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Hi Norman. My apologies for taking so long to respond. I've hd a lot going on. I think peanutbutter is popular in the hospital setting because a small amount it is satiating. I was never restricted from consuming peanut butter, nor am I now. It is not something I normally reach for. But, when taking large doses of prednisone, peanut butter was hugely helpful in staving off hunger between meals. Gosh, I had never been so hungry!

You mentioned in one of your posts about intermittent fasting. I posted briefly on that today. Yes, it is a great solution for weight loss and weight maintenance. I was glad to have experienced it prior to renal failure because one's desire for food goes out the door when you are at the end point and in the early weeks of adjusting to dialysis. I could only handle about 500-600 calories a day for a couple of months.

Using a food journal, such as the one I mentioned in my post, called Cronometer, was really valuable because it helped me to monitor vitamin and mineral intake, such as phosphorus and potassium. Too much or too little can be problematic when in kidney failure. It sounds like you have an excellent grasp of this knowledge already.

As far as supplements are concerned, I do take Vitamins C, D, a multivitamin and zinc. I take these prophalactically as well as povidone iodine nasal spray and throat gargle, to avoid colds, etc. There should be no problem taking supplements as long as you go over these with a transplant pharmacist. They will know of any interactions with immunosuppressants. For example, I had been taking Quercetin, but I can no longer do so. This served as an ionophore for zinc (helped get zinc into the cells.) The replacement solution was to tale zinc with Vitamin C and to avoid milk poducts for two hours after taking the zinc/Vitamin C combo. I was already taking Vitamin C. I just changed the time I take it (and zinc) to night time, thereby avoiding the milk product consumption issue. Cheers!!!

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