Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 do you mean 40g a day? I'm on a low protein diet and I'm at 50g daily. 4g isn't enough to live on. My dietician broke down my diet into 3 meal parts I get 11g of protein during breakfast, 19g at lunch, and 19g at dinner. The other gram or two goes for low protein snacking. Eating excessively high protein (like an Atkins type diet) with kidney disease is usually frowned on, even if you are " using it up " you are still putting stress on your kidneys. Your protein spill, though fairly low, is still up there at 1g/24hrs. I would take the diet into your neph and see what he thinks about it or give his nurse a call. You need to recheck your diet guidelines because there is no way they would drop you to only 4g of protein a day, that's not even one serving of meat and you would have to be eating simple sugars and fruits for the rest of your calories...not at all healthy. I'm sure you should be at 40g or more. For reference: 1 serving of meat (one ounce) is 7g of protein 1 serving of dairy (1/2 cup) is 4g of protein 1 serving of breads (one slice) is 2 g of protein 1 serving of veggies (~1/2 cup) is 1g of protein Amy G. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 do you mean 40g a day? I'm on a low protein diet and I'm at 50g daily. 4g isn't enough to live on. My dietician broke down my diet into 3 meal parts I get 11g of protein during breakfast, 19g at lunch, and 19g at dinner. The other gram or two goes for low protein snacking. Eating excessively high protein (like an Atkins type diet) with kidney disease is usually frowned on, even if you are " using it up " you are still putting stress on your kidneys. Your protein spill, though fairly low, is still up there at 1g/24hrs. I would take the diet into your neph and see what he thinks about it or give his nurse a call. You need to recheck your diet guidelines because there is no way they would drop you to only 4g of protein a day, that's not even one serving of meat and you would have to be eating simple sugars and fruits for the rest of your calories...not at all healthy. I'm sure you should be at 40g or more. For reference: 1 serving of meat (one ounce) is 7g of protein 1 serving of dairy (1/2 cup) is 4g of protein 1 serving of breads (one slice) is 2 g of protein 1 serving of veggies (~1/2 cup) is 1g of protein Amy G. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 do you mean 40g a day? I'm on a low protein diet and I'm at 50g daily. 4g isn't enough to live on. My dietician broke down my diet into 3 meal parts I get 11g of protein during breakfast, 19g at lunch, and 19g at dinner. The other gram or two goes for low protein snacking. Eating excessively high protein (like an Atkins type diet) with kidney disease is usually frowned on, even if you are " using it up " you are still putting stress on your kidneys. Your protein spill, though fairly low, is still up there at 1g/24hrs. I would take the diet into your neph and see what he thinks about it or give his nurse a call. You need to recheck your diet guidelines because there is no way they would drop you to only 4g of protein a day, that's not even one serving of meat and you would have to be eating simple sugars and fruits for the rest of your calories...not at all healthy. I'm sure you should be at 40g or more. For reference: 1 serving of meat (one ounce) is 7g of protein 1 serving of dairy (1/2 cup) is 4g of protein 1 serving of breads (one slice) is 2 g of protein 1 serving of veggies (~1/2 cup) is 1g of protein Amy G. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 On www.igan.ca , I describe what are really two different low protein diets. Both are pretty similar (virtually the same, but the purpose of doing it is different). When a person had kidney disease but is still well above 30-35% kidney function, low protein diets have been tried, untried, and they have been an on-again off-again type of thing. It's not a new concept, as it goes back decades. The idea is/was that a diet lower in protein would stress the kidneys less, and that it might possibly slow progression of chronic kidney diseases. This has never really been proven, and it's been disproven a few times. It's like trying to prove a rule of grammar. You can almost always find some source to support your assertion. When a person is in the pre-esrd phase, that is, approximately 30% kidney function or less, right down to the point where dialysis is started, the purpose of a well-designed low protein/high calorie diet is not so much to delay dialysis (it may or may not do that a bit), but rather, it's to help you feel better while you are waiting to get to the point of needing dialysis. This is because the more protein you eat, the more urea and other stuff you will have, and the sicker you will feel. So, it's really to make you feel not as sick as you might otherwise. Note that I said low protein/high calorie. This is because there is great risk to the patient in getting malnourished before dialysis is started. So, you eat a certain, lesser amount of protein, but you eat way more calories to compensate for it. It's very, very easy to become malnourished if you're not careful when you are pre-esrd as you are. I personally wouldn't recommend any diet at this point except a renal diet planned by a renal dietician who has your blood work and who will be part of the follow-up team. When you are pre-esrd may not exactly be the best time to start losing weight. I would say, keep the weight on. You will lose it when you start dialysis. Dialysis strips all the protein from the blood, and so people on dialysis have to eat at least double the amount of high-quality protein they did before. There is a bit of evidence that people who aren't as thin do better on dialysis. I hope that helps. Pierre low protein diet > > > Has it been conclusively proven that a low protein diet prolongs > kidney function in ESRD patients? At 19% have I passed the pint of > usefulness for a low protein diet? > > See, I need to lose weight and and I found a diet and