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You deserve to enjoy nuts without worry. These four let you do exactly that.
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P.S. Patients who paired the nut swap with an extra 12–16 oz of water daily saw the fastest improvements. Double win for your kidneys.
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Frequently Asked Questions
1. Can I ever eat almonds or cashews again?
Occasionally and in very small portions (5–6 pieces) on a “good lab day” is usually fine for stage 3 CKD — but only with your nephrologist’s okay.
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2. Are roasted nuts still safe?
Yes, as long as they’re unsalted and dry-roasted or raw. Avoid honey-roasted or heavily salted versions.
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3. What if I’m on dialysis — are any nuts off-limits?
Dialysis changes everything. Most centers allow macadamia and pecans freely, but walnuts and pine nuts may still need portion control because of potassium. Always follow your dietitian’s specific plan.
4. How fast can I expect creatinine to improve?
Many patients see phosphorus drop within 2–4 weeks and creatinine start trending down in 8–12 weeks when they consistently make this swap alongside their other recommendations.
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Disclaimer: This article is for informational purposes only and is not a substitute for medical advice. Always consult your nephrologist or renal dietitian before making significant dietary changes, especially if you have chronic kidney disease, are on dialysis, or have potassium or phosphorus restrictions.
