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At 00:50 02.04.2002 +0000, you wrote:

>Liz,

>

>I'm not sure if kidney stones are calcium based.

W. , MD :

Author: " The Kidney Stones Handbook " , a patient's guide to kidney stones.

[www.kidneystonesbook.net]

" Oxalate is a main ingredient in the kidney stones for many people. Excess

intake of high oxalate foods can increase the risk for stones and offset

the extra fluid from the beverage. Other high oxalate foods include

chocolate, tea, green leafy vegetables and nuts. Of course, if your urinary

oxalate level is normal, then there would be little benefit in restricting

these foods.

Other than water, the best nutritional advice for stone formers is to

moderate their intake of protein and salt, avoid large amounts of the high

oxalate foods listed above, and increase their citrate intake. Citrus

fruits have high citrate levels. Lemonade made from real lemon juice is

also recommended due to its high citrate level.

Interestingly, we do not recommend restricting calcium intake in most stone

formers due to recent studies suggesting that very low calcium intake

patients actually get more stones than those on a high calcium diet. It

seems that too little calcium in the diet causes an increase in oxalate

absorption. The result is a net increase in stone risk if your diet is too

deficient in calcium; just the opposite of what common sense would seem to

suggest. "

W. , MD

Assistant Clinical Professor

Dept. of Urology

Medical College of Ohio

Founder and Medical Director

Lorain Kidney Stone Research Center

Lorain, Ohio

Author: " The Kidney Stones Handbook " , a patient's guide to kidney stones.

[www.kidneystonesbook.net]

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