Hello
edger1,
I have been on (hemo) dialysis for a while (~34 months) & I have never been told by any medic to take binders & have never taken any.
My diet is very simple & I only eat my vegetarian food in small portions & adhere strictly to liquid-restrictions.
My kidneys still "produce" a little & I am very glad about it.
Best wishes & good luck from Kristina.