some times the body needs a rest and slows down weight loss. It will pick up soon. If it reaches 2 weeks then you may need to eat forbidden fruits over a weekend to convince the body that you are not in a famine. Finally make sure you are eating enough people think if they eat less then they should they will loose weight faster, there is a minimum amount you should eat and your docror or dietician can tell you how many calories that is. If you eat too much less your body will go in to famine mode and while you could still loose weight it will be harder than it should be. You didn't put the weight on fast don't try to take it off too fast. Good Luck! I hope to read your comments when you get to the fun part, that's when it's easy and you enjoy your weekly weight check. I will also say a prayer that this all works for you.
-
I have had help through the Omada Program that Kaiser signed me up for through the internet. Originally called the Prevent Program. I have gone from 217 lbs to 206.2 lbs today. I have followed their lifestyle changes and am finally having some success. I kind of am keeping quiet about it all because I do not want to jinx it all. I am working hard to keep this eating as a lifestyle change and not a diet.
I have gotten rid of all of the crap in the house.
I am slowly upping my exercise using my pedal bike. Trying to hit a goal of at least 20 minutes with it or more per day.
I saw the renal dietitian.
I have several renal cook books I am reading and trying to pull recipes from.
It is a slow process.
-
Congrats, it sounds like you have found a good plan that you can live and work with. It's tough at first but I think you will find it easier as time goes by. Good Luck, though it sounds like you are making your own luck by taking the steps to success.
-
.. I have gone from 117 lbs to 206.2 lbs today....
I really hope this is a typo!
Or you are taking an awful lot of Prednisone!
-
Lifestyle change is the way to do it! And then it just becomes habit.
You've got this. I know you are motivated. :2thumbsup;
I'm rooting for you!
Aleta
-
That weight would be 217 to 205.6 as of Monday after dialysis.
-
Good for you!!!!
-
Good job. Think I gained the weight you lost. Of course that cake I ate probably didn't help. No matter, I will do more housework than napping this weekend. Or maybe not..
-
" it's possible that any weight gain may actually be muscle and muscle weighs more than fat.'
So, like, a pound of gold weights more than a pound of feathers?
Same analogy…you all mean VOLUME/density..muscle is denser, not heavier, after all a pound is a pound. And it takes a long time to build enough muscle, and burn off stored body fat.
Pictures show best the same woman who started weights at the beginning dieting- in one she is flabby, but after 6 months of steady exercise she weighs more but is slimmer and smoother in shape. Smaller pants /waist, etc.
Starvation mode was explained well by a kidney doctor Dr. Jason Fung…REAL starvation is when ypou lose all excess body fats down to th lowest you can be and LIVE. that was the Minnestoa starvation experiment by Dr. Ancel Keys post WW2 study of 1600 calories a day for several months…the men lost so far, and NO further, and became a bit 'mental', even though they knew it would end. Unlike true concentration camp victims who did 'starve' to death. https://intensivedietarymanagement.com
By reducing the calories TOO FAR the body is smart enough to ALTER metabolism, it will do anything it can to keep itself alive, protect the heart/key organs, and for women it will sacrifice even those to protect fertility and baby making ability of the species. this is why 500 calorie diets in 20 yr old women causes problems at baby making time in their 30s,
The recent Biggest Loser brouhaha showed a SERIOUS study/follow up 6 years later. EVERY single person who went low calories for too long permanently lowered metabolism, FOREVER NOW they burn LESS calories-400-800 a DAY- for the same daily activity, as nomad weight people….and must stay in diet mode forever.
http://www.dietdoctor.com/biggest-loser-fail-ketogenic-weight-loss-study-success
http://www.aworkoutroutine.com/starvation-mode/
Starvation Mode: Is It A Myth? Is It Real? Is Your Body In It Right Now?
-
MY BODY IS DEFINATELY NOT IN STARVATION MODE> %$#&@CAPSLOCK!!!! or is it my fat fingers?
my keyboard is weirding>looks like it is time to restart this machine before it really frustrats me< i can"t afford to rebuild it if i bash it so i better just take a break< go set up my cYCLER OR SOMETHING HALF CONSTRUCTIVE
i"ve always been a big guy< carrying a few pounds
-
Down to 203 lbs after dialysis. Averages to a pound a week or so. Lifestyle changes are being made. Now to make exercise a key point.
-
Way back i the late 70's I had some problems and a very wise old Dr at the VA Hospital in Seattle to me a couple of things.
"Prehistoric man did not eat processed foods."
"If it come in a can or a box, you probably should NOT eat it."
"All things in moderation."
Hello Charlie,
This wise doctor certainly had some good answers !
I remember being told - after my kidneys first failed and recovered a little function again -
that my best chance to survive with such an impaired kidney function for as long as possible,
would be, if I "go back in time" and start my own (vegetarian) cooking as it was done "in the old days",
i.e. bake my own bread and cook/bake everything I eat from scratch without any compromise ...
