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Can I Make My Own Vegan Cheese With Kidney Disease

Who doesn't love cheese!? Whether it is cheese on a sandwich, a cheesy sauce, string cheese or a fancy French cheese plate, cheese is truly one of my favorite foods. But, does low phosphorus cheese exist? Is cheese a kidney friendly food?

Let me help clear this up for you.

Cheese On a Renal Diet

So, can you eat cheese on a kidney-friendly or low phosphorus diet? I have great news for you – yes! Cheese can fit into a healthy diet for kidney disease. But, there are a few things to keep in mind.

Absorption of Phosphorus in Cheese

Our bodies absorb phosphorus differently from different foods. Our bodies absorb very little phosphorus from plant foods such as whole grains, beans and nuts. On the other end of the spectrum, we absorb about 90% of phosphorus from meat, poultry and fish.

In terms of phosphorus absorption, dairy and cheese are closer to meat. We absorb about 80% of the phosphorus in cheese.(1) Because of this, cheese can contribute a large phosphorus load if you are not careful.

Portion Size of Cheese

To help control how much phosphorus you eat, portion size is key! Even a low phosphorus cheese can become a high phosphorus cheese if you eat a lot of it. Most of the phosphorus amounts in the table below are for a 3/4 ounce serving size. This is about 1 slice of cheese, or a chunk the size of 3 dice.

Cartoon picture of brie, a low phosphorus cheese choice
Brie is a low phosphorus cheese. 3/4oz of brie has 40mg of phosphorus.

Phosphorus Additives in Cheese

While 80% of the phosphorus in cheese is absorbed, nearly 100% of phosphorus is absorbed from phosphorus food additives. Some cheeses have phosphorus food additives in addition to the phosphorus that naturally occurs in cheese. Cheeses with phosphorus additives should be avoided.

In general, highly processed cheeses are more likely to have phosphorus food additives. These cheeses also tend to be higher in sodium. Some common highly processed cheeses are:

  • American Cheese (white & yellow)
  • Nacho Cheese Sauce
  • Velveeta Cheese
  • Canned Cheese
  • Macaroni & Cheese made from a box or powder

Understand more about how to find phosphorus food additives.

Processed cheeses like nacho or American cheese tend to have phosphorus additives. And, are higher in sodium.

Sodium in Cheese

Remember that a low phosphorus cheese isn't necessarily a healthy choice for a renal diet. Cheese can be very high in sodium too.

Make sure to account for the sodium in cheese in your daily total. People who have kidney disease should limit sodium to 2,300mg per day.(2) Staying below 2,300mg of sodium might be difficult if you eat large amounts of very salty cheeses like feta, Asiago or Parmesan.

Potassium in Cheese

Potassium is a mineral that some people with kidney disease need to limit. Because cheese is made from milk, and milk is high in potassium, many wonder about potassium in cheese.

Most of the potassium in milk is lost during the processing of cheese. And, a portion of cheese in much smaller than a glass of milk. Because of this, most cheeses are relatively low in potassium. However, be careful of portion size here too. Large amounts of cheese can add up!

Different Phosphorus Needs For Different People

The most important thing to remember about a kidney friendly diet, is that it must be individualized. What is healthy for one person with kidney disease, might not be for someone else. How much phosphorus you should eat is based on your lab values.

For people with kidney disease, eating too much phosphorus can increase the risk of heart disease and weak bones. High phosphorus levels are even associated with faster progression of kidney disease and death.(3)

Always as you doctor or dietitian what is best for you based on your lab results and medical history.

Low Phosphorus Cheese

The amount of phosphorus in cheese varies quite a bit. Phosphorus ranges from 15mg up to 160mg per standard portion size of cheese. So, what cheeses are considered a "low phosphorus cheese"?

Check out this table to find your favorite cheese! