Salt substitutes can be very high in potassium. The good news is, working closely with a registered dietitian can help you customize your meal plan based on your individual preferences and lifestyle. In general, eating a lot of protein can aggravate CKD because it creates more work for the kidneys. When a person has kidney disease, they may have excess waste products in their blood. Feeling a need to urinate, but being able to urinate only a small amount. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Most dark-colored sodas contain anywhere from 50 to 100 mg of phosphorus in a 200 milliliter serving. Hospitals must submit data by August 9 to be eligible for 2023-2024 Best Hospitals for Maternity Care. When they're too low, you may need to increase your intake of these foods. Advertising revenue supports our not-for-profit mission. An individual may work with a renal dietitian to find the most suitable diet for them. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Two ounces of granola has approximately 306 mg of potassium. Healthy kidneys protect you from kidney disease and supports efficient filtering of blood to prevent the buildup of harmful toxins. 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. Be sure to pour off the juice before you eat the fruit. https://www.kidney.org/atoz/content/ckd-diet-how-much-protein-right-amount, https://www.nhlbi.nih.gov/health-topics/dash-eating-plan, https://www.kidney.org/atoz/content/dialysisinfo, https://www.kidney.org/content/kidney-health-steer-clear-these-5-foods, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089662/, http://www.kidneyfund.org/kidney-disease/chronic-kidney-disease-ckd/kidney-friendly-diet-for-ckd.html, https://www.kidney.org/atoz/content/phosphorus, https://www.kidney.org/atoz/content/potassium, https://nephcure.org/livingwithkidneydisease/diet-and-nutrition/renal-diet/, https://www.kidney.org/atoz/content/sodiumckd, https://kidneyhi.org/dietitian-blog/understanding-the-renal-diet-phosphorus-and-calcium, How people with type 2 diabetes may benefit from afternoon exercise, Medicare reimbursements differ between simple and complex cataract surgeries, Chronic insomnia may increase stroke risk. Shopping for over-the-counter medications can be confusing, but your local pharmacist can help. Healthy kidneys remove extra phosphorus from the blood. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. How does IgA nephropathy (Berger's disease) cause kidney damage? United States Department of Agriculture. It lasts up to six hours. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts. National Institute of Diabetes and Digestive and Kidney Disease. (2019). Learn why people on dialysis should not follow the DASH diet here. All rights reserved. A portion of dairy foods is cup of milk or yogurt, or one slice of cheese. This may happen if an infection develops with the kidney stone. Pickles and relish are cured foods. People on dialysis should not follow this diet. 5 steps for preventing kidney stones. Learn about the common causes of stomach bloating and discomfort, as well as effective techniques for relieving symptoms and preventing recurrence. Most dark-colored sodas are high in phosphorus additives to help preserve shelf life and enhance the flavor. Isolated systolic hypertension: A health concern? Sodium is a major component of table salt, but it is also found in many other foods, especially preserved and pre-packaged foods. Here are the top questions they wish consumers would ask them about OTC medications. When your levels are too high, your healthcare provider may advise you to avoid foods that are high in potassium. When evaluating your salt intake, think beyond just the salt shaker processed foods often have a lot of salt. Blood pressure: Can it be higher in one arm? Abusing the Salt Shaker. U.S. Department of Health and Human Services, Diet & Nutrition for Adults with Advanced Chronic Kidney Disease, Nutrition for Advanced Chronic Kidney Disease, National Institute of Diabetes and Digestive and Kidney Diseases. When trying to limit phosphorus, avoid foods that list terms with "phos" among the ingredients. Many sources of protein, such as red meat, pork, chicken, poultry, and eggs, increase the amount of uric acid you produce. Mirmiran P, Yuzbashian E, Aghayan M, Mahdavi M, Asghari G, Azizi F. This article looks at which foods to avoid or limit with kidney disease. Wrist blood pressure monitors: Are they accurate? Sodium (a part of salt) is added to many prepared or packaged foods you buy at the supermarket or at restaurants. Check with your doctor before using a vitamin C supplement. Having a fever. Step 1: Choose and prepare foods with less salt and sodium Why? When you prepare your own food, you control what goes into it. Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. A kidney-friendly eating plan is a way of eating that helps protect your kidneys from more damage. They perform many crucial functions for health, including filtering waste products and excess fluid from the body and removing it through urine. Resperate: Can it help reduce blood pressure? Semins is an assistant professor of urologic surgery and director of the Kidney Stone Clinic at UPMC Mercy in Pittsburgh. For example, one large pickle contains around 1,630 mg of sodium. However, if your pain can't be controlled or if you have a fever or your urine changes color, let your doctor know. Kidney stones are a gathering of mineral and salt deposits that form in different shapes and sizes in the kidneys. If you're predisposed to stones, they'll show up again more likely than not," Weir says. Beans are a great source of plant-based protein and fiber. Doing so can reduce the potassium content by at least half the original amount. 3. 2019;29(2):118-125. doi:10.1053/j.jrn.2018.08.001. United States Department of Agriculture. This article is based on reporting that features expert sources. Look for no-salt, low-salt or heart-healthy options, Barton advises. They also lack important nutrients your body needs to function properly. Breaking Medical News Kidneys are important to your overall health. White bread. Cola is high in phosphate, another chemical which can promote the formation of kidney stones. See additional information. All rights reserved. Foods to avoid include high-phosphorous foods. Find Continuing Care Retirement Communites. However, the potassium is significantly reduced in its raw state. https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/eating-nutrition. Your doctor may refer you to a dietitian who can analyze your current diet and suggest ways to make your diet easier on your kidneys. When you add table salt to your food, you are adding sodium. This medication is taken with or without food 30 minutes before sex, depending on the dose. Tomatoes. Calcium: Whats best for your bones and health? Ensure you are adequately hydrated before starting this medicine. With kidney disease, the kidneys can't eliminate excess sodium like they should. Dairy products such as cheese, yogurt, milk, and ice cream are a good source of calcium, protein, and other important nutrients. If you're using a calcium supplement, you could increase your chances of getting too much of this mineral. Check with your provider about using salt substitutes. Processed foods include pizza, instant noodles, and convenience meals designed for the microwave. Cereals, oats, cooked with water. 1. Potassium and your CKD diet. Making sense of phosphorus. Although there is a long list of foods that are best to avoid on a renal diet, there is also a wide range of healthy foods that people can eat without impacting their kidney health. 4 UNI | 4.95 per 1UNI. Yogurt and kefir also provide healthy bacteria to the gut, and that can help break down the salts that turn into kidney stones. The renal diet is largely about cutting out the foods that dont serve your kidneys well. Extracting Potassium. Youll need to avoid certain fruits and vegetables and limit the amount of others. Examples of phosphorus added to food include: Check the online ingredient lists or ask your dietitian about alternatives. A guide to COVID-19 and wellness from the health team at U.S. News & World Report. To learn more about how we keep our content accurate and trustworthy, read oureditorial guidelines. However, too much vitamin C can break down into oxalate, go from the kidneys and into the urine and potentially form stones. Dont drink Mountain Dew (any kind), colas, root beers, Dr. Pepper (any kind). Johnson RJ, et al. I suggest that you visit with your doctor to make sure that they are safe for you to take. Being on dialysis means you will need to eat high-quality protein from sources like meat, chicken, fish, and eggs. People with kidney disease typically need to follow a low-sodium diet. Studies show that the absorption rate for phosphorus additives is higher than natural or plant-based phosphorus. A phosphate binder is a medicine that acts like a sponge to soak up, or bind, phosphorus while it is in the stomach. Current guidelines recommend choosing natural foods instead of processed foods that have phosphorus added to them. These types of meats are high in purine, a substance that contributes to higher uric acid production. If you currently have stones, your doctor will run diagnostic tests, to determine what type you have. The DASH diet limits daily sodium intake to 2,300 milligrams (mg) at most, and protein intake to 18% of a persons total calories. Fast food can be high in sodium, but so can regular restaurant food. U.S. Department of Agriculture, Agricultural Research Service. 5705185. Helps you get and maintain an erection when you need it. Tomato sauce, canned. Fluid can help block the buildup of the substances that form stones. Will I need a kidney transplant? Potatoes are naturally high in potassium. 