E 13: Phosphorus Intake and Chronic Kidney Disease: Phosphorus binders and more!

Episode 13: In this episode, we talk about all things phosphorous. What is it? Why is important for your health; How do you keep it under control?
0:00 Introduction
0:42 What is phosphorous and why is it important to our health and our kidneys?
8:30 What are the causes of low phosphorous or hypophosphatemia?
14:00 If your phosphorous is normal in CKD, should you still follow a low phosphorous diet?
15:23 What is the difference between animal vs plant-based phosphorous and organic vs inorganic phosphorous?
21:54 What are phosphorous binders and when are they prescribed?
Connect with us:
Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
www.instragram.com/seanhashmimd
Michele Crosmer, RD CSR
plantbasedkidneys.com/
/ plantbased.kidneys
Disclaimer
The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.

[@PlantBasedKidneyHealth]

Thanks for watching! We hope you found this topic helpful.

[@evelynaustria5227]

Can you pls. tell me what foods rich in phosphorus? I’m CKD stage 3B patient

[@nanaprn7809]

I'm a retired nurse practitioner who has CKD. I wish you two had been around when I was going through my education. I learned more about the topic today than I learned in two bachelor's and a master's degrees. Keep up your good work!!

[@PlantBasedKidneyHealth]

Wow, we love that we were able to help explain it well! Thanks for that feedback :)

[@mizzezdavis]

That's what's sad.. I have CKD as well & took nutrition as part of my PT training & the nutrition curriculum is so outdated/vague.

[@kathleenkayk]

I was probably stage 3 shortly after colectomy. No dr. said a word about diet, sodium, phosphorous, general malnutritition. That was 35 years ago. I now fluctuate stage 4-stage 2. I appreciate your info more than you could understand. Phosphorus has been a problem and no nephrologist has bothered to address.

[@hellogorgeousfarmhouse5313]

Thanks for the video, it freaked me out a bit, but it was explained very well and why it is so important. My nephrologist just basically said “try to keep your phosphorus intake down” it’s so frustrating with this disease that so many doctors don’t really educate and just basically want you to wait until things get worse and you need dialysis. I really appreciate your videos and information as I am finding that there are things we can do to try to slow the process. I wish you could be my Dr!!

[@PlantBasedKidneyHealth]

We're so so happy that our videos are helping you. Knowledge and education are so powerful with such a complex disease!

[@My2centsRC]

Yes thank you very much for this video it's helping tons. Nothing like doing your own research

[@MaryGatdula]

I think you do very well presenting the information. I had no idea the kidneys did so much in our body and even less knowledge of how everything revolves around another thing. It's very overwhelming and confusing, so you will never know how much I appreciate, not only all the information that you give, but also the way in which you give it. You explain the WHOLE picture and not just one side of it.

[@iansimmons2922]

.

[@iansimmons2922]

.

[@iansimmons2922]

.

[@youtubeisgodsblessing]

There is a couple of friends of mine who have randomly complained about bone pain, and they both have CKD and diabetes. They will both be surprised about the calcium. They love cheese and dairy. I thought it was the infrequent soda that might be the culprit for the bad phosphorus. I pray that they watch this and get everything that they need to change things.

[@PlantBasedKidneyHealth]

Thank you for sharing this with your friends. Phosphorus additives can be so sneaky and can be added to any type of food so it's always best to check the ingredient list of labels for "phos" anything!

[@qinriley8877]

Your video is very informative and encouraging to us with kidney disease. My husband has stage 3 CKD. After one month following plant based diet (90%), his GFR improved from 40 to 50. This gives him hope! Greatly appreciated your videos. You are saving lives ❤❤

[@PlantBasedKidneyHealth]

Thank you for sharing your husband's progress! So happy that he is seeing improvement already and that our videos are informative and encouraging :)

[@MariaRosa-gm5wz]

I have kidney transplant since 1/ 1995 all most 30 years. I didn’t eat meat since I had Kidney transplant. I am now stop eating fish and eggs. The Doctor didn’t tell me to stop, but my body telling me when I eating food is not good for me. If I knew this before I would probably safe myself for Kidney failure. Thanks for your advice. 🙏🏻

[@rathinbasu8299]

Marvelous presentations on your programs. Thank you for sharing your time and knowledge. Their value is incalculable.