exercise > plan that we are excited about - one we think we can succeed at - and > part of our hope for success is based on doing this together. It > recommends a near-balanced portioning of protein and carbs (for > example, palm-sized serving of meat and fist-sized serving of non- > veggie carb, plus veggies). Some of the meal options contain 24g in a > serving. Keep in mind though that there's also a rigorous workout > schedule so I'd be using a lot of this protein. > > My first neph a couple years ago said that a low protein diet may or > may not help. He sent me to a dietician anyway because I was curious. > The information she had was not helpful. > > The neph I'm with now didn't sound any more certain about the > benefits of a low protein diet, but said it would restrict me to 4g > per day. I have an appointment on Friday with his dietician, though > I'm not hopeful that she will be any more helpful than the last one. > And my insurance won't cover it. > > Otherwise nutritionally, I've only had mild swelling which I've now > got under control. My potassium's been good since I came off the > lisinopril. Last visit my neph said my phosphorus was a little on the > high side of okay. He told me to start taking a Tums before meals, > but the way he said it I think he was just giving me something to do. > Since I saw the first dietician I did cut back on protein, just not > all the way down to 4g/day. My protein spill has remained stable at > 1g, and I'm not anemic. So, aside from possibly protein and common > sense about sodium, I don't really have any dietary restrictions yet. > > Can I do this 12 week program to lose the weight? (Ideally, it's a > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > and see if there's any change in my labs at my appointment in May? I > could try to modify the diet, but that would mean double-cooking for > and me and might also impact my results. What do you all think? > > Chubby in Chicago! > ( B.) > > > > > > > > To edit your settings for the group, go to our Yahoo Group > home page: > http://groups.yahoo.com/group/iga-nephropathy/ > > To unsubcribe via email, > iga-nephropathy-unsubscribe > Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: > http://www.igan.ca/id62.htm > > Thank you > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 On www.igan.ca , I describe what are really two different low protein diets. Both are pretty similar (virtually the same, but the purpose of doing it is different). When a person had kidney disease but is still well above 30-35% kidney function, low protein diets have been tried, untried, and they have been an on-again off-again type of thing. It's not a new concept, as it goes back decades. The idea is/was that a diet lower in protein would stress the kidneys less, and that it might possibly slow progression of chronic kidney diseases. This has never really been proven, and it's been disproven a few times. It's like trying to prove a rule of grammar. You can almost always find some source to support your assertion. When a person is in the pre-esrd phase, that is, approximately 30% kidney function or less, right down to the point where dialysis is started, the purpose of a well-designed low protein/high calorie diet is not so much to delay dialysis (it may or may not do that a bit), but rather, it's to help you feel better while you are waiting to get to the point of needing dialysis. This is because the more protein you eat, the more urea and other stuff you will have, and the sicker you will feel. So, it's really to make you feel not as sick as you might otherwise. Note that I said low protein/high calorie. This is because there is great risk to the patient in getting malnourished before dialysis is started. So, you eat a certain, lesser amount of protein, but you eat way more calories to compensate for it. It's very, very easy to become malnourished if you're not careful when you are pre-esrd as you are. I personally wouldn't recommend any diet at this point except a renal diet planned by a renal dietician who has your blood work and who will be part of the follow-up team. When you are pre-esrd may not exactly be the best time to start losing weight. I would say, keep the weight on. You will lose it when you start dialysis. Dialysis strips all the protein from the blood, and so people on dialysis have to eat at least double the amount of high-quality protein they did before. There is a bit of evidence that people who aren't as thin do better on dialysis. I hope that helps. Pierre low protein diet > > > Has it been conclusively proven that a low protein diet prolongs > kidney function in ESRD patients? At 19% have I passed the pint of > usefulness for a low protein diet? > > See, I need to lose weight and and I found a diet and exercise > plan that we are excited about - one we think we can succeed at - and > part of our hope for success is based on doing this together. It > recommends a near-balanced portioning of protein and carbs (for > example, palm-sized serving of meat and fist-sized serving of non- > veggie carb, plus veggies). Some of the meal options contain 24g in a > serving. Keep in mind though that there's also a rigorous workout > schedule so I'd be using a lot of this protein. > > My first neph a couple years ago said that a low protein diet may or > may not help. He sent me to a dietician anyway because I was curious. > The information she had was not helpful. > > The neph I'm with now didn't sound any more certain about the > benefits of a low protein diet, but said it would restrict me to 4g > per day. I have an appointment on Friday with his dietician, though > I'm not hopeful that she will be any more helpful than the last one. > And my insurance won't cover it. > > Otherwise nutritionally, I've only had mild swelling which I've now > got under control. My potassium's been good since I came off the > lisinopril. Last visit my neph said my phosphorus was a little on the > high side of okay. He told me to start taking a Tums before meals, > but the way he said it I think he was