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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Possible Replacements For Dialysis Binders?

Hi My name is Timakii, I have been on dialysis for about 10 years now. My biggest issue regarding my treatment are taking my binders. I was wondering is there a more natural binder other than those super sized horse pills that I am expected to take with each meal?
Wed, 10 Feb 2016
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Urologist,  's  Response
Hello Timakii and welcome to HCM.
As an Urologist ,i can fully understand your concern.
Till you undergo a kidney transplant,dialysis is mandatory,(2-3/weekly).
The diet restrictions of 40gm protein intake,low salt,low potassium and fluid intake, will need to be maintained,with the medication, including binders.
The size of the phosphate binder tablet, isn't a worry,as you can get it broken in two, before intake,after discussing with your Nephrologist. Lanthanum or Sevalamer,may be used, as directed by your doctor.
If you've any doubt,send it as a direct question, to me,for an expert opinion.
Dr.Matthew J. Mangat.
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What Are The Possible Replacements For Dialysis Binders?

Hello Timakii and welcome to HCM. As an Urologist ,i can fully understand your concern. Till you undergo a kidney transplant,dialysis is mandatory,(2-3/weekly). The diet restrictions of 40gm protein intake,low salt,low potassium and fluid intake, will need to be maintained,with the medication, including binders. The size of the phosphate binder tablet, isn t a worry,as you can get it broken in two, before intake,after discussing with your Nephrologist. Lanthanum or Sevalamer,may be used, as directed by your doctor. If you ve any doubt,send it as a direct question, to me,for an expert opinion. Dr.Matthew J. Mangat.