Those of you following this blog know that recently my labs indicated a low albumin reading of 3.1. To increase this reading to the desired over 4 result, it has been recommended by my dialysis team that I increase my protein intake. But the nagging question of how much protein to shoot for, and what is “enough” were not addressed. I should probably have quizzed my team’s dietician about this but I didn’t. This blog delves into the question posed below to Perplexity:
My albumin is 3.1. I’m on peritoneal dialysis. What is the maximum protein input per meal and day that I should input to bring albumin up and how long should it take?
Given your albumin level of 3.1 while on peritoneal dialysis, here are some recommendations to help increase your albumin:
Protein Intake Recommendations
- Daily protein intake: Aim for 1.2-1.3 g of protein per kg of body weight per day[2][3]. I weigh roughly 64 Kg. So my daily allotment of protein is 77 to 83 g.
- Per meal: Try to include 20-30 g of high-quality protein at each meal[4].
Strategies to Increase Albumin
- Include a protein source at every meal and snack[2].
- Focus on high-quality protein foods like lean meats, fish, eggs, and dairy products[4].
- Consider protein supplements like Greek yogurt, protein powders, or renal-specific nutrition drinks if recommended by your dietitian[4].
- Eat your largest meal when your appetite is best[1].
- Have protein-rich snacks between meals and before bed[1].
Timeline for Improvement
Albumin builds up slowly in the body. It may take 3 weeks or more of consistent, adequate protein intake to see an improvement in your albumin levels[1]. However, individual responses can vary, so continue working closely with your healthcare team to monitor your progress.
Remember to balance your protein intake with other aspects of your renal diet, such as phosphorus and potassium restrictions. Consult your nephrologist and renal dietitian for personalized recommendations tailored to your specific needs and medical condition.
Citations:
[1] https://www.stjoes.ca/patients-visitors/patient-education/a-e/PD%203904%20Albumin.pdf
[2] https://www.kidneyfund.org/article/dietitians-guide-protein-people-dialysis
[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372871/
[4] https://www.davita.com/diet-nutrition/articles/advice/15-kidney-friendly-protein-foods-for-keeping-albumin-up
[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678603/
[6] https://my.clevelandclinic.org/health/diseases/22529-hypoalbuminemia
[7] https://www.efsa.europa.eu/sites/default/files/efsa_rep/blobserver_assets/ndatolerableuil.pdf
[8] https://www.kidney.org/kidney-topics/ckd-diet-how-much-protein-right-amount
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