just giving me something to do. > Since I saw the first dietician I did cut back on protein, just not > all the way down to 4g/day. My protein spill has remained stable at > 1g, and I'm not anemic. So, aside from possibly protein and common > sense about sodium, I don't really have any dietary restrictions yet. > > Can I do this 12 week program to lose the weight? (Ideally, it's a > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > and see if there's any change in my labs at my appointment in May? I > could try to modify the diet, but that would mean double-cooking for > and me and might also impact my results. What do you all think? > > Chubby in Chicago! > ( B.) > > > > > > > > To edit your settings for the group, go to our Yahoo Group > home page: > http://groups.yahoo.com/group/iga-nephropathy/ > > To unsubcribe via email, > iga-nephropathy-unsubscribe > Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: > http://www.igan.ca/id62.htm > > Thank you > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 On www.igan.ca , I describe what are really two different low protein diets. Both are pretty similar (virtually the same, but the purpose of doing it is different). When a person had kidney disease but is still well above 30-35% kidney function, low protein diets have been tried, untried, and they have been an on-again off-again type of thing. It's not a new concept, as it goes back decades. The idea is/was that a diet lower in protein would stress the kidneys less, and that it might possibly slow progression of chronic kidney diseases. This has never really been proven, and it's been disproven a few times. It's like trying to prove a rule of grammar. You can almost always find some source to support your assertion. When a person is in the pre-esrd phase, that is, approximately 30% kidney function or less, right down to the point where dialysis is started, the purpose of a well-designed low protein/high calorie diet is not so much to delay dialysis (it may or may not do that a bit), but rather, it's to help you feel better while you are waiting to get to the point of needing dialysis. This is because the more protein you eat, the more urea and other stuff you will have, and the sicker you will feel. So, it's really to make you feel not as sick as you might otherwise. Note that I said low protein/high calorie. This is because there is great risk to the patient in getting malnourished before dialysis is started. So, you eat a certain, lesser amount of protein, but you eat way more calories to compensate for it. It's very, very easy to become malnourished if you're not careful when you are pre-esrd as you are. I personally wouldn't recommend any diet at this point except a renal diet planned by a renal dietician who has your blood work and who will be part of the follow-up team. When you are pre-esrd may not exactly be the best time to start losing weight. I would say, keep the weight on. You will lose it when you start dialysis. Dialysis strips all the protein from the blood, and so people on dialysis have to eat at least double the amount of high-quality protein they did before. There is a bit of evidence that people who aren't as thin do better on dialysis. I hope that helps. Pierre low protein diet > > > Has it been conclusively proven that a low protein diet prolongs > kidney function in ESRD patients? At 19% have I passed the pint of > usefulness for a low protein diet? > > See, I need to lose weight and and I found a diet and exercise > plan that we are excited about - one we think we can succeed at - and > part of our hope for success is based on doing this together. It > recommends a near-balanced portioning of protein and carbs (for > example, palm-sized serving of meat and fist-sized serving of non- > veggie carb, plus veggies). Some of the meal options contain 24g in a > serving. Keep in mind though that there's also a rigorous workout > schedule so I'd be using a lot of this protein. > > My first neph a couple years ago said that a low protein diet may or > may not help. He sent me to a dietician anyway because I was curious. > The information she had was not helpful. > > The neph I'm with now didn't sound any more certain about the > benefits of a low protein diet, but said it would restrict me to 4g > per day. I have an appointment on Friday with his dietician, though > I'm not hopeful that she will be any more helpful than the last one. > And my insurance won't cover it. > > Otherwise nutritionally, I've only had mild swelling which I've now > got under control. My potassium's been good since I came off the > lisinopril. Last visit my neph said my phosphorus was a little on the > high side of okay. He told me to start taking a Tums before meals, > but the way he said it I think he was just giving me something to do. > Since I saw the first dietician I did cut back on protein, just not > all the way down to 4g/day. My protein spill has remained stable at > 1g, and I'm not anemic. So, aside from possibly protein and common > sense about sodium, I don't really have any dietary restrictions yet. > > Can I do this 12 week program to lose the weight? (Ideally, it's a > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > and see if there's any change in my labs at my appointment in May? I > could try to modify the diet, but that would mean double-cooking for > and me and might also impact my results. What do you all think? > > Chubby in Chicago! > ( B.) > > > > > > > > To edit your settings for the group, go to our Yahoo Group > home page: > http://groups.yahoo.com/group/iga-nephropathy/ > > To unsubcribe via email, > iga-nephropathy-unsubscribe > Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: > http://www.igan.ca/id62.htm > > Thank you > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 , 20 gms is still really low, really low. I was doing 40 per day and a dietician had me up it 50. A deck of cards for meat is the general rule for a single serving of *4 ounces*, not 4 grams. So, 4 ounces comes out to be 28 grams of protien. But concentrating