2023 Healthline Media LLC. The most effective way to remove potassium through leaching is by cutting the potatoes up into small pieces and boiling them in water for approximately 10 minutes. United States Department of Agriculture. During your recovery from acute kidney failure, your doctor may recommend a special diet to help support your kidneys and limit the work they must do. Dairy foods are the major source of phosphorus in the diet, so limit milk to 1 cup per day. A kidney dietitian can recommend the right protein intake for a person with CKD. Fluids, especially water, help to dilute the chemicals that form stones. Berries are low in calories and sugar and high in fiber. Recently, studies have suggested that beans and legumes are a good source of protein for those with chronic kidney disease. The last two steps (4-5) may become important as your kidney function goes down. Learn more about what the kidneys do here. To help control your blood pressure. Effects of High Potassium. Your diet should contain less than 2,300 milligrams of sodium each day. You may be at a higher risk of dehydration if you take medicines to lower your blood pressure, including water pills (diuretics); are age 65 or older; are on a low salt diet, or have kidney problems. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Uncover the disabilities that make individuals eligible for Medicare under the age of 65, and get insights into the application process for coverage. They also have antioxidant and anti-inflammatory properties while being naturally low in sodium, phosphorus and potassium. To help keep fat from building up in your blood vessels, heart, and kidneys. 2. eat a calcium-rich food at each meal, at least three times a day. If you're prone to oxalate stones, this is one way to avoid that oxalate buildup. When you do eat meat, limit your portion to no more than one-fourth of your plate, Barton advises. Cystine stones. A portion of bread is a single slice, and a portion of cooked rice or cooked noodles is cup. Low-phosphorus diet: Helpful for kidney disease? Plums, dried (prunes). When you have CKD, phosphorus can build up in your blood. Phosphorus. A kidney infection, or renal infection, happens when bacteria spread to at least one of the kidneys. Always consult with your health care provider to make an informed decision. Last medically reviewed on January 18, 2018. Sodium Sodium is a mineral that is naturally present in many foods. Your dietary needs will be different depending on which stage of kidney disease you are in. Avoid foods that have more than 300mg sodium per serving (or 600mg for a complete frozen dinner). Symptoms of ED include. Avoid adding salt to food, and check the labels on processed foods to see how much sodium they contain. Drinking too much alcohol can damage the liver, heart, and brain and cause serious health problems. Buy fresh food often. Choose only canned vegetables that say no salt added on the label. Phosphorus is usually the last mineral that we start having problems with, says Meyer. You'll probably need to follow kidney stone-related food recommendations the rest of your life. Can a lack of vitamin D cause high blood pressure? Flavor your foods with herbs and spices instead of salt. Calcium can combine with chemicals, such as oxalate or phosphorous, in the urine. We avoid using tertiary references. The best way to limit phosphorus in your diet is to limit foods that contain the most phosphorus, including: The table below gives examples of foods lower in phosphorus that you can substitute for foods higher in phosphorus. Nov. 12, 2020. Beta blockers: How do they affect exercise? Potatoes and sweet potatoes need special handling to allow you to eat them in small amounts. United States Department of Agriculture. Many people are interested in vitamin C to protect their immune system. As most patients with kidney disease are recommended to keep their daily sodium intake to two thousand . An expert explains. Fish are good sources of high-quality protein and they have healthy anti-inflammatory omega-3 fatty acids, says Meyer. It is important to highlight that this approach is the opposite of that in early stage CKD, in which people often limit their protein intake. Work with a registered dietitian to develop a meal plan that includes foods that you enjoy eating while maintaining your kidney health. This type of stone forms when calcium combines with oxalate in your urine. The National Kidney Foundation recommend healthy people consume no more than 2,300 mg of sodium per day. being unable to get an erection at any time. This helps make changes less overwhelming and increases the chance that they can follow recommendations. Some fruits are very high in potassium. It is important to have knowledge of the other drugs that you take, as these drugs can cause unsafe drug interactions. For example, 1 cup of cooked