One of the most important measurements accomplished in a PD patient’s monthly labs is the phosphorus finding. My dialysis team looks at all of the results, but concentrates on Kt/V, calcium, A1C, potassium, and phosphorous, at least seemingly. Since my past phosphorous reading was too high, I have been concentrating on getting it back down. As part of this effort, I asked Perplexity what foods I should be avoiding with the following results. Read and Heed! (The lead picture from Poe is its rendition of the element Phosphorous.)

For patients on peritoneal dialysis, it’s important to limit phosphorus intake as the treatment may not remove enough phosphorus from the body. Here are some high-phosphorus foods to avoid or limit:

  1. Dairy products: Milk, cheese, yogurt, ice cream, and pudding
  2. Processed and packaged foods: Lunch meats, canned iced teas, and bottled beverages with phosphate additives
  3. Cola and dark sodas
  4. Nuts and peanut butter
  5. Dried beans and lentils
  6. Whole grains: Brown rice, oat bran muffins
  7. Chocolate and caramel candies
  8. Organ meats: Liver, sweetbreads
  9. Fish roe and sardines
  10. Beer and ale
  11. Processed meats: Hot dogs, bacon, sausage
  12. Pizza

When reading food labels, look for ingredients containing “phos” to identify hidden phosphorus additives. Choose alternatives like rice milk, almond milk, white rice, and fresh fruits and vegetables. It’s crucial to work with a kidney dietitian to develop a personalized meal plan that balances nutrient needs while controlling phosphorus levels.