on meat etc alone is not only source of protien, you'd be suprised how much protien you get in may veggies and grains. Granted they are low quality sources (except for soy) and if you are on a low protien diet more of your protien should come form high quality sources (ei animal). I am also going to start taking Tums, both for the phosforus binding and for the added calcium. My calcium is fine now, but being female and tall and skinny I'm a prime candidate for osteoporosis. Good luck with your visit, > > Thanks guys! > > Amy, you're probably right. I think now that I remember the first > dietician saying 20 grams, which still sounds like too little. I > really thought, though, that the nurse said 4 grams or roughly one > deck of cards size serving of meat per day. By your calculation a > deck of cards size portion would still have more than 4 grams of > protein. This is by no means an Adkins diet, by the way. It's much > more balanced than that. > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > unless something goes wrong, I plan to start out on PD and my > understanding is that typically causes weight gain. So unfortunately, > it's now or never! Well, not really, but close enough. Does PD strip > the body of protein too? What you said about low protein for feeling > better makes sense, and if I start feeling ill protein will be my > first suspect. > > I guess what it comes down to is I really just don't want to go to > the hospital again. Friday's dietician appointment would be at least > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > get used to it ! > > Thanks again, > B. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 , 20 gms is still really low, really low. I was doing 40 per day and a dietician had me up it 50. A deck of cards for meat is the general rule for a single serving of *4 ounces*, not 4 grams. So, 4 ounces comes out to be 28 grams of protien. But concentrating on meat etc alone is not only source of protien, you'd be suprised how much protien you get in may veggies and grains. Granted they are low quality sources (except for soy) and if you are on a low protien diet more of your protien should come form high quality sources (ei animal). I am also going to start taking Tums, both for the phosforus binding and for the added calcium. My calcium is fine now, but being female and tall and skinny I'm a prime candidate for osteoporosis. Good luck with your visit, > > Thanks guys! > > Amy, you're probably right. I think now that I remember the first > dietician saying 20 grams, which still sounds like too little. I > really thought, though, that the nurse said 4 grams or roughly one > deck of cards size serving of meat per day. By your calculation a > deck of cards size portion would still have more than 4 grams of > protein. This is by no means an Adkins diet, by the way. It's much > more balanced than that. > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > unless something goes wrong, I plan to start out on PD and my > understanding is that typically causes weight gain. So unfortunately, > it's now or never! Well, not really, but close enough. Does PD strip > the body of protein too? What you said about low protein for feeling > better makes sense, and if I start feeling ill protein will be my > first suspect. > > I guess what it comes down to is I really just don't want to go to > the hospital again. Friday's dietician appointment would be at least > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > get used to it ! > > Thanks again, > B. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 O-kay. Well now that it's obvious I'm an airhead with a poor memory, I'll go back to lurker mode. Thanks for all the replies everybody. With your help, maybe I won't kill myself through stupidity! B. > > > > Thanks guys! > > > > Amy, you're probably right. I think now that I remember the first > > dietician saying 20 grams, which still sounds like too little. I > > really thought, though, that the nurse said 4 grams or roughly one > > deck of cards size serving of meat per day. By your calculation a > > deck of cards size portion would still have more than 4 grams of > > protein. This is by no means an Adkins diet, by the way. It's much > > more balanced than that. > > > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > > unless something goes wrong, I plan to start out on PD and my > > understanding is that typically causes weight gain. So unfortunately, > > it's now or never! Well, not really, but close enough. Does PD strip > > the body of protein too? What you said about low protein for feeling > > better makes sense, and if I start feeling ill protein will be my > > first suspect. > > > > I guess what it comes down to is I really just don't want to go to > > the hospital again. Friday's dietician appointment would be at least > > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > > get used to it ! > > > > Thanks again, > > B. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Well, there are always special circumstances. That's why I don't give specific dietary advice on here. The amount of protein a person needs to eat is so many grams per kg of body weight. That's what your renal dietician goes by. If you need to lose weight, my guess is that a renal dietician will want you to eat a certain amount of protein, and a certain lesser amount of calories per day. PD strips even more protein from the body than hemodialysis does, because it's continuous. PD patients usually have to eat less calories (due to the calories gained from the dialysate) and more protein (up to a certain amount, of course). For someone who is at about 20% kidney function, my personal opinion would be that it would be kind of risky to diet in any way that isn't prescribed AND followed-up by a renal dietician. The kind of malnutrition you can get from not eating enough protein and calories causes muscle to be broken down by the body for protein. You want to lose fat, but not muscle. The reason I emphasize this is because all the evidence and clinical experience