Phosphate (Diet)

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Angie:
Phosphorus Content of Food
FoodPhosphorous (mg) Pumpkin seed kernels, 1/4 cup665Sardines w/bones, 3.5 oz425Sunflower seeds, 1/4 cup377Low fat yogurt, 1 cup352Halibut, 3.5 oz ckd285Salmon or trout, 3.5 oz ckd260Sole, baked, 3 oz. 248Nonfat milk, 1 cup247Chicken, light meat, 3.5 oz ckd221Beef steak, 3.5 oz cooked218Almonds, dry roasted, 1/4 cup215Split pea soup, 1 cup213Cheese, American, 1 oz. 211Ham, 3 oz. 210Ice milk, soft-serve, 1 cup202Lentils, 1/2 cup cooked178Oatmeal, 1 cup178Wheat germ, 1 Tbl162Navy or baked beans, 1/2 cup   155Ground beef, 3.5 oz. 155Peanuts, 1/4 cup150Tofu, regular, 1/2 cup   120Potato, baked, with skin, 1115Garbanzo beans, canned, 1/2 cup108
http://www.feinberg.northwestern.edu/nutrition/factsheets/phosphorus.html

MORE foods listed here as well as Mac&Cheese: http://www.meadowdialysis.com/high%20phosphorus.html

You can also buy your own poster that is detailed here
http://www.healthteaching.com/price.html
for $17.95 US ($26.95 CAN $ approx.)


Phosphate in Rice Dream's product line of Rice Milk:
Potassium per 8 fl oz, Phosphorous per  8 fl ozRICE DREAM Original                      56 mg                    57 mgRICE DREAM Vanilla                       57.1 mg                  57 mgRICE DREAM Carob 82.5 mg                 90 mgENRICHED RD Original                    60 mg                   150 mgENRICHED RD Vanilla                      53 mg                   150 mgENRICHED RD Chocolate   200 mg           150 mg

And this part is thanks to Shay!

All About Phosphorus Binders

It takes the power of THREE - diet, dialysis, and medication - to help manage your high phosphorous.

Why you need a phosphate binder
√ Phosphorous is found in many of the foods that you eat every day. Phosphate binders target the excess phosphorous that dialysis can't remove and prevent it from entering your blood.
√ Phosphate binders help prevent the harmful buildup of phosphorous in your body. Too much phosphorous can cause heart and bone disease and painful mineral buildup in your lungs, eyes and skin.

How phosphate binders work
√ Phosphate binders attach to the phosphorous in your food line a magnet to keep it from absorbed by your body.
√ Follow your doctor's instructions on how to take your phosphate binder and how many tablets you should take with each meal.

To work properly, phosphate binders have to be taken as directed during or immediately after every meal. You can't make up for missed doses.




Phosphorus and Your CKD Diet
What is phosphorus?
Phosphorus is a mineral found in your bones. Along with calcium, phosphorus is needed for building healthy strong bones, as well as keeping other parts of your body healthy.

Why is phosphorus important to you?
Normal working kidneys can remove extra phosphorus in your blood. When you have Chronic Kidney Disease (CKD) your kidneys cannot remove phosphorus very well. High phosphorus levels can cause damage to your body. Extra phosphorus causes body changes that pull calcium out of your bones, making them weak. High phosphorus and calcium levels also lead to dangerous calcium deposits in blood vessels, lungs, eyes, and heart. Phosphorus and calcium control is very important for your overall health.

What is a safe blood level of phosphorus?
A normal phosphorus level is 3.5 to 5.5 mg/dL.

Will dialysis help with phosphorus control?
Yes. Dialysis can remove some phosphorus from your blood. It is important for you to understand how to limit build up of phosphorus between your dialysis treatments.

How can I control my phosphorus level?
You can keep you phosphorus level normal by understanding your diet and medications for phosphorus control. Your dietitian and doctor will help you with this.

link


Your Guide for Eating Right
Many of the foods you are used to eating everyday are high in phosphorous. Having too much phosphorous in your body can cause serious health problems and treatments complications for people living with CKD. It's important for you to know what to look for, what to avoid, and how to read food labels so that you can keep your phosphorous intake under control to help you stay healthy and InBalance.

