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Phosphorus and your kidneys
The mineral phosphorus is an essential mineral in the body. It makes up part of our bones and teeth and even our DNA. It also helps the body function properly and helps how the body uses energy. It is naturally present in many foods, and a phosphorus deficiency is rare if you have a balanced diet with no need to take supplements. The recommended nutrient intake of phosphorus for adult Filipinos is 700 mg per day, 1,250 mg for adolescents and teenagers, when bones are growing the most. The average daily consumption of adults is about 1,200-1,500 mg/day and the upper tolerable level is about 3,000-4,000 mg/day, but high phosphorus intakes rarely produce adverse effects in healthy people. The kidneys, intestines and bones regulate phosphorus levels in the body. When the kidneys stop working properly, as in chronic kidney failure, the body cannot get rid of phosphate properly and phosphorus levels go up. Too much phosphorus in the body makes calcium come out of the bones, making them weak and prone to fracture. This misplacement of calcium can also affect blood vessels, cause blood pressure and heart disease. It is thus very important for patients with kidney disease to watch their phosphorus intake, limiting it to about 800 mg per day. Many different types of foods contain phosphorus — meats and poultry, organ meats (liver), fish, dairy products, eggs, nuts, beans, vegetables and grains, including bread and rice. On average, an ounce of meat has about 65 mg of phosphorus. A cup of milk or yogurt about 220 mg. A cup of white rice has about 70 mg of phosphorus. A cup of long-grain brown rice has about 200 mg. While whole grain bread can be a healthy source of fiber, one slice has about 40 mg of phosphorus compared to white bread with 25 mg. [caption id="attachment_139743" align="aligncenter" width="525"] photograph courtesy of unsplash/morgane perraud | EGGS are high in phosphorus.[/caption] [caption id="attachment_139742" align="aligncenter" width="525"] photograph courtesy of unsplash/louise lyshoj | ASIDE from carbohydrates, breads are rich in phosphorus as well.[/caption] Patients with CKD are usually advised to limit their phosphorous by limiting their protein intake and to replace animal proteins with plant-based protein sources. Care should also be taken when eating processed and frozen foods which can contain phosphate additives which are used to preserve or stabilize these foods. About 70 percent of phosphorus from natural food sources is absorbed by the body, and 100 percent of phosphorus is absorbed from processed foods. One way to limit phosphorus intake is to check the ingredient list of processed foods for the letters “phos” for additives, such as phosphoric acid, disodium phosphate, sodium pyrophosphate and sodium polyphosphate. These additives can add almost 70 mg of phosphorus to your diet. Also look out for phosphorus in drinks like colas (they contain phosphoric acid), flavored waters, iced teas, bottled juices and bottled coffee. [caption id="attachment_139740" align="aligncenter" width="525"] photograph courtesy of unsplash/ alireza nikzad | PHOSPHORUS is naturally found in meat.[/caption] [caption id="attachment_139741" align="aligncenter" width="525"] photograph courtesy of unsplash/ faris mohammed | RICE contains a lot of phosphorus.[/caption] It can be difficult for patients with CKD to manage their diets and many ask, “What can I eat?” Here are some examples and ways to prepare them that are lower in phosphorus: Chicken thigh, skinless, three ounces = 190 mg Old-fashioned rolled oats (instead of instant), ½ cup cooked = 120 mg Shrimp, three ounces = 120 mg Almond milk, ½ cup = 50 mg Potato, without skin, medium size (two inches diameter), double-boiled = 50 mg Spaghetti noodles, ½ cup = 42 mg Apple, medium size = 10 mg Egg white, from one egg = 5 mg (1 whole egg with the yolk has 95 mg of phosphorus) Patients with CKD should opt for whole foods rather than processed or fast food. Check labels for ingredients for hidden sources of phosphorous. Many online sources list the amount of phosphorous per serving for many common foods. Portion control can also help limit the amount of phosphorus per meal. And remember that eating too much of a low-phosphorus food makes it a high phosphorus food. The post Phosphorus and your kidneys appeared first on Daily Tribune......»»