is indisputable. People who start dialysis, either kind, when they are already protein malnourished are at greater risk of mortality right from the beginning, and they DO have more complications. Pierre Re: low protein diet > > > Thanks guys! > > Amy, you're probably right. I think now that I remember the first > dietician saying 20 grams, which still sounds like too little. I > really thought, though, that the nurse said 4 grams or roughly one > deck of cards size serving of meat per day. By your calculation a > deck of cards size portion would still have more than 4 grams of > protein. This is by no means an Adkins diet, by the way. It's much > more balanced than that. > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > unless something goes wrong, I plan to start out on PD and my > understanding is that typically causes weight gain. So unfortunately, > it's now or never! Well, not really, but close enough. Does PD strip > the body of protein too? What you said about low protein for feeling > better makes sense, and if I start feeling ill protein will be my > first suspect. > > I guess what it comes down to is I really just don't want to go to > the hospital again. Friday's dietician appointment would be at least > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > get used to it ! > > Thanks again, > B. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 don't feel like you have to go back into lurk mode....honestly it's a lot of information to take in, and we all lose some of it. That's what makes this group so wonderful, being able to come here and ask those questions you feel like an idiot calling your neph about. :-) Heaven knows I've asked my share of them when I was diagnosed. By the way I hear you on trips to the doctor/hospital. I think in my first year I was at a doctors office, in the hospital, or at the lab at least twice a month if not more often....this past month alone I was at the lab twice, had 5 doctors appointments, an endoscopy, and gastric emptying scan....and I'm not close to needing a transplant or starting dialysis yet. My husband was so tired of doctors offices he refused to go in for his yearly checkups for two years....then ended up with cholesterol of 296....which has since added more doctors appointments to our schedule *and yes we are only in our 30's*. :-) You can't escape it, but you can get hugs (((((((((( B.)))))))))))) Hang in there and I do hope your new dietician can find a plan that works for you. I'm weighing in at 270lbs at the moment. I have been working out at Curves for 9 months and it's been keeping my weight from increasing any further....dang prednisone. I'm hoping to start losing some with the new dietary changes my dietician made for me. I'm a stress eater and with prednisone added to the mix...well lets just say my body is a recipe for disaster without some outside coaching. Amy G. Re: low protein diet O-kay. Well now that it's obvious I'm an airhead with a poor memory, I'll go back to lurker mode. Thanks for all the replies everybody. With your help, maybe I won't kill myself through stupidity! B. > > > > Thanks guys! > > > > Amy, you're probably right. I think now that I remember the first > > dietician saying 20 grams, which still sounds like too little. I > > really thought, though, that the nurse said 4 grams or roughly one > > deck of cards size serving of meat per day. By your calculation a > > deck of cards size portion would still have more than 4 grams of > > protein. This is by no means an Adkins diet, by the way. It's much > > more balanced than that. > > > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > > unless something goes wrong, I plan to start out on PD and my > > understanding is that typically causes weight gain. So unfortunately, > > it's now or never! Well, not really, but close enough. Does PD strip > > the body of protein too? What you said about low protein for feeling > > better makes sense, and if I start feeling ill protein will be my > > first suspect. > > > > I guess what it comes down to is I really just don't want to go to > > the hospital again. Friday's dietician appointment would be at least > > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > > get used to it ! > > > > Thanks again, > > B. > > To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 don't feel like you have to go back into lurk mode....honestly it's a lot of information to take in, and we all lose some of it. That's what makes this group so wonderful, being able to come here and ask those questions you feel like an idiot calling your neph about. :-) Heaven knows I've asked my share of them when I was diagnosed. By the way I hear you on trips to the doctor/hospital. I think in my first year I was at a doctors office, in the hospital, or at the lab at least twice a month if not more often....this past month alone I was at the lab twice, had 5 doctors appointments, an endoscopy, and gastric emptying scan....and I'm not close to needing a transplant or starting dialysis yet. My husband was so tired of doctors offices he refused to go in for his yearly checkups for two years....then ended up with cholesterol of 296....which has since added more doctors appointments to our schedule *and yes we are only in our 30's*. :-) You can't escape it, but you can get hugs (((((((((( B.)))))))))))) Hang in there and I do hope your new dietician can find a plan that works for you. I'm weighing in at 270lbs at the moment. I have been working out at Curves for 9 months and it's been keeping my weight from increasing any further....dang prednisone. I'm hoping to start losing some with the new dietary changes my dietician made for me. I'm a stress eater and with prednisone added to the mix...well lets just say my body is a recipe for disaster without some outside coaching. Amy G. Re: low protein diet O-kay. Well now that it's obvious I'm an airhead with a poor memory, I'll go back to lurker mode. Thanks for all the replies everybody. With your help, maybe I won't kill myself through stupidity! B. > > > > Thanks