Why is it so important to be in control There’s a lot you can do to feel better and of your phosphorus balance? stay healthy. Here are three ways to stay Dialysis. People often use a filter in control and in balance: to remove particles and other 1 Dialysis impurities from the water they drink. Never miss or leave early In a similar way, people with kidney from your scheduled disease need dialysis to filter out dialysis session. excess phosphorus and other toxins from their blood. Although dialysis removes some of the excess phosphorus, it does not remove 2 Food choices all of it. Follow the diet your dietitian Food choices. Dialysis alone can’t developed for you. Watch control phosphorus completely; you your phosphorus, sodium, must manage how much of it goes potassium, and calcium intake. into your body. Your dietitian will explain to you which foods are high in phosphorus and how to adjust your food choices. 3 P hosphate binder Remember to take your Binders. Just as a sponge can prescribed dose of phosphate soak up excess water, phosphate binder with every meal. binders absorb excess phosphorus Your low-phosphorus from the foods you eat to help keep your phosphorus levels healthy. food guide ©2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY. All rights reserved. US.SEV.12.10.019 Phosphorus food guide1 Instead of eating this Consider eating this Instead of eating this Consider eating this Instead of eating this Consider eating this HIGH-PHOSPHORUS FOOD... LOWER-PHOSPHORUS FOOD HIGH-PHOSPHORUS FOOD... LOWER-PHOSPHORUS FOOD HIGH-PHOSPHORUS FOOD... LOWER-PHOSPHORUS FOOD ½ cup dry-roasted 1 cup enriched 1 cup soft-serve 10 pretzel twists, 1 cup prepared spaghetti, cooked, vanilla frozen mixed nuts with ½ cup orange no salt added macaroni and no added salt, yogurt (186 mg) or peanuts, no salt sherbet (30 mg) (68 mg) cheese from box ½ tbsp margarine, ½ cup vanilla ice added (298 mg) (442 mg) ½ tsp garlic powder, cream (69 mg) ½ tsp basil (90 mg) ¾ cup bran flakes 1 cup low-sodium (152 mg) corn flakes (12 mg) 1-oz slice processed ½ cup caramel ½ cup gelatin with 1 oz cheddar American cheese custard or flan, 2 tbsp pressurized cheese (145 mg) (179 mg) prepared from whipped-cream ½ cup canned baked Ask your dietitian recipe (147 mg) topping (35 mg) beans, no salt added how to fit beans into 2 tbsp low-sodium, (132 mg) your eating plan. 1 tbsp jam (4 mg) smooth-style peanut or honey (1 mg) ½ cup instant butter (115 mg) ½ cup ready-to-eat chocolate pudding rice pudding prepared with 2% ½ cup oats (instant 1 small slice French (77 mg) 1 slice fast food, milk (338 mg) Large blueberry or old-fashioned), bread with 1 oz pizza chain, 14″ muffin (202 mg) unsalted, cooked part-skim, low- pizza, pepperoni with water (90 mg) moisture mozzarella 1 12-oz bottled topping, regular crust Ask your dietitian for cheese melted on beverage References: 1. US Department of Agriculture: National Agriculture Library. USDA National Nutrient Database for Standard Reference, (220 mg) beverage suggestions. Release 25. http://ndb.nal.usda.gov/ndb/foods/list. Updated September 2012. Accessed December 21, 2012. 2. Kalantar-Zadeh K, top (185 mg) (30–260 mg)2 Gutekunst L, Mehrotra R, et al. Understanding sources of dietary phosphorus in the treatment of patients with chronic kidney disease. Clin J Am Soc Nephrol. 2010;5:519-530. Total intake of phosphorus depends on your recommended allowance for daily protein consumption. Overall, total daily phosphorus intake should be low enough to allow you to maintain serum phosphorus levels within the normal range for the laboratory that tests your blood. ©2012 sanofi-aventis U.S. LLC, A SANOFI COMPANY. All rights reserved. US.SEV.12.10.019.