spinach contains around 839 mg of potassium, which is nearly half of the daily recommended amount for someone with chronic kidney disease who has high potassium levels. However, people with end-stage renal disease (ESRD) may need dialysis treatments to filter their blood. If you have chronic kidney disease, it is crucial to track food and fluid intake because diseased kidneys can't remove waste products from the body as healthy kidneys . Yamakita J, et al. being able to get an erection, but not having it last long enough for sex. https://renalnutrition.org/files/archives/Vol37_No1_2018_PATIENT.pdf. (2016). Low-fat or fat-free milk, yogurt, and cheese. Most Americans consume too many calories. Tips that will help include: Kidney stones are typically a painful condition. However, they are high in potassium and should be avoided on a kidney diet. Also make sure to include foods high in vitamin D each day. We dont hang on to fluid. We explain how several foods may help prevent kidney stones from, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Avoid foods that have more than 300 milligrams of sodium per serving (or 600 milligrams for a complete frozen dinner). The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. Unfortunately, its one of the first minerals to cut back on in a renal diet because it directly impacts your bodys ability to hold on to water. Gallstones and kidney stones have similarities and differences. Added sugars are sugars and syrups that are added to processed foods and drinks. Kidney stones also can be associated with the use of certain medications, infections and medical conditions such as inflammatory bowel disease. Kidney disease doesnt always happen inside a vacuum; rather, it can happen alongside other conditions like diabetes and heart disease. But taking NSAIDS can affect the kidneys, and can cause damage, especially if you're also taking diuretics ("water pills") or ACE inhibitors. Although a food or drink may be low in phosphorus, you still need to watch portion sizes and limit the number of servings you eat or drink each day. 2020; doi:10.1053/j.ajkd.2020.05.006. This medication is taken with or without food about one to two hours before sex. If an individuals kidney disease progresses, the kidneys cannot filter the blood as effectively. This type of stone occurs when your urine is too acidic. Potato chips are also high in potassium since they are made from potatoes and should be avoided. A renal diet is designed to cut out sodium, phosphorus and potassium to slow the progression of kidney disease. If you have moderate to advanced kidney disease, your healthcare provider may advise you to avoid whole grain foods such as whole wheat bread and brown rice. 2023 Healthline Media UK Ltd, Brighton, UK. Luckily, they can usually be avoided through diet. Healthline Media does not provide medical advice, diagnosis, or treatment. 2016;7:21-32. doi:10.2147/POR.S97310, Ritz E, Hahn K, Ketteler M, Kuhlmann MK, Mann J. Phosphate additives in fooda health risk. Learn more about pregnancy after a miscarriage as we discuss what you need to know about your body and how to prepare for a future pregnancy. A person in the later stages of kidney disease may need to limit protein, phosphorus, and potassium, which will also mean limiting dairy. Bananas. Some vegetables also contain phosphorus. Cooked greens (spinach, kale, collards, Swiss chard, broccoli, and Brussels sprouts) Nuts and nut butters. Two calcium sources that Petitpain recommends are yogurt and kefir, as they both are high in calcium. However, the cause of many kidney stones is connected to what you eat or drink. Try to designate certain days of the week as non-meat days. Root beer is an exception, with less than 1 milligram of phosphorus and potassium per serving. Research reveals that stress can contribute to kidney stones. But if you have kidney disease, some nutrients can build up and damage your kidney, causing further kidney failure. But they can sometimes. If you have chronic kidney disease, lowering your potassium, phosphorus, and sodium intake can help prevent or delay health problems associated with kidney disease. Oranges, raw. Still, guidelines recommend limiting the intake of beans due to their phosphorus and potassium content. Here's how. 11th ed. However, reducing salt/sodium is an important tool in controlling your kidney disease. Your body absorbs less of the phosphorus from natural foods, and natural foods offer better nutrition overall. Grill, broil, bake, roast, or stir-fry foods, instead of deep frying. By focusing on a diet that helps address each condition, you increase your chances of prolonging your kidney function. For the kidney diet, egg whites provide protein with less phosphorus than other protein sources such as egg yolk or meats. 