guys! > > > > Amy, you're probably right. I think now that I remember the first > > dietician saying 20 grams, which still sounds like too little. I > > really thought, though, that the nurse said 4 grams or roughly one > > deck of cards size serving of meat per day. By your calculation a > > deck of cards size portion would still have more than 4 grams of > > protein. This is by no means an Adkins diet, by the way. It's much > > more balanced than that. > > > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > > unless something goes wrong, I plan to start out on PD and my > > understanding is that typically causes weight gain. So unfortunately, > > it's now or never! Well, not really, but close enough. Does PD strip > > the body of protein too? What you said about low protein for feeling > > better makes sense, and if I start feeling ill protein will be my > > first suspect. > > > > I guess what it comes down to is I really just don't want to go to > > the hospital again. Friday's dietician appointment would be at least > > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > > get used to it ! > > > > Thanks again, > > B. > > To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 don't feel like you have to go back into lurk mode....honestly it's a lot of information to take in, and we all lose some of it. That's what makes this group so wonderful, being able to come here and ask those questions you feel like an idiot calling your neph about. :-) Heaven knows I've asked my share of them when I was diagnosed. By the way I hear you on trips to the doctor/hospital. I think in my first year I was at a doctors office, in the hospital, or at the lab at least twice a month if not more often....this past month alone I was at the lab twice, had 5 doctors appointments, an endoscopy, and gastric emptying scan....and I'm not close to needing a transplant or starting dialysis yet. My husband was so tired of doctors offices he refused to go in for his yearly checkups for two years....then ended up with cholesterol of 296....which has since added more doctors appointments to our schedule *and yes we are only in our 30's*. :-) You can't escape it, but you can get hugs (((((((((( B.)))))))))))) Hang in there and I do hope your new dietician can find a plan that works for you. I'm weighing in at 270lbs at the moment. I have been working out at Curves for 9 months and it's been keeping my weight from increasing any further....dang prednisone. I'm hoping to start losing some with the new dietary changes my dietician made for me. I'm a stress eater and with prednisone added to the mix...well lets just say my body is a recipe for disaster without some outside coaching. Amy G. Re: low protein diet O-kay. Well now that it's obvious I'm an airhead with a poor memory, I'll go back to lurker mode. Thanks for all the replies everybody. With your help, maybe I won't kill myself through stupidity! B. > > > > Thanks guys! > > > > Amy, you're probably right. I think now that I remember the first > > dietician saying 20 grams, which still sounds like too little. I > > really thought, though, that the nurse said 4 grams or roughly one > > deck of cards size serving of meat per day. By your calculation a > > deck of cards size portion would still have more than 4 grams of > > protein. This is by no means an Adkins diet, by the way. It's much > > more balanced than that. > > > > Pierre, the surgeon " highly recommended " that I lose weight. Plus, > > unless something goes wrong, I plan to start out on PD and my > > understanding is that typically causes weight gain. So unfortunately, > > it's now or never! Well, not really, but close enough. Does PD strip > > the body of protein too? What you said about low protein for feeling > > better makes sense, and if I start feeling ill protein will be my > > first suspect. > > > > I guess what it comes down to is I really just don't want to go to > > the hospital again. Friday's dietician appointment would be at least > > my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - > > get used to it ! > > > > Thanks again, > > B. > > To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , At 19% function, I would definitely not advise a diet high in protein. I am at 18% function, and I know I feel much worse when I even eat 3 ounces of protein a day. Please do not start until you check with your Nephrologist. You may also need to consider the potassium content in the veggies to make sure your potassium level does not creep back up. I just want to strongly encourage you to run the specifics by your doctor and get his approval first. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , At 19% function, I would definitely not advise a diet high in protein. I am at 18% function, and I know I feel much worse when I even eat 3 ounces of protein a day. Please do not start until you check with your Nephrologist. You may also need to consider the potassium content in the veggies to make sure your potassium level does not creep back up. I just want to strongly encourage you to run the specifics by your doctor and get his approval first. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , At 19% function, I would definitely not advise a diet high in protein. I am at 18% function, and I know I feel much worse when I even eat 3 ounces of protein a day. Please do not start until you check with your Nephrologist. You may also need to consider the potassium content in the veggies to make sure your potassium level does not creep back up. I just want to strongly encourage you to run the specifics by your doctor and get his approval first. low protein diet Has it been conclusively proven that a low protein diet prolongs kidney function in ESRD patients? At 19% have I passed the pint of usefulness for a low protein diet? See, I need to lose weight and and I found a diet and exercise plan that we are excited about - one we think we can succeed at - and part of our hope for success is based on doing this together. It recommends a near-balanced portioning of protein and carbs (for