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Dairy on Dialysis

nephroplus | July 1, 2021

-Apeksha Ekbote

Msc,RD

Chief Dietician, Nephroplus

Dairy products are generally defined as food products that are produced from milk. Milk of various types (including whole milk, skim milk, buttermilk), yoghurt, cheese (e.g. Swiss cheese, cheddar cheese, cottage cheese), and ice cream are dairy products.

Dairy foods are a common source of calcium in our diet. We need calcium for keeping bones and teeth strong and helping muscles contract, some blood clotting functions, and several nerve functions. When you need to limit intake of dairy products due to decreased kidney function, your calcium intake may be lower. Dairy products are also rich in Protein, Potassium and Phosphorus. Healthy kidneys help remove extra phosphorus that the body does not use each day. With reduced kidney function one may need to limit intake of foods high in phosphorus to control how much phosphorus gets into your bloodstream.

One need not completely avoid Milk and Milk products but restrict them to 300ml per day to keep your phosphorus levels under control

A few dairy products and alternatives with their nutritional information per 100gms is given below for your reference (Reference –Indian Food Composition table-2017)

Dairy ProductCalcium (mg)Phoshphorus (mg)Protein (gm)Potassium (mg)
Cow Milk11896.563.26115
Buffalo Milk12186.43.68109
Curd149933.1130
Paneer(cow milk)47633018.8663.53
Almond Milk9090.6140
Soya Milk (as per US-FDA)101693.5158

With many plant-based milks available, shelf-stable or refrigerated, even people with kidney disease can find milk that is good for kidney disease. One can choose for dairy substitutes that are lower in Phosphorus such as Soya Milk, Almond Milk, or low phosphorus yogurt. You can check with your dietician for the best suitable options which are available for you.

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