[@youtubeisgodsblessing]

Wow! The genius behind making this video… God bless you! God bless the doctor giving the information too! This week I was legit looking up videos on phosphorus to help understand it better, and no one went into detail like folks with CKD need them to go into. You are ahead of the game; I’m so excited to watch this. I just restarted the video after grabbing my bowl of fruit. She ready! Liked 👍 Thanks so much!

[@PlantBasedKidneyHealth]

Yay! We are so happy you are finding it so helpful and glad we published it right when you were looking for more info on phos :) We will have another episode on phos next week too!

[@youtubeisgodsblessing]

@@PlantBasedKidneyHealth I can’t wait. This one was so good 😊

[@aprilgabutina6970]

Credible and reliable source of information. May God continue to use you to help other people with CKD. from nutritionist-dietitian in the Philippines. .

[@mard7569]

Thanks for the great explanation of phosphorus and the effects on our bodies! I will watch it again for sure!

[@PlantBasedKidneyHealth]

Re-watching will definitely be helpful as phos can be so confusing! Glad you were able to learn from it :)

[@linahtjung]

Thank you to both of you. Deeply grateful. ❤

[@kellidodson3943]

I wish that pre-renal education was more profitable or even mandated. To wait until a person reaches ESRD seems a disservice. A person should be well educated at the CKD level so that they have time and knowledge to delay or halt the progression of their renal decline😢

[@PlantBasedKidneyHealth]

We completely agree. The earlier the education the better

[@favourchristian5069]

I have noticed that most start having kidney problems after an injury, accident at the back region

[@coloursense3283]

Thanks very much!! Very helpful!! My dad is a dialysis patient CKD stage 5.. this video gave me so much info!

[@PlantBasedKidneyHealth]

So glad you found it so helpful!

[@My2centsRC]

What a wonderful video about pho thank you sooooooo much!

[@cowgirljones35]

Thank you both for explaining about PHOSPHORUS in CKD, in mid April my Cowboy goes to the doctor and I'm really excited to know what his lab work will show. I'm praying 🙏 he will still be in stage 3 low end. Exactly the lifestyle change in food will definitely 👌 💯 work by sticking with it. The only dark soda pop that doesn't have any PHOSPHORUS is A & W Root Beer, they only kind I offer to my Cowboy when we eat homemade pizza or black bean burgers. Happy March 🍀

[@PlantBasedKidneyHealth]

Lifestyle and food/nutrition play such a big role. Keep it up! :)

[@user-ip9fz1vs4x]

Very useful info. I live very far away. I follow you all the time. Best of all. Thanks lots

[@lelianaconstantinescu]

Thank you, very good information!

[@SarahCBorja]

Thank you for the knowledge ❤

[@latarai9877]

Thank you so much both of you though the topic is scary.. 🙏 kindly make a video on diet based on this topic.

[@PlantBasedKidneyHealth]

We will have part 2 on phosphorus coming out next week so stay tuned!

[@earthmombooks]

Thank you so much for this!!!

[@PlantBasedKidneyHealth]

We're glad you found it helpful! :)

[@pearlhoagland3174]

Enjoyed these presentations on the kidneys

[@PlantBasedKidneyHealth]

We're glad you enjoyed them!

[@miguellobos4102]

Amazing Info. 🙏

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@michaelluna1968]

I need to memorize what these awesome people say

[@lindabassettiross492]

Thank you soo Much!

[@PlantBasedKidneyHealth]

Of course! :)

[@favourchristian5069]

Thanks alot

[@joycebrady2335]

I LOVE the science. I finally understand MBD, the binders & the feedback loop. I agree with Nan, APRN. I am a retired NP also, but am learning all I can to help a family member. These video's are amazing. People with CKD can learn so much about the disease & how to remain as stable as possible. You two are wonderful! You give people some control over their disease. And, thank-you for the wonderful reminder that it's critical to read food labels (avoid PHOS!) & eat a healthy plant-based diet! I'm a health-nut & have read food labels for years but admit, I never looked for PHOS till now. I'm surprised how often I see it.

[@PlantBasedKidneyHealth]

So happy you're enjoying our videos, thanks for watching! Yes, it is shocking how many foods can have phosphorus additives in them!

[@cmdunn1972]

Well done! Michele, as your colleague Jen Hernandez has said while referring to how high phos leads to calcification of kidney arteries, phos is the silent killer of the silent killer which is CKD. I’m also glad you touched on phytates which bind the phos in plants. 👍

[@PlantBasedKidneyHealth]

So important to address the different absorption levels of phos! :)

[@cfrnserrano21]

somi just finished watching your video so i'm guessing the best thing to do is try finding balance between the foods that we eat, and porportion is key. so what foods are high in phosphrus and low in phrosphus? i was diagnosed with CKD and i will like to know is there a video on high and low foods containing phosphrate.