... Of course this can be a bit frustrating in the 21st century,
where practically all ready-made food is already waiting in the shops to be picked up,
but it certainly pays to take the time and cook everything from scratch ...
and it also gives us a chance to know what we are eating !
... I always look at it from the point that since my health is so very much impaired,
I have to put in much more from my side, to make sure that I am not too far behind healthy people...
Kristina. :grouphug;
-
A pound a week is a good healthy weight loss, :clap; congrats. It's tough but doable. Happy for you!!
-
:2thumbsup; Congratulations!! Hardest thing I've ever done is lose weight and that includes stopping smoking. I've dieted, dieted, lost and gained and lost and gained - lifestyle change is the only way to go. I need a kick in the pants to make a positive move. Hope you don't mind if I use your good news as inspiration!
-
I can give a detailed process that I have gone through if anyone wants one. I ams till getting processed foods out of the house and eating them out of the house. My tummy does not like them at all. I work hard at this lifestyle change. My next process is to pick up the exercise routines daily.
-
I cut back on my prednisone a month ago, then quit it completely two weeks ago. I had since gained another 3 pounds!
I am seriously going to have to start looking hard at portion sizes. Up almost 40 pounds in the last year. And this is after I was so tickled to have lost a little over a hundred in the first two years on PD.
I'm so screwed up.
-
Portion sizes are a good place to begin researching nutrition of food you are eating. What is the portion size of one serving? I am trying to eat one portion size of everything I eat.
One portion is vastly different than what you would normally serve yourself. Its tops you cold from filling that plate.
I also have cleared my cupboard of junk food. Anything that is junk/processed carbs I am working on clearing out and leaving it for my husband to eat. I am trying to go with the idea of processed foods "NO".
I am not perfect. I ams till working on several processed foods to move out of my diet. As I finish it up each processed carb, I am not purchasing anymore of it.
My plate is trying to go half protein and half natural carbs.
I also shop with a list and am mindful of the areas I am shopping in.
The modern diet is a lot of bread carbs. I am not a great wheat processor. My intestines do not like it anymore. This helped to get the processed carbs gone.
You have to do it in your head. IT has to be your decision to make a lifestyle change. I work every day to keep myself in this change I a making and it IS hard work.
-
I once lost a ton of weight in just a matter of months from cutting out salt, butter and junk food. No cookies either. It really is about lifestyle and habits. Didn't take long to get use to going without certain foods. After awhile I stopped thinking about it and the foods that I did eat became my new habit. Maybe takes a couple months. Glad you are already having some success. :thumbup;
-
On my many diets I did discover the recommendation to use smaller plates was actually a good idea. I thought that it was stupid but I tried it and to my surprise it seemed to work. Slowed my eating down, and some how made the amount of food I was eating seem like more.
-
I make a conscious effort NOT to eat breads. I eat bread, just not near as often and only buy the 35 carb per slice variety. And I was surprised that it isn't half bad. I still have to wonder just how they manage to leave out nearly half the carbs?
Pasta is my downfall. I keep trying to avoid it but there are just too many meals based on pasta. This is where that portion control issue rears its ugly head. No one I am related to that eats my pasta sauce can stop at just 'one serving'.
It's a very good thing I only make it once or twice a month!
Recent news article has told Italian diets very high in pasta are not a bad thing. Maybe they are doing something a whole lot different than I am.
-
The only real way I can tell that I'm trying to change habits is the amount of time I'm spending in the fresh food part of the grocery! Oh, and the grocery bill - can't forget that. :oops; Fresh veggies, fruits, protein... They're more expensive than what I realized!
Anything that is junk/processed carbs I am working on clearing out and leaving it for my husband to eat. I am trying to go with the idea of processed foods "NO". I am not perfect. I ams till working on several processed foods to move out of my diet. As I finish it up each processed carb, I am not purchasing anymore of it.
Kitkatz, I'm going to try to do this, too. I thought about getting a garbage bag and just dumping the processed stuff, but I cringed and backed out, thinking of the cost of all those items. We'll use them, but I'm planning on NOT replacing them. I appreciate everyone's recommendations! Now for the implementation of them.
-
I gave the processed foods away to people like my sister who could use the food wth her kids. I have been slowly eating through mine. It has taken me over 13 weeks to get most of the processed foods in my house. Do it slowly you adjust to eating new things. all at once will kill your taste for the new foods. Just work it in slowly.
-
Recent news article has told Italian diets very high in pasta are not a bad thing. Maybe they are doing something a whole lot different than I am.