Instead of:
1. Milk
2. Dark carbonated beverages, e.g., cola
3. Canned and plastic-bottled iced tea
4. Flavored bottled water
5. Orange juice; Alternative orange-flavored beverage
6. Tropical punch
7. Plastic-bottled fruit beverages
8. Oatmeal
9. Cereal bars; Breakfast square bars; Multigrain bars
10. Whole grain and wheat cereals
11. Dried beans and legumes
12. Pancakes/waffles from mix
13. Chocolate

Consider:
1. Low-phosphorous, low-potassium milk beverage or a Non-dairy creamer
2. Light carbonated beverages, e.g., ginger ale
3. Glass-bottled or homemade iced tea
4. Unflavored bottled water
5. Cranberry-flavored juices
6. Mixed berry juice
7. Glass-bottled fruit juice
8. Other hot cereals
9. Bagel with cream cheese, or an egg sandwich on English muffin, or a crispy rice bar
10. Corn and rice cereals
11. Green and wax beans
12. Homemade French toast
13. Lollipops or jelly beans

Dried Beans and Peas
Stay away from:
Baked beans
Chick peas (garbanzo beans)
Lentils
Northern beans
Split peas
Black beans
Kidney peas
Lima beans Pork-and-beans
Soy beans

Meat and Protein Foods
Stay away from:
Organ meats
Miso soup
Sardines
Oysters
Fish roe (caviar)
Tofu
Tempeh
Canned salmon
Carp
Crayfish

Tips
• Phosphate binders should be taken with all meals and snacks, as directed by your physician.
• Keep extra binders in your car, backpack, or purse for meals or snacks eaten away from home.
• A 3-ounce serving of meat for lunch or dinner is approximately the size of your palm or a deck of cards. Ask your dietitian what serving size is right for you and how much meat you should be eating on a regular basis.
• Ask your dietitian for tips to keep your phosphorous level between 3.5 and 5.5 mg/dl and your calcium/phosphorous product less than 55 mg2/dl2.

Shopping Tips
• Ask the butcher for fresh "unpumped" or "unenhanced" meat.
• Frozen meats that have a phosphorous-rich solution added to them are a hidden source of phosphorous. To see if a phosphorous solution has been added, look on the package for the terms "Percentage of solution added," "With broth," and "Flavor enhanced."
• Choose fresh chicken over frozen chicken.
• Choose a fresh turkey instead of a self-basting turkey for the holidays or special meals.
• Look at the sodium and phosphorous content if the fresh meat container has a nutrition label. Fresh and frozen meats that are high in sodium (more than 95 mg for a 3-ounce serving) contain a solution that is high in phosphorous as well.
• Check the ingredients for words containing "phosphoric" or "phosphate." These foods may be high in phosphorous.

Beverages
Stay away from:
Cola products
Energy beverages
Weight-loss beverages (meal replacements)
Instant breakfast drinks
Soy milk & beverages
Beer
Chocolate drinks
Canned coffee beverages
Cocoa
Almond milk and beverages

What can I do?

Phosphorous and food choices
Choosing the right foods and taking a phosphate binder with every meal and snack are some of the best ways you can help keep your phosphorous levels in control. Talk with your dietitian and ask about lower-phosphorous alternatives to the foods you like. Together, you can plan out meals that will help keep you healthy.

Dairy Products
Stay away from:
Cow's milk
Acidophilus milk
Ice cream
Cheese
Goat's milk
Yogurt
Frozen yogurt
Pudding
Cream soups
Smoothies
Custard

Other foods
Stay away from:
Bran and bran cereals
Pizza
Brewer's yeast
All nuts and nut butters
Caramels
Chocolate
Wheat Germ
Seeds

Angie:
Because Shay has provided so much information I felt it best to split this into 2 posts. Sorry about the double post!

Phosphorous Finder
All values are in milligrams (mg).