Alaska maintains milk affordability
Alaska Milk Corporation is not asking for a price increase in its milk products from the Department of Trade and Industry, true to its mission of providing affordable nutrition for every Filipino home. In an interview on Thursday, Tarang Gupta, the managing director of Alaska Milk Corporation, said the company is striking a sort of balance on the nutrition needed by Filipinos against the present inflationary headwinds happening in the country. “We are seeing the consumption going up again and that’s driven by affordability and that is driving the growth. At this stage, we are not submitting any petition to the DTI, although there will always be a need (in the coming years). At Alaska, if we want to live with our purpose of nourishing Filipinos, then we have to keep a balance,” Gupta said. Relatively small scale According to the Alaska executive, “scale here is so small compared to other countries, for example, Thailand which is 35 percent. In Alaska, we are very clear that we will support the local farmers and help them increase the quality and quantity and I think we can do it within five years. Sans RCEP, tariffs on milk is at three percent, with concentrated milk at 0 to 1 percent, while with RCEP, milk will be zero tariffs until the 20th year of the implementation of the RCEP. On the other hand, dairy products such as buttermilk will maintain their base rate of 3 percent and will be zeroed in tariffs for the first year of RCEP. However, curdled milk and cream, yogurt, kaphir or other fermented or other acidified milk and cream, whether or not concentrated or containing added sugar or other sweetening matter or flavored or containing added fruit, nuts, or cocoa will maintain its 7 percent tariff on the first year of RCEP imposition. The RCEP is touted as the world’s largest trade deal, which covers 10 members of the Association of Southeast Asian Nations, along with Australia, China, Japan, New Zealand and South Korea. It is designed to eliminate tariff rates — or the taxes imposed on imported products — on 90 percent of goods between the signatories within 20 years. World Milk Day Meanwhile, as Alaska celebrates World Milk Day at its head office in Makati City and manufacturing plant in San Pedro City, Laguna, Gupta underscored the importance of milk to combat malnutrition in the Philippines. “World Milk Day is a great opportunity for us to raise awareness about the importance of milk in a healthy diet and its contribution to the economy. We are proud to be a part of this celebration, and we are committed to promoting sustainability while fighting against malnutrition and low milk consumption in the Philippines,” Gupta said during the kick-off the celebration on Thursday. “AMC believes that promoting sustainability is not just a responsibility but also a business opportunity. The company can reduce costs, improve efficiency, and enhance its reputation by embracing environmentally friendly practices,” added Gupta. For her part, Devorah Aguila, Head of Planning of the Department of Science and Technology Food and Nutrition Research Institute (DOST-FNRI), said not only 57.7 percent of young children aged 1 to 2 lack nutrients from milk like calcium but also 97.2 percent of adults in the Philippines with ages 19-59. “This inadequacy in vitamins and nutrients can be aided by consuming milk that may provide opportunities for nutrition and health intervention,” she added. Alaska Milk’s efforts toward sustainability are aligned with the United Nations’ Sustainable Development Goals, which aim to promote sustainable development worldwide. Sustainable practices Alaska Milk believes that adopting sustainable practices can contribute to the country’s economic growth and protect the environment for future generations. By working together, we can create a sustainable and circular future for the Philippines and the world. “Today’s celebration is a testament to Alaska Milk’s commitment to promoting a healthy lifestyle, supporting local farmers, and promoting environmental sustainability. The company believes that by working together, we can fight against malnutrition and low milk consumption in the Philippines while protecting our planet’s resources,” Alaska Corporate Affairs Director, Atty. Maria Angela Esquivel, said. The post Alaska maintains milk affordability appeared first on Daily Tribune......»»
Do you need to take magnesium?
