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Posted August 2, 2011
1. The author brought me to give considerable thought and weight to the idea of consuming a vegetarian (or nearly vegetarian) diet as part of lifestyle management of kidney disease. That is, I now agree that a vegetarian approach would be beneficial.
2. The author layed out an introductory plan for vegetarian eating. I now see that it is feasible as well.
3. The author put into the book many useful pieces of information and tips that come from her many years as a renal dietitian.
4. I also liked her encouraging statement that "with careful planning, most of these beneficial foods can be worked into your diet, and modifying portion sizes may be all you need to do" (page 8)
5. Thus, overall I commend the book and would recommend it to others as a 'first step' in thinking about a new nutritional approach for managing kidney disease.
Need for Further Explanation and Supporting References
6. I would have liked to see supporting references for many statements, Maybe they were left out by design, so that the book could be read by the non medically savvy patient. For example, "Research suggests the amino acids that make up plant-based proteins may be less stressful on the kidneys that animal based proteins and, in turn, may slow down the progression of kidney damage." (page 5)
7. Another statement, that in my opinion is sweeping, and demands explanation and supporting reference is "Caffeine and alcohol can promote cyst formation and should be limited as much as possible". (Page 31) The alcohol part doesn't bother me personally. The caffeine part does. One accomplished nephrologist suggested regarding cafeine, not to place much if any weight on this one.
8. "Research has shown polycystic cysts can decrease with the use of omega-3 fatty acids." (page 57). What weight and thus action does one place on this statement?
9. "The amount of vitamin C you take should not exceed 100 mg, due to oxalate end-products in kidney disease..." Does this apply to all types of kidney disease? What if I am not disposed to kidney stones? I like Vitamin C and give weight to claims that it confers many health benefits. Maybe one should only avoid mega-doses!?
The big Gap, in my opinion.
10. A successful vegetarian lifestyle requires a greater variety of legumes, vegetables, and fruits, beyond those mostly suggested to persons with restrictions on phosphorus and potassium intake. The author, herself, makes the statement that a wide variety of such foods can fit into a kidney disease diet (see point 4 above). However, she does not provide practical guidance or examples that deal with this 'variety'. She stays with the usual limited foods, e.g. berries, summer squash, carrots, and bell peppers. How can I fit the 'Go for 5' daily servings of fruit into my meal plan?
11. What about dry beans other than soy? The author promotes their benefits but doesn't work them into her meal plans. (OK, I noticed that two of her recipes include lentils and black-eyed peas).
12. The author's meal plans seem designed for pre-dialysis patients (Stage 4 CKD?) but not for those with mild or moderate kidney disease.
13. The author broached a new topic and did a very good job overall. Now, renal dietitians should revamp their thinking and skills to adapt real world vegetarian and nearly vegetarian lifestyles to include (nearly) all the wide variety of dried bean, fruit, and vegetable choices, into their therapeutic diets.
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Posted November 12, 2011
This is a great book for someone struggling with CKD and they are vegetarian and/or vegan and may be gluten sensitive. Within 3 months of trying the diet items she suggests, I have turned back to Stage 2 from Stage 3. I hope she writes a revised edition with all of the updated material available. I will be her first customer.
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Posted March 16, 2012
First time, UPS said package deliverd at my front door. There was nothing. Then, B&N custom service gave me a nice and quick replacement. Second time, UPS said somebody signed my package at my address. There is no such person at my address.
I don't want to bother contact B&N custom service anymore. UPS service scares me.
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Posted September 29, 2011
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