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Whole Wheat in Renal Diet

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Hi,

We limit whole grain products as they tend to be higher in both potassium and

phosphorus. You can get around small amounts of potassium on short-term easier

(in my opinion) than additions of phosphorus in the diet.

For a 100 gm serving, here are how the USDA breaks down various wheat breads

with phosphorus content:

" wheat " .....155 mg phosphorus

" white (both enriched and unenriched) " ....97 mg phosphorus

" wheat bran " ...185 mg phosphorus

A slice of bread is usually somewhere in the 20-25 mg range, so you are talking

about the difference in phosphorus per day equivalent to what 1-3 more phosphate

binders would be required to flush out. Dark colas routinely provide 55 mg

phosphorus per 12 ounces.

I tell my patients that any place they can eliminate excessive phosphorus and

maintain some semblance of variety in their diet---do it! I had 2 patients die

on Valentine's Day who had been on dialysis between 6 and 9 years. Both spent

about a year in intense and excruciating pain from the devastation caused by

Calcific uremic arteriolopathy (calciphylaxis).

I see lots of references that call this long-term complication of renal failure

" rare " . I have seen quite a number of cases at my clinic and wouldn't wish the

disease on the most horrendous evil human who ever existed.

Ellen Hansson, MEd, RD, LDN

ISeeSpots Farm (Buff geese, muscovy ducks,

Shetland sheep, buff orpington chickens, etc.

ONLINE STORE: www.iseespots.com

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