MEAT & POULTRY (3 oz. dry, cooked or as stated)
Low Phosphorous
Chicken, thigh, w/o skin, roasted, 1.8 oz., 95
Duck, w/skin, roasted, 133
Pork, loin chop w/bone, lean, fat, braised, 138

Higher Phosphorous
Beef, ground, 5% fat, pan-broiled, 189
Beef, ground, 20% fat, pan-broiled, 174
Beef, chuck pot roast, 184
Beef, eye round select, roasted 178
Beef, top sirloin choice, broiled, 187
Chicken, 1/2 breast w/o skin, roasted, 196
Turkey, breast w/skin, 184
Turkey, dark meat w/skin, 162

Highest Phosphorous
Beef, bottom round, lean, roasted, 203
Beefalo, roasted, 213
Pork, spare ribs, lean, fat, broiled, 222
Pork, leg, lean, roasted, 239
Pork, top loin chop, lean, fat, broiled, 202
Veal, leg & shoulder, lean, braised, 203

SEAFOOD (3 oz. dry, cooked or as stated)
Low Phosphorous
Cod, Atlantic, 117
Grouper, 122
Oysters, Eastern, raw, cnd., 118
Oysters, Pacific, raw, 138
Scallops, breaded & fried, 2 large, 73
Shrimp, moist heat, 116
Tuna, light, cnd. in water, 139

Higher Phosphorous
Catfish, breaded, fried, 184
Cod, Pacific, 190
Crab, blue, moist heat, 175
Lobster, northern, moist heat, 157
Mussels, blue, raw, 167
Shrimp, breaded, fried, 185
Shrimp, cnd., 198
Snapper, 171

Highest Phosphorous
Calamari, fried, 213
Clams, moist heat, 287
Crab, Alaskan, moist heat, 238
Flounder, 246, Haddock, 205, Halibut, 242
Mussels, blue, moist heat, 242
Salmon, Atlantic wild, ckd., 218
Sole, 246; Swordfish, 286
Tuna, light, cnd. in oil, 264

DAIRY & EGGS (portions as stated)
Low Phosphorous
Butter, 1 T, 3
Cream cheese, 1 T, 15
Cream, Half & Half, 1 T 14
Egg white, 1 large, 4
Egg yolk, 1 large, 83
Ice cream, low/red. calorie, vanilla, 1/2 cup, 72
Sherbet, orange, 1/2 cup, 30
Sour cream, fat free, 2 T, 37
Soy milk, (dairy alternative), 4 oz., 60

Higher Phosphorous
Cheese, blue, 1 oz., 110
Cheese, cheddar, 1 oz., 145
Cheese, mozzarella, whole milk, 1 oz., 105
Cheese, parmesan, hard, 1 oz., 197
Cheese, provolone, 1 oz., 141
Cheese, Swiss, 1 oz., 172
Cottage cheese, 1% fat, 1/2 cup, 152
Ice milk, soft serve, vanilla, 1 cone, 139

Highest Phosphorous
Buttermilk, 1 cup, 218
Cheese, ricotta, part skim, 1/2 cup, 227
Milk, nonfat, 1 cup, 247
Milk, 1% lowfat, 1 cup, 234
Processed American Cheese, 1 oz., 211
Yogurt, low fat, plain, 1 cup, 327
Yogurt, non-fat, plain, 1 cup, 356
Yogurt, whole milk, plain, 1 cup, 216

LEGUMES (1/2 cup cooked or as stated)
Low Phosphorous
Peanuts, boiled, 55
Peas, split, mature, boiled, 97

Higher Phosphorous
Beans, black, mature, boiled, 121
Beans, fava, cnd., 101
Beans, kidney, mature, boiled, 126
Beans, lima, thin, immature, boiled, 111
Beans, pinto, boiled, 137
Beans, white, mature, cnd., 119
Black-eyed peas, mature, boiled, 134
Chickpeas, boiled, 138
Peanut butter, creamy, smooth, 2 T, 118

Highest Phosphorous
Lentils, mature, boiled, 178
Peanuts, dry roasted, 2 oz., 202
Peanuts, oil roasted, 372
Soybeans, boiled, 211