example, palm-sized serving of meat and fist-sized serving of non- veggie carb, plus veggies). Some of the meal options contain 24g in a serving. Keep in mind though that there's also a rigorous workout schedule so I'd be using a lot of this protein. My first neph a couple years ago said that a low protein diet may or may not help. He sent me to a dietician anyway because I was curious. The information she had was not helpful. The neph I'm with now didn't sound any more certain about the benefits of a low protein diet, but said it would restrict me to 4g per day. I have an appointment on Friday with his dietician, though I'm not hopeful that she will be any more helpful than the last one. And my insurance won't cover it. Otherwise nutritionally, I've only had mild swelling which I've now got under control. My potassium's been good since I came off the lisinopril. Last visit my neph said my phosphorus was a little on the high side of okay. He told me to start taking a Tums before meals, but the way he said it I think he was just giving me something to do. Since I saw the first dietician I did cut back on protein, just not all the way down to 4g/day. My protein spill has remained stable at 1g, and I'm not anemic. So, aside from possibly protein and common sense about sodium, I don't really have any dietary restrictions yet. Can I do this 12 week program to lose the weight? (Ideally, it's a rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month and see if there's any change in my labs at my appointment in May? I could try to modify the diet, but that would mean double-cooking for and me and might also impact my results. What do you all think? Chubby in Chicago! ( B.) To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , Perhaps the dietitian meant 4 ounces. It really goes by your body weight. For my size, I am on a 3 ounces per day low protein diet, and that is a little less than the size of a deck of cards. I guess it is timely that you have an appointment on Friday and can get their stamp of approval before starting the diet. Best wishes for your weight loss. Re: low protein diet Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , Perhaps the dietitian meant 4 ounces. It really goes by your body weight. For my size, I am on a 3 ounces per day low protein diet, and that is a little less than the size of a deck of cards. I guess it is timely that you have an appointment on Friday and can get their stamp of approval before starting the diet. Best wishes for your weight loss. Re: low protein diet Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi , Perhaps the dietitian meant 4 ounces. It really goes by your body weight. For my size, I am on a 3 ounces per day low protein diet, and that is a little less than the size of a deck of cards. I guess it is timely that you have an appointment on Friday and can get their stamp of approval before starting the diet. Best wishes for your weight loss. Re: low protein diet Thanks guys! Amy, you're probably right. I think now that I remember the first dietician saying 20 grams, which still sounds like too little. I really thought, though, that the nurse said 4 grams or roughly one deck of cards size serving of meat per day. By your calculation a deck of cards size portion would still have more than 4 grams of protein. This is by no means an Adkins diet, by the way. It's much more balanced than that. Pierre, the surgeon " highly recommended " that I lose weight. Plus, unless something goes wrong, I plan to start out on PD and my understanding is that typically causes weight gain. So unfortunately, it's now or never! Well, not really, but close enough. Does PD strip the body of protein too? What you said about low protein for feeling better makes sense, and if I start feeling ill protein will be my first suspect. I guess what it comes down to is I really just don't want to go to the hospital again. Friday's dietician appointment would be at least my 10th trip this year. Lost count. Yeah I know, boo-hoo, poor me - get used to it ! Thanks again, B. > On www.igan.ca , I describe what are really two different low protein diets. > Both are pretty similar (virtually the same, but the purpose of doing it is > different). When a person had kidney disease but is still well above 30-35% > kidney function, low protein diets have been tried, untried, and they have > been an on-again off-again type of thing. It's not a new concept, as it goes > back decades. The idea is/was that a diet lower in protein would stress the > kidneys less, and that it might possibly slow progression of chronic kidney > diseases. This has never really been proven, and it's been disproven a few > times. It's like trying to prove a rule of grammar. You can almost always > find some source to support your assertion. > > When a person is in the pre-esrd phase, that is, approximately 30% kidney > function or less, right down to the point where dialysis is started, the > purpose of a well-designed low protein/high calorie diet is not so much to > delay dialysis (it may or may not do that a bit), but rather, it's to help > you feel better while you are waiting to get to the point of needing > dialysis. This is because the more protein you eat, the more urea and other > stuff you will have, and the sicker you will feel. So, it's really to make > you feel not as sick as you might otherwise. > > Note that I said low protein/high calorie. This is because there is great > risk to the patient in getting malnourished before dialysis is started. So, > you eat a certain, lesser amount of protein, but you eat way more calories > to compensate for it. It's very, very easy to become malnourished if you're > not careful when you are pre-esrd as you are. > > I personally wouldn't recommend any diet at this point except a renal diet > planned by a renal dietician who has your blood work and who will be part of > the follow-up team. When you are pre-esrd may not exactly be the best time > to start losing weight. I would say, keep the weight on. You will lose it > when you start dialysis. Dialysis