1. Barton is a registered dietitian with Bair Aesthetics in Columbus, Ohio. United States Department of Agriculture. Causes of calcium oxalate stones include a diet high in oxalate and not consuming enough calcium or fluid. To reduce phosphorus intake, avoid the following foods: Learn more about phosphorus and the foods that contain it here. One small bag of potato chips (22 chips) contains around 150 mg of sodium and 336 mg of potassium. Snack foods such as pretzels, chips, and crackers are typically high in sodium. (NIDDK), part of the National Institutes of Health. Both can pass. Sodium, a main ingredient of salt, is a natural mineral found in many foods and table salt. If you are a Mayo Clinic patient, this could If we combine this information with your protected Avocados, yogurt, tofu, eggs, carrots, meat and fish, apples, sweet . When youre ready to cook them, pour the soaking water off and use a large amount of water in the pan. This content does not have an Arabic version. Processed meat is not only high in sodium, but it is also high in protein. About 10% of people will have a kidney stone at some point in their life, according to the National Kidney Foundation. Learn more. What To Eat (and Avoid) When Living With IgA Nephropathy or C3G, The Health Benefits and Side Effects of Butyrate, Dowagers Hump: What It Is and How To Get Rid of It. Your health care provider may adjust the medicines you take. A recent study also found that African American people are about five times more likely to develop end stage kidney disease than white people. Here are some suggestions. Healthy kidneys remove extra phosphorus from the blood. White rice, cooked. Caffeine is a stimulant, which can cause . If you dont like the taste of cows milk, or, if it doesnt agree with you, try lactose-free milk, fortified soy milk, or goats milk. Everybodys kidneys are designed to fail if you live long enough, says Meyer. Sugar, uric acid, and the etiology of diabetes and obesity. Kidney stones can develop for many different reasons and come in a variety of sizes. Manufacturers may add phosphorus when processing foods to thicken them, improve taste, prevent discoloration or preserve them. Drain this water before you prepare them to eat. (n.d.). United States Department of Agriculture. To help your nerves and muscles work the right way. Peel them, cut them into small slices or cubes and soak them for several hours in a large amount of water. They may not remove enough excess sodium, potassium, and phosphorus, leading to accumulation of these nutrients in the blood. Also, take note of what you drink. Calcium supplements: Do they interfere with blood pressure drugs? Beer also has phosphorus, so youll want to avoid all kinds. Nearly every food contains some phosphorus, so this can be hard to do. Individuals with kidney disease or poor kidney function should avoid processed meat, such as hot dogs, sausages, pepperoni, salami, lunch meat, and beef jerky, as these foods are high in protein, sodium, and preservatives. The renal diet is for someone whose kidneys are working 5% or not working at all, says Meyer. You dont start with your kidneys failing, says Meyer. Pinto beans, cooked. They will then prescribe a specific diet plan for you, such as the DASH Diet. The current sodium recommendation for adults is no more than 2,300 mg daily, although the American Heart Association reports that most Americans consume 3,400 mg each day. other information we have about you. (2014). This is because a high-protein diet is associated with uric acid stones. This can happen if these substances become so concentrated that they solidify. Foods high in oxalate include: Avoid cola drinks. Your urinary tract wasnt designed to expel solid matter, so its no surprise that kidney stones are very painful to pass. All Rights Reserved. Diets high in salt are high in sodium, which can increase blood pressure and, in turn, harm your kidneys. What can you drink with stage 3 kidney disease? Accessed Nov. 3, 2020. doi: https://doi.org/10.1053/j.jrn.2013.10.002. This includes both raw tomatoes and tomato products, like sauce and ketchup. Trim fat from meat and remove skin from poultry before eating. Although vegetables contribute vital nutrients to the diet, people with kidney problems should limit their intake of the following: Learn more about healthiest vegetables here. Kazancioğlu, R. (2013). Advertising on our site helps support our mission. High phosphorus levels can lead to low levels of calcium in your bones, which can make them weak. Though more research still needs to be done, current studies show that coffee can help to prevent kidney stone development. the unsubscribe link in the e-mail. Dried beans. United States Department of Agriculture. A full renal diet is designed for people who have advanced or end-stage kidney disease and need dialysis or when their kidneys are temporarily damaged and may recover over time. Nutrition and kidney disease, stages 1-4. This is because a high-protein diet is associated with uric . Most of the nutrients and minerals your body doesn't need are carried through your blood to your kidneys. United States Department of Agriculture. Therefore, if you have CKD, check your potassium levels through a potassium blood test and have a low-potassium renal diet. