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Phosphorus on dialysis: why binders matter

High phosphorus weakens bones and damages blood vessels. Which foods contain it, the hidden phosphates in processed food, and how to take binders correctly.

Dialysis Worldwide teamUpdated · 2 min read

Phosphorus is found in many foods. Healthy kidneys remove the extra, but dialysis only removes part of it. Over time, high phosphorus can weaken bones and harden blood vessels.

Main sources of phosphorus

  • Dairy products: milk, cheese, yoghurt
  • Processed meats, ready meals and fast food
  • Cola drinks and some soft drinks
  • Nuts, seeds and chocolate
  • Processed cheese and baked goods with phosphate additives

Hidden phosphates

Phosphate additives in processed food are absorbed much more than natural phosphorus. On ingredient lists, look for words containing "phos" (for example E338 to E341 and E450 to E452).

Taking your binders

Phosphate binders work only when taken with food. Take them at the start of each meal or snack, as prescribed, including on holiday when meals are bigger and later than usual.

Learn more

See also our potassium chart and Kidney Care UK for more diet advice.

Planning a trip on dialysis?

Tell us your dates: we book your sessions near your hotel and reply within 12 hours.

Useful resources

This article is general information and does not replace the advice of your nephrologist or renal team.

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