By Maria Karalis, RD, LD, CSR
Yes, different binders bind different amounts of phosphorus. The most widely used binders include Renagel and PhosLo, which are two very different binders. Renagel is a calcium-free and aluminum-free binder and PhosLo is a calcium acetate-based binder. If you are taking a calcium based binder you can substitute over the counter Tums until you get your prescription filled. This is not recommended if you have been prescribed Renagel because of the risk of developing high calcium levels. Always check with your nephrologist and renal dietitian before making any substitutions on your binders.
Table 1: High Phosphorus Foods
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Milk
Cheese
Yogurt
Ice Cream
Pudding
Custard
Cream Soup
Casseroles with
cheese & milk
Bran
Bran Flakes
Bran Muffins
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Brown Rice
Wheat Germ
Raisin Bran
100% Bran
100% Whole-grain
Navy Beans
Kidney Beans
Lima Beans
Pinto Beans
Blackeyed Peas
Lentils
Soybeans
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Almonds
Cashews
Coconut
Pecans
Walnuts
Peanuts
Peanut Butter
Pumpkin Seeds
Sunflower Seeds
Cola (RC,Coke,
Pepsi, etc.)
Chocolate
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Cocoa
Molasses
Dried Fruit
Pizza
Beer
Beef Liver
Calf Liver
Liver Sausage
Liverwurst
Livercheese
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Maria Karalis is a Registered Dietitian and Staff Developer in Staff Development with Fresenius Medical Care. She is a Board Certified Specialist in Renal Nutrition (CSR) and has been working in the renal industry for over 11 years.
The information contained herein is intended for educational purposes only. It is not intended and should not be construed as the delivery of medical care. Persons requiring diagnosis or treatment, or those with specific questions, are urged to contact their local healthcare provider for appropriate care.
This article originally appeared in the March 2003 issue of aakpRENALIFE, Vol. 18, No. 5.
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