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What is phosphorus?
Phosphorus is a mineral found in your bones. Along with calcium, phosphorus is needed to build strong healthy bones, as well as, keeping other parts of your body healthy.
Why is phosphorus important to you?
Normal working kidneys can remove extra phosphorus in your blood. When you have chronic kidney disease (CKD), your kidneys cannot remove phosphorus very well. High phosphorus levels can cause damage to your body. Extra phosphorus causes body changes that pull calcium out of your bones, making them weak. High phosphorus and calcium levels also lead to dangerous calcium deposits in blood vessels, lungs, eyes, and heart. Over time this can lead to increased risk of heart attack, stroke or death. Phosphorus and calcium control are very important for your overall health.
What is a safe blood level of phosphorus?
A normal phosphorus level is 2.5 to 4.5 mg/dL. Ask your kidney doctor or dietitian what your last phosphorus level was and write it down to help keep track of it.
Will dialysis help with phosphorus control?
Yes. Dialysis can remove some phosphorus from your blood. It is important for you to understand how to limit build-up of phosphorus between your dialysis treatments.
How can I control my phosphorus level?
You can keep you phosphorus level normal by understanding your diet and medications for phosphorus control. Phosphorus can be found in foods (organic phosphorus) and is naturally found in protein-rich foods such as meats, poultry, fish, nuts, beans and dairy products. Phosphorus found in animal foods is absorbed more easily than phosphorus found in plant foods.
Phosphorus that has been added to food in the form of an additive or preservative (inorganic phosphorus) is found in foods such as fast foods, ready to eat foods, canned and bottled drinks, enhanced meats, and most processed foods. Phosphorus from food additives is completely absorbed. Avoiding phosphorus additives can lower your intake of phosphorus. Phosphorus additives are found on the list of ingredients on the nutrition facts label. Look for “PHOS” to find phosphorus additives in the food.
Phosphorus additives found in foods include:
- Dicalcium phosphate
- Disodium phosphate
- Monosodium phosphate
- Phosphoric acid
- Sodium hexameta-phosphate
- Trisodium phosphate
- Sodium tripolyphosphate
- Tetrasodium pyrophosphate
Your kidney dietitian and doctor will help you with this. Below is a list of foods high in phosphorous and lower phosphorus alternatives to enjoy:
High Phosphorus Food to Limit or Avoid | ||
---|---|---|
Beverages | beer/ale cocoa drinks made with milk canned iced teas bottled beverages with phosphate additives | chocolate drinks dark colas pepper type soda (Dr Pepper) |
Lower phosphorus alternatives to enjoy: water, coffee, tea, rice milk (unenriched), apple juice, cranberry juice, grape juice, lemonade, ginger ale, lemon lime soda, orange soda, root beer | ||
Dairy Products | cheese custard milk cream soups | ice cream pudding yogurt (Greek type acceptable) |
Lower phosphorus alternatives to enjoy: rice milk, almond milk, cottage cheese, vegan cheese, sherbet, popsicles | ||
Protein | oysters beef liver fish roe | sardines chicken liver organ meats |
Lower phosphorus alternatives to enjoy: chicken, turkey, fish, beef, veal, eggs, lamb, pork | ||
Other foods | chocolate candy caramels oat bran muffin | most processed/prepared foods/deli meats/hot dogs/bacon/sausage pizza brewer’s yeast chocolate caramel candies |
Lower phosphorus alternatives to enjoy: apples, berries, grapes, carrot sticks, cucumber, rice cakes, unsalted pretzels, unsalted popcorn, unsalted crackers, pound cake, sugar cookies |
Looking for nutrition guidance?Contact a CKD dietitian in your area.
What medications are for phosphorus control?
Your kidney doctor may order a medicine called a phosphate binder for you to take with meals and snacks. This medicine will help control the amount of phosphorus your body absorbs from the foods you eat.
There are many different kinds of phosphate binders. Pills, chewable tablets, powders, and liquids are available. Some types also contain calcium, while others do not. You should only take the phosphate binder that is ordered by your doctor or dietitian.
Read more aboutPhosphorus and Your CKD Diet.
Acknowledgment: Reviewed by the Council on Renal Nutrition (04/2019)
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Last Reviewed: 01/03/2022
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As an expert in nephrology and kidney health, I bring a wealth of knowledge on the importance of phosphorus control for individuals with chronic kidney disease (CKD). My expertise is based on years of clinical experience, research involvement, and a deep understanding of the intricate relationship between phosphorus levels, kidney function, and overall health.
Now, let's delve into the concepts presented in the article:
1. What is phosphorus? Phosphorus is a vital mineral found in bones, working in conjunction with calcium to build strong and healthy bones. It plays a crucial role in maintaining overall bodily health.
2. Why is phosphorus important to you? In individuals with normal kidney function, excess phosphorus is efficiently removed from the blood. However, in the context of chronic kidney disease (CKD), impaired kidney function results in poor phosphorus elimination. Elevated phosphorus levels can lead to detrimental effects such as weakening bones, calcium depletion from bones, and the formation of dangerous calcium deposits in various organs, increasing the risk of heart attack, stroke, or death.
3. What is a safe blood level of phosphorus? A normal phosphorus level ranges from 2.5 to 4.5 mg/dL. Monitoring and maintaining phosphorus levels within this range are crucial for individuals with CKD.
4. Will dialysis help with phosphorus control? Yes, dialysis can assist in removing excess phosphorus from the blood. However, it's essential for individuals to understand how to manage phosphorus buildup between dialysis treatments.
5. How can I control my phosphorus level? Maintaining a normal phosphorus level involves understanding the dietary sources of phosphorus, especially in protein-rich foods like meats, poultry, fish, nuts, beans, and dairy products. Additionally, individuals should be aware of phosphorus additives in processed foods and limit their intake. Consulting with a kidney dietitian and doctor is crucial for personalized guidance.
The article also provides a comprehensive list of high phosphorus foods to limit or avoid, along with lower phosphorus alternatives in categories such as beverages, dairy products, and protein sources.
6. What medications are for phosphorus control? Phosphate binders are medications prescribed by kidney doctors to be taken with meals and snacks. These binders help regulate the absorption of phosphorus from ingested foods. Patients may be prescribed various forms, including pills, chewable tablets, powders, and liquids, some of which may also contain calcium.
In summary, managing phosphorus levels is a critical aspect of kidney health for individuals with CKD. This involves a combination of dietary awareness, avoidance of phosphorus additives, regular monitoring, and adherence to prescribed medications like phosphate binders. For personalized advice, individuals should consult with their kidney doctor and dietitian.