[neverdem]

“Disclosures: Sharon Moe is a consultant and has received honoraria and/or grant support from Shire, Genzyme, and Ineos, makers of phosphate binders. “

Bingo.

“her colleagues studied the effects of vegetarian and meat-based diets on phosphorous levels in nine patients with CKD. Patients followed a vegetarian or meat-based diet for one week, followed by the opposite diet two-to four- weeks later. Blood and urine tests were performed at the end of each week on both diets.”

An awfully small test group and short time to determine anything.

Actually, no BINGO, if this vegetarian diet hypothesis will lower the phosphorus/phosphate levels in patients with chronic kidney disease, then they will need less phosphate binders. You have to start somewhere with sample sizes. Bigger samples sizes also require more dirtary counseling and support.

Vegetarian Compared with Meat Dietary Protein Source and Phosphorus Homeostasis in Chronic Kidney Disease

Association of serum phosphorus and calcium x phosphate product with mortality risk in chronic hemodialysis patients: a national study.

[syriacus]

For some reason, my mother was not given a "binder" per se while she was on the ESRD diet for 10 years.

She limited her intake of nuts, beans, meat, sodas and dairy products and I remember learning that some pill she took already (calcium?) helped bind phosphorus.

Itchiness, due to the phosphorus, really bothered her some times.