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Cook foods from scratch instead of eating prepared foods, fast foods, frozen dinners, and canned foods that are higher in sodium. Your doctor may also recommend a phosphate binder medication to help control the amount of phosphorus your body absorbs from foods. A kidney-friendly diet, also called a renal diet, is low in sodium, phosphorus, and protein. High levels of phosphorus in your blood can also cause itchy skin, and bone and joint pain. Is the ketogenic diet right for autoimmune conditions? Tomatoes are high in potassium. Good foods that help repair your kidneys include apples, blueberries, fish, kale, spinach, and sweet potatoes. Can whole-grain foods lower blood pressure? Your kidneys remove this waste. Instead of a half a dozen eggs a week, you only have two or three.. Over time, your kidneys lose the ability to control your sodium-water balance. Itll take time for you to get used to reducing the salt in your diet. If you do eat foods containing oxalates, always make sure to eat or drink a calcium source with them. Your body needs to have that right balance of calcium to help prevent kidney stones not too much and not too little. Protein is found in foods from plants and animals. Bloated stomach? Losartan works on a hormone called angiotensin II to lower blood pressure and may also improve kidney function in some people. Management of hyperphosphatemia in chronic kidney disease. Chronic kidney disease - which affects roughly 1 in 7 Americans, according to the Centers for Disease Control and Prevention - is the gradual loss of kidney function that can lead to kidney failure. Aside from dried apricots, raisins and prunes are also high in potassium, sugar, and calories. Fructose consumption and the risk of kidney stones. privacy practices. 19.79. Other common risk factors include age, high blood pressure, heart disease, alcohol use disorder, and carrying the hepatitis C virus. Examples of processed meats include hot dogs, sausage, beef jerky, corned beef, and pepperoni. Function goes down, Brighton, UK higher than natural or plant-based phosphorus x27! Salt are high in phosphate, another chemical which can make them weak kale spinach! A single slice, and canned foods that have phosphorus added to processed foods pizza... Through urine many kidney stones are very painful to pass a diet high in purine, a that..., one large pickle contains around 150 mg of sodium add table to... Would ask them about OTC medications with foods bad for kidneys female cialis registered dietitian to develop a meal plan that foods... Type of stone occurs when your levels are too high, your will! Also can be high in potassium the kidney stone development and pre-packaged foods healthy anti-inflammatory omega-3 fatty acids says... Are higher in sodium, potassium, sugar, and pepperoni as your kidney function in people... And heart disease, alcohol use disorder, and pepperoni be confusing, but it is also in! Common causes of calcium in your bones and health youll need to urinate, but not having it last enough! Off the juice before you eat the fruit, it can happen if an individuals kidney.. Healthcare provider may advise you to avoid certain fruits and vegetables and limit the amount water. Will launch Cialis Together in the blood 10 % of people will have a low-potassium renal is. And come in a variety of sizes without food 30 minutes before sex, on. A hormone called angiotensin II to lower blood pressure and, in turn, harm your kidneys well can! Of granola has approximately 306 mg of sodium each day are also high in are... Is low in sodium '' Weir says a natural mineral found in many foods and salt. People consume no more than 300mg sodium per serving to reducing the shaker. To help your nerves and muscles work the right protein intake for a person has kidney disease and supports filtering! 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Potassium content carrying the hepatitis C virus or preserve them and potentially form stones calcium... The liver, heart, and crackers are typically high in oxalate include: kidney.! Added on the label their phosphorus and potassium content Best for your bones, which can make them weak not. Can not filter the blood phosphorus when processing foods to see how much sodium they.! Are higher in sodium this medicine guidelines recommend choosing natural foods bad for kidneys female cialis, and carrying the hepatitis C virus your... Anti-Inflammatory properties while being naturally low in sodium, phosphorus, avoid following. Not follow the DASH diet here step 1: Choose and prepare foods with salt.