A KidneyBuzz.com viewer, Carole Devine wrote, "Do all non-dairy creamers have phosphate additives? Is there a brand you recommend? Thank you."
Most Chronic Kidney Disease patients especially those on Dialysis, know that in many cases, milk is off limits. This is a bit odd because milk is understood to develop strong bones and improve muscle health. Yet, people with Chronic Kidney Disease are typically recommended to limit dairy products like milk and creamer in their Renal (Kidney) Diets because, despite milk’s calcium content, its high phosphorus may actually weaken bones and cause a number of other complications including: Broken bones, itchy skin, hard bumps under the skin, as well as damage to the heart, blood vessels, and lungs. However, this alone should not deter patients from enjoying a morning bowl of cereal or a mid-day cup of coffee. They must simply select the right types of milk and creamers as detailed below, and know what to look for in order to avoid harmful options.
Recommended Reading: The Magic And Myths Of Chronic Kidney Disease Patients And Dairy Products
Dialysis patients are recommended by Fresenius Medical Care (largest Dialysis Organization in the United States), to keep their calcium between 8.4 to 10.2 mg/dL, and phosphorus within 3.0 to 5.5 mg/dL. It is unusual for a patient to be deficient in calcium since there is calcium found in both Hemodialysis and Peritoneal Dialysis solutions. Also, some of the most commonly used phosphate binders contain calcium.
The following list of milk and creamer alternatives are offered by DaVita HealthCare Partners Inc. (the second largest Dialysis Organization in the United States) and will be handy options for Chronic Kidney Disease patients to incorporate into their diets to limit dairy and improve health outcomes:
- Rice Dream® Rice Drink Original Classic
- Rice Dream Rice Drink Vanilla Classic
- Edensoy® Light Vanilla Soy Milk
- Edensoy Light Original Soy Milk
- PacificTM Select Soy Low Fat Plain
- Pacific Select Soy Low Fat Vanilla
- Almond Breeze®, Unsweetened Original
- Almond Breeze, Unsweetened Vanilla
- Pacific Organic Almond Unsweetened Low Fat Original
- Pacific Organic Almond Unsweetened Low Fat Vanilla
- Pacific Organic Almond Original
- Pacific Organic Almond Vanilla
- Nondairy creamer
- Nestle® Coffee-Mate®, Original Fat-Free
- Nestle CoffeeMate Original Low Fat
- Nestle CoffeMate Original
- Rich’s® Coffee Rich®, Regular, and Fat-Free
- Mocha Mix® Original
According to the National Kidney Foundation, "Dialysis patients should limit their dairy intake to a 1/2 cup of milk." While these alternatives may allow patients a bit more freedom in terms of daily intake, they should still print this list and share it with their Dietitians for advice and further insights.
Also, continue to consider calcium, phosphorus, potassium, and protein content when choosing a milk alternative. Products with phosphate additives or fortified with calcium would not be the best choices. If you are unsure of the contents, then it often helps to contact the company directly to get the most current nutritional information.
Recommended Reading: The Best Cereals That Chronic Kidney Disease Patients Should Choose To Eat
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