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by sten 2287 days ago
I thought diet intervention is the primary treatment prior to dialysis. With the goal of prolonging the time until mechanical intervention or replacement becomes necessary. But I've never heard of diet alone taking someone off dialysis and a quick search for papers on the subject shows mostly positive associations of a reduction in protein on kidney function but nothing suggesting a magic bullet.

*edit To add, I have a couple of associates at my office approaching kidney failure. They're all on diet interventions to reduce protein and potassium. Not sure how the potassium interacts with it but I'm not a doctor either.

1 comments

diet plays a huge role in kidney disease management for sure.

potassium is a big deal since it is filtered out by the kidneys and if your kidney function is lowered, dangerous levels could build up and possibly lead to a heart attack.

on the flip side you generally have to start ramping up protein intake once on dialysis.

but agreed that this isn’t straightforward and if it was so easy, people wouldn’t be on dialysis and renal dietitians would be overjoyed. it’s infuriating to read the other comments suggesting it’s all some garbage american diet.

Why is it infatuating... im just telling what has worked for me and 1,000s of others.

What harm will come from someone who is stage 3a to change their diet to uber healthy and increase water intake?

Are you a doctor?

It is everyones choice to make the best choices for themselves .. try things to see what works. I get labs monthly and review my progress/success with my renal doc. I finally found one who preaches diet change cause she has seen many patient success stories herself.

would it matter if they were a doctor? In your other comments you said that you ignored the advice of multiple doctors and took advice from a Facebook group instead.
I think they also prescribe phosphate binders I was on "Sevelamer"

I suspect this may vary in the USA depending on your insurance it was costing the NHS about £300 per bottle (about a grand for two months) - I suspect the price in the US might be a lot more