In my practice as a transplant nephrologist, many of my kidney transplant patients can have a deficiency in magnesium, due to medications that prevent their bodies from rejecting their new kidney. Magnesium is an important mineral in the body, helping with muscle, nerve and heart function, and in the production of energy. Magnesium also helps keep your bones strong and healthy. Having low levels of magnesium over a long period of time can increase the risk of high blood pressure, heart disease, type 2 diabetes mellitus and osteoporosis. [caption id="attachment_134198" align="aligncenter" width="525"] photograph courtesy of pexels/ polina tankilevitch | SOY milk is a good source of magnesium.[/caption] Low levels usually don’t cause any symptoms, but if this persists, early signs of magnesium deficiency include loss of appetite, nausea, vomiting, fatigue, and weakness. As magnesium deficiency worsens, numbness, tingling, cramps, seizures and abnormal heart rhythms can occur. Severe magnesium deficiency can lead to other mineral and electrolyte imbalances, such as low calcium and potassium levels. There some conditions that can also make patients prone to low magnesium levels. These include those with chronic diarrhea, prolonged use of proton pump inhibitors for heartburn (typically more than a year), heavy alcohol intake and diuretic use. Intake of certain medications for infections and cancer treatments can also cause magnesium levels to drop. [caption id="attachment_134196" align="aligncenter" width="525"] photograph courtesy of unsplash/chris vanhove | PUMPKIN seeds, which are high in magnesium, help lower blood pressure.[/caption] Before you reach for a magnesium supplement, you should know that if you have a balanced diet and are in generally good health, you likely do not have a deficiency in magnesium. You just have to take a few servings of magnesium-rich foods per day to get the amount you need. The Philippine recommended intake of magnesium for most adults is around 210 to milligrams per day. Good food sources are whole grains such as brown rice, whole wheat pasta and oats. For vegetables, green leafy ones such as kale, spinach, okra and chard are some examples, providing around 80 milligrams of magnesium per half a cup serving. Fruits include bananas, grapefruit, and avocados. Other magnesium rich foods include chickpeas, white beans, kidney beans, lentils, mixed nuts and sesame seeds, about 35 milligrams for half a cup. Eating a medium-sized potato with the skin can provide around 40 milligrams of magnesium. [caption id="attachment_134197" align="aligncenter" width="525"] photograph courtesy of unsplash/leigh skomal | SPINACH is rich in magnesium.[/caption] In healthy persons it is difficult to get too much magnesium from food because the kidneys eliminate the excess in the urine. However, high doses of magnesium from dietary supplements can result in diarrhea, nausea and stomach cramps. Diarrhea is commonly reported with these forms of magnesium: magnesium carbonate, chloride, gluconate, and oxide. Magnesium supplements can also interact with other medications. If you take magnesium supplements take them at least two hours apart from other medications. Be careful when taking magnesium-containing laxatives and antacids. Very large doses of more than 5,000 milligrams/day of magnesium can cause magnesium toxicity and even death. Symptoms of magnesium toxicity can include nausea, vomiting, low blood pressure, muscle weakness, difficulty breathing and an irregular heartbeat, and cardiac arrest. Patients with kidney problems or kidney failure are at high risk for this toxicity because their kidneys have lost the ability to get rid of the excess. When taken properly, supplements can help you stay healthy. But supplements taken unnecessarily or incorrectly can do more harm than good. If you suspect that you could have a low magnesium level, consult your doctor first. A simple lab test can check your levels, and your doctor can prescribe the amount that is right for you. The post Do you need to take magnesium? appeared first on Daily Tribune......»»
Lacuna appeals: Get your kids jabbed
Manila Mayor Honey Lacuna reiterated on Sunday her call to parents and guardians to have their children or wards vaccinated, saying that those given primary vaccination among kids aged five to 11 has not even reached 50 percent of the targeted number which is 168,446. Lacuna also called on senior citizens to have themselves vaccinated either with primary or booster shots and for adults aged 18 to 59 to get boosted, especially since they are the ones who are most fond of always getting out. The mayor made the appeal citing the recent continued rise in the number of Covid-19 cases based on figures that she receives from the city’s health cluster. “Vaccination is still the solution. The cases of infection are increasing, so we need to protect our children,” Lacuna said. Citing records, the Manila mayor stressed that while the number of senior citizens who have gotten their first dose was at over 95 percent, the number has gone down to about 86 percent when it came to booster shots, with only 60 percent recorded for the first and 20 percent for the second booster. In the case of kids belonging to the five to 11 age group, the number of those who have been given primary shots is yet to reach 50 percent. While figures are better in the case of minors aged 12 to 17 who have registered 100 percent for the primary shots, only 10 percent availed of the first booster. Adults aged 18 to 59 meanwhile, registered more than 100 percent for the first and second dose. However, the number went down to 65 percent for the first booster and declined to a measly eight percent for the second. She also added that her appeal is also directed to those who are considered as “high risk individuals” such as senior citizens, pregnant women, the immuno-compromised and those with comorbidities. Lacuna said that the city government is still offering free Covid-19 vaccination at all of its health centers. She urged residents to take advantage of this offer and get vaccinated as soon as possible. The post Lacuna appeals: Get your kids jabbed appeared first on Daily Tribune......»»
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