Phosphorus and Your Diet (2024)

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 foodschocolate 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.

Phosphorus Infographic

Acknowledgment: Reviewed by the Council on Renal Nutrition (04/2019)

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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.

Phosphorus and Your Diet (2024)

FAQs

What does phosphorus do in your diet? ›

Many proteins and sugars in the body are phosphorylated. In addition, phosphorus plays key roles in regulation of gene transcription, activation of enzymes, maintenance of normal pH in extracellular fluid, and intracellular energy storage. In humans, phosphorus makes up about 1% to 1.4% of fat-free mass.

What happens if you have too little phosphorus in your diet? ›

A phosphorus deficiency can cause loss of appetite, anemia (low red blood cell counts), muscle weakness, coordination problems, bone pain, soft and deformed bones, a higher risk of infection, a feeling of burning or prickling in the skin, and confusion.

What is the role of phosphorus in the human diet? ›

The main function of phosphorus is in the formation of bones and teeth. It plays an important role in how the body uses carbohydrates and fats. It is also needed for the body to make protein for the growth, maintenance, and repair of cells and tissues.

How much phosphorus is enough? ›

The UL for phosphorus for adult men and women ages 19-70 years old is 4,000 mg daily, and for older adults 71+ years, 3,000 mg daily. The UL for pregnant and lactating women ages 14-50 years is 3,500 and 4,000 mg, respectively.

What happens when the body has too much phosphorus? ›

But if your phosphate levels are too high, it can remove calcium from your bones, which makes them brittle. It can also cause calcium deposits in your eyes, lungs, heart and blood vessels, which increase your risk of heart attack, stroke and death over time.

What are symptoms of too much phosphorus? ›

What are the symptoms of high phosphorus?
  • Muscle cramps.
  • Bone and joint pain.
  • Weak bones.
  • Itchy skin or rash.
Jan 16, 2024

What drinks are bad for the kidneys? ›

Sodas. According to the American Kidney Fund, a recent study suggests that drinking two or more carbonated sodas, diet or regular, each day may increase your risk for chronic kidney disease. Carbonated and energy drinks have both been linked to the formation of kidney stones.

Are eggs high in phosphorus? ›

Because most of the phosphorus is contained in the yolk (586 mg/100 g), the phosphorus-to-protein ratio content of a whole egg is 13.4 mg/g compared to a more desirable ratio of 1.4 mg/g for an egg white [83].

What depletes phosphorus in the body? ›

Some health conditions, such as diabetes, starvation, and alcoholism can cause levels of phosphorus in the body to fall. The same is true of conditions that make it hard for people to absorb nutrients, such as Crohn disease and celiac disease.

Who is most at risk for phosphorus deficiency? ›

A phosphorus deficiency is uncommon. It happens when the body has low levels of this vital mineral. Poor diets or eating disorders may contribute to a deficiency. Other medical conditions or situations that cause levels to fall include diabetes, inherited disorders, and alcoholism.

What are 3 interesting facts about phosphorus? ›

Phosphorus is a mineral found in every cell of the body, usually in the form of phosphate. It is the second most abundant mineral in the body after calcium. About 85% of phosphorus is stored in the bones and teeth. It is important for forming bones and teeth, as well as repairing bones.

What sodas have no phosphorus? ›

For example, there are many low-phosphorus beverages: coffee, tea, green tea, and flavored water. If you drink sodas, diet versions of Sprite®, 7UP®, ginger ale, orange soda, and root beer are phosphorus-free choices. Colas such as Diet co*ke® and Diet Pepsi® contain added phosphorus.

Why is phosphorus bad? ›

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.

How can I raise my phosphorus levels quickly? ›

Fish: Phosphorus is found in fatty fish and shellfish, such as salmon, tuna, clams, and mollusks. Dairy products: Dairy products, such as milk and yogurt, have a more balanced calcium-phosphorus ratio and are, thus, high in phosphorus.

Is potassium and phosphorus the same thing? ›

We find the mineral potassium in plant foods (also milk/dairy). It helps with muscle and nerve function, and alsohelps with blood pressure. Phosphorus is found in protein foods (meat, fish, beans, lentils, nuts). It is a key player in energy production in the body, as well as for bone health.

Why would you need a low phosphorus diet? ›

Healthy kidneys remove extra phosphorus from the blood. If your kidneys don't work well, you can develop a high phosphorus level in your blood, putting you at greater risk of heart disease, weak bones, joint pain and even death.

What foods should I avoid if my phosphorus is high? ›

Limit the phosphorus-rich foods like dried beans, black-eyed peas and organ meats, such as chitterlings/chitlins. Use nondairy creamers and milk substitutes in place of milk in cereals, coffee, and many sauces. Serving size is very important because most foods have phosphorus.

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