[@PlantBasedKidneyHealth]

We definitely need to do another episode on phosphorus so stay tuned! You can also check out Michele's other channel Plant Based Kidneys Kitchen where more diet/recipe information is discussed!

[@dannyiskandar]

This is priceless, thank you so much

[@gingermonroe4153]

Holy cow! A lot of the comments i agree w as drs do.not counsel on foods t eat n avoid n push us ckders into dialysis Your program is really great n very helpful I recently got addicted t thus Queso cheeze n eat less thsn an ounce every day w a little bit of chedder w a corn tortilla I also make berrie smoothies n do watch more of what i eat So much info out about lectins n oxalates in vegies Diserenment all the way around I like t drink soda made w stevia n i add unsweetened cranberry juice seems t help the urinary tract but never dark soda its gingerale I think i got ckd from constantly drinking diet cola when i was in my twenties now senior We are marketed very dangerous food items Look at a can of just regular soda 43grams of sugar from high fruit cirn syrup which is terrible for anyone Thank u both f ur lovely n informative info God bless And bless all folks out there struggling with ckd n lifes struggles I find having a gratitude attitude helps me execl🎉❤😊

[@alanng4754]

Hi I have a question regarding Calcium binders and you stated that you don't prefer Calcium based binders. Now What happens if you have to take a calcium supplement because you have Osteoporosis; a weakness of your bones. how can you avoid taking calcium that would bind with phosphorus in your system. Thank you

[@CraigMullins1]

11:01 - Whats the max vitamin d level you like to see and the minimum? Man you two are a wealth of information.

[@ivonebratton4152]

I don’t have paratireoide gland . I had tiroide cá and the doctor removed both

[@janaylsworth4375]

Thank you for this. I will definitely watch it again. I already eat a plant-based diet and avoid processed food, but my labs for ostopenia evaluation this year are showing a phosphorus of 5.3. The same thing happened last year, and I managed to get it down to 4.3 by counting mgs, though I understand your point about differences in absorption. Am also trying to drink more water. Am concerned, though about whether I am getting enough protein, and also whether an est GFR of 76 is anything to worry about. My primary care physician left, so I am currently searching for a new one. Thanks again!

[@PlantBasedKidneyHealth]

We will have an episode on bone health and CKD coming out in the near future, so stay tuned for that! You can try tracking your intake in an app like cronometer.com to see roughly how much protein you're getting each day!

[@janaylsworth4375]

Thank you!@@PlantBasedKidneyHealth

[@xijinping7802]

One culprit without knowing it in high phosphorous is the coffee creamers. I experience it. It's awful. It's late when I red the label in instant coffee with creamer is dipotassium phosphate😡

[@PlantBasedKidneyHealth]

YEP! Checking the label for phosphorus additives is so important!

[@xijinping7802]

@@PlantBasedKidneyHealth thanks for the info shared doctor.

[@sandramurkerson9041]

I didn't know this..I drink alot of creamer 😮

[@saifsoomro6947]

Thanks helpful for me as I am ckd patient stage 3 but now I am tofacing bone pain and itching I am using calci is it ok for me

[@adadioramachukwuneta5627]

Thank you Doctors. Can I take lemon and green tea

[@CraigMullins1]

Here's another question to add to the pool :) What are ideal iron numbers from the the batch of iron tests? If a low normal iron test or slightly below normal, dr says the typical "don't worry about it". Would being in the middle of normal be better. How long does it take to bring up iron numbers? How will you feel from low iron? already take a over the counter iron pill 18 mcg, not enough. still low. Side effects of OTC iron pills and prescription iron pills? What other labs will change when getting a more ideal iron level? and maybe one related to iron or maybe seperate? Will raising my iron levels increase platelet count? Mine are around 100. How do I increase it to be more "normal"? I am on chlosteral meds, blood pressure meds, RX omega 3's, and baby aspirin. Have had a heart attack in the past and lots of plaque in my artery's. So it it better to have the low platelet count? Is that making my chances of having a heart attack less? Any way to find out whats causing platelets to be low? Does aspirin make it that low? The RX omega 3's didn't change the number. I tested both before nad after taking those.

