Phosphate it's Bad the Good and the Ugly

[AlasdairUK]

The general rule is that dairy products and meat have phosphate. some meat dished have a lower amount.

Meat and Poultry

Suitable to eat: Beef, lamb, pork, rabbit, chicken, duck and turkey.
Avoid: Veal, hare, venison, goose, grouse, I also recommend avoiding pigeon. (this was actually on one of my lists.)

Offal

Suitable: Tripe.
Avoid: Liver, kidney, heart, all meat pates.

Fish and Shellfish

Suitable: White fish (except seabass and monkfish), salmon, tuna, trout, mussels, squid, cockles, oysters (who thought oyster shots where off the menu), fish fingers, crab sticks, fish cakes.
Avoid: Anchovies, sardines, sprats, pilchards, herring, kippers, mackerel, prawns, scallops, lobster, crab, scampi, clams, fish paste.

Milk

Suitable: double cream, whipped cream, clotted cream
Avoid: Evaporated milk, condensed milk, single cream, soured cream.

Cereals:

Suitable:  Branflakes, cornflakes, frosties, porridge oats, puffed wheat, rice krispies, shreddies, special K, sugar puffs, whaetflakes, weetabix.
Avoid: All ban, muesli, wheatgerm, shredded wheat, instant porridge.

Cakes

Suitable: Chelsea buns, sponges (plain or jam), cup cakes, doughnuts, iced buns, jam tarts, swiss roll.
Avoid: Baking powder cakes (rock cakes, scones, etc) custard tarts, cakes with marzipan.

Remember this is just a guideline. It is not that you can not eat any of the foods with a higher phosphate content, just be aware of what you are eating.  This is only a phosphate list and you may need to take into consideration the salt or potassium levels in some of the foods above.

[AlasdairUK]

Just to add to my post before.

Many foods contain little or no phosphate and may be eaten freely unless advised to restrict them for other reasons.

Bread
Rice
Pasta
Fruits (be aware of potassium)
Vegetables (be aware of potassium)

Limit milk to 300ml a day or half a pint. (no idea how many ounces) and eggs to 3 a week. 30 grams of cheese a week.

Please feel free to correct or add to the list.

[Ohio Buckeye]

Thanks for that helpful info.

[Ohio Buckeye]

I was eating more meat cause I needed to raise protein level
and I've been eating chicken livers forr iron.  both look high in phos.

[Bajanne]

Thanks so much for the info.  This is the kind of info that I really need.  My problem has not been with potassium at all.  I am always low or normal.  Phosphates are what I have to be careful with.   

[AlasdairUK]

I was eating more meat cause I needed to raise protein level
and I've been eating chicken livers forr iron. both look high in phos.

I have a quote from Zach which sums this up. It is difficult to get the balance.

Hi everyone!  I hope you're all doing well. 

Part of my problem is the way our diet is presented to us by some of the dietitians.  There's a complete disconnect of information.  We need to be concerned about protein intake K/DOQI (http://www.kidney.org/professionals/kdoqi/guidelines/) and calories, and at the same time phosphorus and potassium.

If we don't eat enough protein, then we could have muscle wasting.  But eating the right amount of protein will raise our phosphorus & potassium.  And if we don't take in enough calories, the protein will be used for energy, and not for muscle.

We need the information not only "user friendly" but practical.

We've all received the same hand-outs about our diet.  They each address one issue, phosphorus or potassium or protein.  Rarely have I seen the information combined.  I think that would help us a lot.

Remember the old saying:  Give a person a fish, they'll eat for a day.  Teach a person to fish, they'll eat for a lifetime.

What do you all think??

Thanks,
--Zach

[angieskidney]

Your posts are so imformative that I wanted to know if you mind if I quote any of your posts in my own forums (or you can go there too)


REALLY GREAT POSTS!! 

[KTangel]

Hubby has always struggled with his phosphorus levels. Right now it is hovering around 7, which for him is really good. BUT his doctor is trying something new with a certain vitamin and aspirin taken at bedtime. He will start taking it as soon as we buy the needed items. If people are interested I will find out more details so that people can ask their doctors about it......or if anyone knows anything about this please let me know.

[BigSky]

Hubby has always struggled with his phosphorus levels. Right now it is hovering around 7, which for him is really good. BUT his doctor is trying something new with a certain vitamin and aspirin taken at bedtime. He will start taking it as soon as we buy the needed items. If people are interested I will find out more details so that people can ask their doctors about it......or if anyone knows anything about this please let me know.

The vitamin is probably B-3 (Nicotinamide).

[Rerun]

Alasdair I am the queen of P04 problems.  I agree with most of your post.  I question drinkking a half pint of milk a day.  That is 1 cup!  I think it is more like 1/2 cup is allowed.  White bread is ok, but not all bread and I would still take a binder.  Donuts are usually made with a mix which has P04.  Also, I thought shrimp was ok.  Just my  ~

[AlasdairUK]

Your posts are so informative that I wanted to know if you mind if I quote any of your posts in my own forums (or you can go there too)


REALLY GREAT POSTS!!

Angie, feel free to use my posts.

Alasdair I am the queen of P04 problems. I agree with most of your post. I question drinkking a half pint of milk a day. That is 1 cup! I think it is more like 1/2 cup is allowed. White bread is OK, but not all bread and I would still take a binder. Donuts are usually made with a mix which has P04. Also, I thought shrimp was OK. Just my ~

Yes, you do need to be careful with milk. It is just a guideline so if your levels are high you need to reduce your intake of phosphate high goods. I prefer white bread so when I say bread in my mind it is white. I needed to communicate that better.

Thanks for the feedback Rerun as I think there are always areas with a bit of doubt, thats bad news about the donuts as I do like them. 

[Zach]

Sometimes you can use a liquid non-dairy creamer instead of milk with breakfast cereal.

[Rerun]

I push Rice Dream (Original not Enriched) with cereal.  It has a sweet taste and I'm actually getting use to it.  I hate it by itself.   

[angieskidney]

I push Rice Dream (Original not Enriched) with cereal.  It has a sweet taste and I'm actually getting use to it.  I hate it by itself.   

I tried Rice Dream and it tasted like watered rice .. not like milk at all I didn't like it. I love and miss my milk. Since I have been doin so well with my Po₄ the last 3 months my dietitian said I can drink 1 small glass of milk every day!! Woohoo! Time to buy cereal again!! 


Or there is always DairyDelicious® but it is ONLY available in the USA

[goofynina]

Angie,  why doesnt Sandmansa get the DairyDelicious and take it to you when he goes to see you?? is that an option?   

[BigSky]

Sometimes you can use a liquid non-dairy creamer instead of milk with breakfast cereal.

Besides water and the non-dairy creamer trick I have also used mixed up vanilla protein powder.

[angieskidney]

Angie,  why doesnt Sandmansa get the DairyDelicious and take it to you when he goes to see you?? is that an option?   

Yup that is an option we have talked about 

[Zach]

Did you know that diet Coke has only 18 mg of phosphorus per 8 oz.?

http://www.thecoca-colacompany.com/mail/goodanswer/soft_drink_nutrition.pdf

[goofynina]

Hey,  the Fanta's have 0 PO₄ well, all right,  that is great to know cuz i am getting a little burned out on Diet Sprite Zero and Root Beer,    Awesome link Zach, thanks buddy 

[mallory]

Here's a link to the USDA National Nutrient Database for the phosphorus contents of foods:

http://www.nal.usda.gov/fnic/foodcomp/Data/SR17/wtrank/sr17a305.pdf

It's quite a long list, 26 pages long.  It might be helpful.