Low Phosphorus
DC-311
Section 3: Therapeutic Diets
Compendium Definition
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Note:
Regular Diet with:
– Limit foods known to contain added phosphorus (see list below). Any time a packaged food is used, check the ingredient list for phosphate additives. If there is a better alternative available, use that. Otherwise, we may include non-compliant foods to allow for greater variety and improved patient satisfaction.
General Comments:
– Difficult for complete nutrient analysis since the phosphorus content of most foods are not available. Read ingredient list for phosphate additives (see below).
– Absorption of phosphorus is greater from animal foods and additives, than from plant foods.
– By limiting processed foods, this diet is considered to be lower in sodium.
Some foods containing phosphate additives are included to improve variety and patient intake.
Caution: Do not fortify or serve items with skim milk powder.
Vegetables
Allowed
- fresh, frozen &/or canned vegetables
NOT allowed:
- any fruit or vegetable that contains phosphate additives
Fruit
Allowed
- fresh, frozen &/or canned fruits
NOT allowed:
- any fruit or vegetable that contains phosphate additives
Grain Products
All whole grains are now recommended
Baking powder is a significant source of phosphorus but may not be able to avoid completely. Homemade baked goods are recommended over commercial
Allowed
- homemade baked goods
- cold cereals without phosphate additives (Cornflakes, Rice Krispies, Puffed Wheat, Mini Wheats, Special K, Rice Chex)
- rolled oats, cream of wheat
- rice, pasta and other grains
- multigrain, whole wheat, white and rye breads
NOT allowed:
- store-made baked goods
- cold cereals with phosphate additives, bran cereals
- commercial mixes (muffins, biscuits, pancakes, waffles, etc.)
- granola bars with phosphate additives
- bran portion (including bran buds or bran sticks)
Milk & Alternatives
Allowed
- white milk
- brick cheese or unprocessed cheese slices
- yogurt
- plant-based milk beverages (check for phosphate additives)
- coffee cream, whipping cream, sour cream
NOT allowed:
- processed cheese: cheese slices, ribbon cheese, Velveeta, Cheez Whiz
- evaporated, powdered, or condensed milk
- flavoured coffee creamers
- powdered coffee whitener
- chocolate milk
Meat & Alternatives
Meat portions: limit to 60-90 g / serving
Soaked / boiled or canned legumes are now recommended
Unsalted nuts: limit to ¼ cup/day Unsalted seeds: limit to 2tbsp/day
Allowed
- fresh, unprocessed meats: chicken, beef, pork, fish, wildmeat, eggs, tofu
- legumes (beans, lentils, chickpeas)
- unsalted nuts and seeds
- peanut butter
NOT allowed:
- processed meats:
- bacon
- battered fish
- breaded chicken nuggets
- canned meats
- deli meats
- ham
- organ meats
- pork and beans
- sardines
- sausages
- smoked / pickled meats
- hotdogs / smokies
Oils & Fats
Allowed
- oils
- butter / margarine
- homemade gravy and sauces with acceptable ingredients
NOT allowed:
- canned gravies
- canned sauces
- any gravy or sauce with phosphate additives
Desserts & Sweets
Allowed
NOT allowed:
- caramel, chocolate
- molasses
- commercial baked goods (pies, cookies, muffins)
Fluids
Ingredients can change and vary my brand. Check the ingredient list to ensure no phosphate additives
Allowed
- water
- coffee
- tea
- lemonade
- apple juice
- cranberry juice
- ginger ale
- lemon-lime soda
NOT allowed:
- milk (limit intake)
- colas (Coke/Pepsi/other dark coloured soda with phosphoric acid)
- eggnog
- Rice Dream – enriched
- iced tea (iced tea crystals are OK)
- Crystal Light
- Tang
- beer
- chocolate drinks
- drinks made with milk
Examples of Phosphate Additives to be AVOIDED (found in the ingredient list) THIS MAY NOT BE A COMPLETE LIST:
- ammonia phosphate
- monosodium phosphate
- disodium phosphate
- trisodium phosphate
- monopotassium phosphate
- dipotassium phosphate
- tripotassium phosphate
- calcium phosphate
- sodium acid pyrophosphate
- disodium diphosphate
- tetrasodium pyrophosphate
- tetrapotassium pyrophosphate
- sodium tripolyphosphate
- potassium tripolyphosphate
- sodium hexametaphosphate
- potassium hexametaphosphate
- phosphoric acid
References:
Dietitians of Canada – Practice Based Evidence in Nutrition (PEN): Healthy Eating Guidelines for Lacto-Ovo Vegetarians, 2014
Vegetarian Resource Group www.vrg.org