GRAINS & CEREALS (portions as stated)
Low Phosphorous
Bread, pita, 6 1/2" diameter, one, 58
Bread, pumpernickel, 1 slice, 46
Bread, white, 1 slice, 24
Bread, whole wheat, 1 slice, 64
Corn flakes, 1 cup, 20
Crispy rice cereal, 1 cup, 31
Hominy grits, white, 1 oz., quick dry, 46

Higher Phosphorous
Bagel, plain, 3.7 oz., (4" diam.), 101
English muffin, plain, one, 2 oz., 76
Spaghetti, enr., ckd., 1 cup, 76
Raisin Bran, 1/2 cup, 125
Rice, white, long grain, enr., ckd., 1 cup, 68
Shredded wheat, 1 rectangular biscuit, 103
Wheat flour, white, enr., 1 cup, 135

Highest Phosphorous
Bran cereal, 100%, 1/3 cup, 236
Corn flour, whole grain, 1 cup, 318
Cornmeal, whole grain, 1 cup, 294
Oatmeal, inst. prep., 1 cup, 176
Rice, brown, ckd., 1 cup, 162
Wheat bran flakes, 3/4 cup, 157
Wheat flour, whole wheat, 1 cup, 415

SNACKS & SWEETS (portions as stated)
Low Phosphorous
Angel food cake, 1 oz., 9
Chestnuts, Chinese, boiled, 1 oz., 19
Cookies, shortbread, 4, (1 5/8" sq.) 36
Gelatin, dry mix, unsweetened, 1oz. pkg., 11
Rice cake, (brown rice), .32 oz. cake, 32
Whipped topping, 1 T, <1

Higher Phosphorous
Cocoa, dry, prep. w/water, 1 pkt., 89
Macadamia nuts, dry roasted, 2 oz., 112
Popcorn, air popped, 3.5 cups, 85

Highest Phosphorous
Almonds, dry roasted, 2 oz., 278
Cashews, dry roasted, 2 oz., 278
Pecans, dry roasted, 2 oz., 166
Walnuts, black, dried, 2 oz., 290
Walnuts, English, 2 oz., 196


Phosphorus is a mineral that is normally cleared by healthy kidneys. It can now build up in your blood. A high phosphorus level can cause weak, painful, birttle bones that can easily break - like a stick of chalk. It can also cause itching and calcium deposits in organs and blood vessels.

If labs tests show that your phosphorus is too high, decrease foods high in phosphorus such as:
Meats:
Organ meats
Oysters
Sardines
Salmon with bones
Sausage
Hot dogs
Luncheon meats
Bologna
Milk Products:
Milk
Cheese
Cottage cheese
Yogurt
Pudding
Custard
Cream soup
Macaroni & cheese
Pizza
Ice cream
Casseroles with cheese
Grains:
Bran cereals
Wheat germ
Brown rice
Pancakes*
Waffles*
Oatmeal
Large amounts of corn tortillas and other corn products
Cornbread*
Biscuits*
Other:
Navy beans
Pinto beans
Kidney beans
Black-eyed peas
Dried peas
Lentils
Soybeans
Lima beans
Peanut butter
Nuts
Seeds
Soy milk
Chili
Tofu
Cream pie
Pecan pie
Dried fruit
Beer
Chocolate, cocoa
Cheese-flavored snacks
Colas: Coke®, Pepsi®, Dr Pepper®, Mr Pibb®

*Use caution with commercial baking mixes such as corn bread, pancakes, waffles, biscuits, etc. Make these from scratch for lower phosphorus content.

Since almost all foods contain some phosphorus, your doctor may prescribe a phosphorus binder. Phosphorus binders act like sponges. They soak up phosphorus from your food, keeping it from being absorbed. Therefore, it is very important that you take your phosphorus binders when ever you eat. A combination of restricting phosphorus in your diet and taking phosphorus binders as prescribed will work together to control the phosphorus in your blood.

REMEMBER: Take your phosphorus binders every time you eat. Foods high in protein also contain phosphorus.

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