[@sam94565]

🙏🙏🙏

[@jillijewel8922]

the parathyroid gland..... we need Vitamin D to control it? But we also need *a bit* of calcium to bind phosphorous? Or calcium really bad with phosphorous?

[@My2centsRC]

Do u know if I get my pho in check the itchiness will go away?

[@charlessavoie2367]

I have an Rx for calcium acetate. 1 capsule wasn't getting the job done. The greedy doc said "you can take two," so I did and had diarrhea. Now I take 1 only and add 1 capsule of magnesium carbonate, no distress, better results.

[@PlantBasedKidneyHealth]

Glad you found what works for you!

[@nanaprn7809]

When you talk about medicine that might not be well known could you spell them or list them in the comments. What I thought I heard you say was Orexia and welflora. Was that correct??

[@PlantBasedKidneyHealth]

Auryxia and Velphoro are two iron based phosphorus binders that can be prescribed. Other common phosphorus binders are Calcium Acetate (PhosLo), Sevelamer Carbonate (Renvela), and Fosrenol.

[@favourchristian5069]

Please 🙏 how effective is lemon water to kidney health?????

[@liewinarto5115]

Doctor, I am 49 years old, male, chinese indonesian, my latest creatinin is 2.33 and GFR 32. Can I drink some milk made of whey? Please give me the reason(s). Thanks

[@chamanlallprakash6796]

How can I join at the initial stage of the webinars

[@megeek727]

Another Vote for a video segment discussing iron deficiency. My iron numbers are low too. I recently started cooking with iron pots hoping that an adequate amount of the iron would leach into the food. I am feeling better but have not had a followup lab test to confirm the numbers are better. I read that supplementing with iron tablets can be dangerous. I would like to hear what Dr. Hashmi recommends in his practice.

[@PlantBasedKidneyHealth]

Great suggestion! We will make sure to address iron deficiency and anemia secondary to kidney disease in an upcoming episode.

[@My2centsRC]

Also how long does it take when one is serious and completely changed their diet to plant side and no meat that one can get the pho in check. I know it's important to get blood work and checked to see the numbers but some people can't do that I have the means to money wise or insurance. Do you know the number and phosphorus level does someone with CKD need to be?

[@PlantBasedKidneyHealth]

Normal blood phosphorus level is 2.8-4.5 mg/dL. Phosphorus changes in blood can be seen within a week or two of making changes.

[@brianlwhitney54]

When say phosphorus level, is that checked by blood work Or are checking by urina

[@PlantBasedKidneyHealth]

bloodwork!

[@evelynaustria5227]

May I know what foods are rich in phosphorus, or high in phosphorus?

[@favourchristian5069]

What are binders please

[@rationalsage1084]

Can I take creatine monohydrate?

[@KamranKhan-wp4nh]

Hi I have PKD and I am looking all the info to control with my diet and looking a dietitian to work with. And I am on JYNARQUE I wonder you can help me work with me?

[@PlantBasedKidneyHealth]

Hello! There is a database of renal dietitians you can check out for help finding one to work with. www.kidney.org/ckdrd

[@user-hi5xj9ob9r]

❤ Well Ther Isnt Very Food We Can Eat l Am Confused People Have So Diffent Opions

[@ivonebratton4152]

I have a kidney stone. , pré diabetic artrites and gout. I want to eat very natural

[@carissarea6442]

What if my kidneys have been removed?

[@cindyengland9669]

I'm so confused 😕

[@jemmaroberts8972]

What foods and drinks that are high in phosphorous?

[@PlantBasedKidneyHealth]

Milk and chocolate products are high in naturally occurring phosphorus. Many drinks are high in added phosphorus (like dark sodas, some bottled/canned teas). You'll want to check the label and look for any ingredient with "phos" in it. Phosphorus acid is a common one added to beverages.

[@sandramurkerson9041]

What is phosphatase? Mine is 101 iu

[@rupachinai4932]

Is cofee creamers are bad for CKD? I was told not to take milk but use coffee creamers. Please tell so I can stop taking Nestles coffee mate.

[@PlantBasedKidneyHealth]

Most store bought coffee creamers have ingredients that aren't ideal (including phos additives). Here is a link for a recipe for an easy homemade creamer! kzbin.info/www/bejne/iYPWgJhsg82indk

[@yungnajera4408]

What is phosphorus?😊

[@user-hi5xj9ob9r]

❤ Is It All Right To Eat Chicken And Fish

[@Jasmine-uw1hh]

Why you make everything so complicated