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| Raise The Bar... Dietary...by Kathy Hanley, M.S.R.D., C.D.N. Malnutrition is common in patients with chronic kidney disease. Lack of appetite, nausea, altered sense of taste and fatigue makes eating, shopping and cooking a low priority. Hemodialysis removes valuable proteins which can lead to malnutrition and weight loss. Nutritional supplements are often used to increase calories and protein, however these supplements provide extra liquid and can add to a fluid restriction that is already difficult to follow. Dietitians are now looking to the assortment of protein bars on the market to provide additional nutrition without the disadvantage of high cost and extra fluid intake. Protein bars, when eaten with a phosphate binder can provide an excellent source of additional protein. These bars resemble snack bars or candy bars and can be obtained in grocery stores, pharmacies and other variety centers. Some examples of nutrition bars on the market that are acceptable for people with kidney disease are listed below. There are other acceptable bars which can be identified by reading the label and looking for bars with less than 110 mgs potassium and around 15 or more grams of protein. All bars will contain a good amount of phosphorus, that is why it is important to take your phosphate binder whenever a snack bar is added to your meal plan. The bars listed below will have less than 110 mgs potassium and 9-20 grams protein. Many of the flavors listed have chocolate in their title which people on dialysis have been asked to avoid. However, it should be noted here that the items below that are chocolate still contain less than 110 mgs potassium and the majority of flavorings is artificial or contain a small amount of cocoa powder. The nutritional benefit you will receive is well worth the small amount of potassium they contribute. So indulge and enjoy while improving your nutritional status. |
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| Recommended Nutrition Bars AdvantageEdge Complete Nutrition Chocolate Caramel Chocolate Peanut Butter Crisp Rocky Road Crisp Peanut Butter Caramel AdvantageEdge Carb Control Blueberry Chocolate Cream Pie Chocolate Peanut Butter Crisp Balance Bar Almond Brownie Mocha Chip Honey Peanut Balance Gold Crunch Chocolate Mint Cookie S’Mores Balance Carb Well Caramel and Fudge Chocolate Fudge Chocolate Peanut Butter Luna Bars for Women Chai Tea Key Lime Pie Nutz Over Chocolate Toasted Nuts and Cranberry |
Balance Gold Chewy Chocolate Chip Triple Chocolate Chaos PowerBar Performance Cappucino Malt Nut Raspberries and Cream Vanilla Crisp Wild Berry ZonePerfect Bars Apple Cinnamon Chocolate Caramel Cluster Chocolate Coconut Crunch Chocolate Mint Chocolate Peanut Butter Chocolate Raspberry Cinnamon Roll Fudge Graham Mango Orange Delight Orange Cranberry Crunch Peach Apricot Parfait Peanut Toffee Strawberry Yogurt For People With Diabetes Glucerna Bars (6 grams Protein) Lemon Crunch Chocolate Caramel |
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Vitamins and Dialysis The dialysis patient needs to follow a renal diet which limits some foods that contain important vitamins found in fruits, vegetables and dairy products. There are more than ten different renal vitamins available. Some insurance companies may only cover a certain vitamin and others may not cover any vitamins. Below is a list of acceptable renal vitamins. You may need to take this list to your pharmacist and inquire which one is covered by your insurance company. |
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