strips all the protein from the blood, and > so people on dialysis have to eat at least double the amount of high-quality > protein they did before. There is a bit of evidence that people who aren't > as thin do better on dialysis. > > I hope that helps. > > Pierre > > > low protein diet > > > > > > > > Has it been conclusively proven that a low protein diet prolongs > > kidney function in ESRD patients? At 19% have I passed the pint of > > usefulness for a low protein diet? > > > > See, I need to lose weight and and I found a diet and exercise > > plan that we are excited about - one we think we can succeed at - and > > part of our hope for success is based on doing this together. It > > recommends a near-balanced portioning of protein and carbs (for > > example, palm-sized serving of meat and fist-sized serving of non- > > veggie carb, plus veggies). Some of the meal options contain 24g in a > > serving. Keep in mind though that there's also a rigorous workout > > schedule so I'd be using a lot of this protein. > > > > My first neph a couple years ago said that a low protein diet may or > > may not help. He sent me to a dietician anyway because I was curious. > > The information she had was not helpful. > > > > The neph I'm with now didn't sound any more certain about the > > benefits of a low protein diet, but said it would restrict me to 4g > > per day. I have an appointment on Friday with his dietician, though > > I'm not hopeful that she will be any more helpful than the last one. > > And my insurance won't cover it. > > > > Otherwise nutritionally, I've only had mild swelling which I've now > > got under control. My potassium's been good since I came off the > > lisinopril. Last visit my neph said my phosphorus was a little on the > > high side of okay. He told me to start taking a Tums before meals, > > but the way he said it I think he was just giving me something to do. > > Since I saw the first dietician I did cut back on protein, just not > > all the way down to 4g/day. My protein spill has remained stable at > > 1g, and I'm not anemic. So, aside from possibly protein and common > > sense about sodium, I don't really have any dietary restrictions yet. > > > > Can I do this 12 week program to lose the weight? (Ideally, it's a > > rest-of-your-life diet, not a diet-diet.) Or maybe try it for a month > > and see if there's any change in my labs at my appointment in May? I > > could try to modify the diet, but that would mean double-cooking for > > and me and might also impact my results. What do you all think? > > > > Chubby in Chicago! > > ( B.) > > > > > > > > > > > > > > > > To edit your settings for the group, go to our Yahoo Group > > home page: > > http://groups.yahoo.com/group/iga-nephropathy/ > > > > To unsubcribe via email, > > iga-nephropathy-unsubscribe > > Visit our companion website at www.igan.ca. The site is entirely supported > by donations. If you would like to help, go to: > > http://www.igan.ca/id62.htm > > > > Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2005 Report Share Posted April 7, 2005 Pierre my husband isn't vegetarian and he prefers the tofu dogs to the real ones because, as he puts it, " I know what's in a tofu dog, and they taste like the real ones. " :-) Amy G. Re: low protein diet > > Ok, I won't knock tofu dogs. The truth is that soy if full of health > benefits..but that does not mean I have to like it :-) > > I hope your appetite is better tomorrow Amy! > > > To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2005 Report Share Posted April 7, 2005 All cheeses are pretty high in phosphorus, particularly the hard, aged cheeses. You could try the low-fat cheeses which skim off the cream from the milk before processing, but they don't reduce the phosphorus content by large amounts. I'm on a low-protein, low-sodium diet and am a cheesemonger professionally (which makes my nephrologist laugh). We keep a very close eye on my phos. number, as I do have to taste as I go - but I do it in very, very small quantities. I learned a number of years ago that in order for my diet to work for me I need to budget the sodium and the protein carefully, so that I can still enjoy my food without getting myself into trouble. Kathleen > I'm sorry, I should have done some research first before bothering all of > you! I found a page at iKidney school that gives the phosphorus content of > different cheeses. It seems I'm stuck with cream cheese and grated parmesan > cheese, ha ha. Why couldn't cheddar cheese have been low in phosphorus! > > http://www.ikidney.com/iKidney/Lifestyles/NutritionalTips/HelpfulHints/Phosphoru\ sContentofCheese.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2005 Report Share Posted April 7, 2005 You're not stuck with cream cheese and grated parmesan. Keep in mind that with cheeses, you also have to think of sodium and potassium. Most people on a renal diet can eat 3 ounces of cheddar or similar cheeses per week. Mozzarella has a bit less phosphorus than cheddar. Others include gouda, etc. Some people diseased kidneys handle phosphorus better than others. Some people may have close to normal phosphorus. Your neph or renal dietician should be able to tell you. Now, there can be trade-offs too. For example, I never drink milk. Because of that, I have always been able to eat one ounce of cheddar per day, rather than 3 per week. Having advanced renal failure is bad enough on its own. There's no point in limiting ourselves more than we have to. Cheddar is actually a medium phosphorus food. Parmesan is a higher phosphorus cheese, plus, it's very high in sodium. Pierre Re: low protein diet > > I'm sorry, I should have done some research first before bothering all of > you! I found a page at iKidney school that gives the phosphorus content of > different cheeses. It seems I'm stuck with cream cheese and grated parmesan > cheese, ha ha. Why couldn't cheddar cheese have been low in phosphorus! > Quote Link to comment Share on other sites More sharing options...
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