I also read that article. The Italians (in Italy) have a very good attitude toward good, real food and celebrate eating. As do the French who also tend to be slim. They do eat pasta but they also eat the "Mediterranean Diet" only they just call it "food." Lots of fish, vegetables, tomatoes, garlic, olive oil, simple fruit deserts. Real, slow food. Not the processed fast food crap that most Americans have been and continue to be fed. And they probably eat their pasta in modest amounts as a PART of a larger meal, not the huge endless bowl. The American diet is junk. Full of fakery and poisons and GMO's and other corporate abominations like sugar and salt and other additives to make the food we eat addictive (and profitable).
-
Corporate Greed has and is using the Advertising industry to convince Americans that they HAVE TO HAVE things. Promotoing the consumerism, causing many people to spend money they do NOT have, go into debt, pay interest to the Banks. Both Parents have to work just to make ends meet. Children raised by the violence on TV are violent in the street. Killing one another in the big cities. Maybe not so much in rural area, yet. But it is coming, I fear. Already the small town America is feeling the sadness of drug over-doses taking the lives on far too many of these young people that as just looking for something to do, needing some attention from their Parents and NOT getting it as they are both at work.
STOP the Violence on TV. Only make it available in the theaters so anyone wanting to see it has to pay CASH, and we can set minimum age limits. Some will get around that but it will stop a huge number from seeing the crap.
-
Sorry, I spun way off topic.
In an earlier time Mom's mostly stayed home and cooked. We were far healthier then.
-
In an earlier time Mom's mostly stayed home and cooked.
I regret not spending the time to learn to cook when I was younger. I just never made the time to practice, experiment, and get my hands dirty. Instead, I spent far too much time either eating crap or doing basic food preparation by emptying cans, boxes, and bags into pots, pans, baking sheets, and casserole dishes. I can follow recipes, and I can prepare relatively healthy meals and items that I've practiced for years (limited repertoire there)... But cooking from scratch and making it interesting, tasty, and not (too) repetitive is not an easy thing. I'm trying, though, and will continue learning. A decent cook is not made in a day! ;D
-
Despite having had a stay-at-home mother who made everything from scratch, I never did learn to cook as well as she did. But I don't necessarily consider myself a bad cook tho either. I tell people that while I'm not the best cook no one in my home will ever starve because of my cooking. Preparing simple meals is still healthier than junk food. I've gotten a lot of mileage out of my crockpot.
-
202.2 lbs as of last Friday! 15 pounds off of me in 16 weeks. I have goal of 188 lbs in another 16 weeks. I also want to bring my activity level up.
-
Love reading good news like this. The more that comes off the more energy you will have. Your success rate is awesome.
-
:cheer: :cheer: :cheer:
kitkatz, that is so inspiring! great job!
-
It's amazing what one determined person can do. If it was easy every one would be thin. Remember this is a process and you have made astounding progress. Has it become fun yet.
-
I think one pound of weight a week is very commendable. It is so easy to just eat and eat and eat. Losing it is another story. Just stay on track and remember you didnt gain the weight all at once, so you cant expect it to just fall off of you. At least that is the way I feel. I try to set goals, and was weighing myself once a week and it was working. Then the neph told me I had to weigh every day to make sure the weight gain was not water. ( Curses, foiled again) that part is discouraging, but I will work it out. Best of luck to you Kit.
-
Try keeping your diet weight in pounds once a week and your dialysis weight in kilos. Just pretend they aren't related. Just another reason to hate dialysis.
-
I am between a dry weight of 200 and 201 lbs now. Yay me!
-
Yay you girl
:cheer:
Love, Cas
-
Good work. I know how hard that is!
-
I Wish!
Congratulations! I know it ain't easy.
-
I am glad you are doing well, it's nice to see the good guy(girl) win.
-
Kitkatz, awesome job taking it off and keeping it off! You are doing great!
:cheer: :cheer: :cheer:
-
I get the odd dietry frustration as well at times too. I hear ya. Other than that for me, it is motly about craving the odd thing, and MAKING DAMN SURE I research the item in question if at all possible, before I consume, or even purchase it. I got a BIG spanking, figuratively, when it came to Marmite, something I ordered off of Amazon.ca. I found it has plenty of Potassium, the infamous arrow to the Achille's Heel for me. I was so mad. I have to be so damn careful with it and treat it like a precious diamond, platinum and gold cache so I don't get a high potassium count like a blood count of 5 or any more. I must stay well under that. My warning signs are godawful when that happens. The warning is vomiting endlessly. That is my first clue-in that potassium is rising.
Now, the Marmite is really good. Problem is, I will need to restrict myself to 1 HALF a slice of toast with a thin spread of Marmite only 1-2 days a week, near dialysis. Other than that, no more! After the spanking and learning my lesson, I may not buy Marmite any more after this one, seeing how it works out. Fortunately I found Peer Pan peanut butter after the spanking and found I could have that more often, as I see much less potassium in that.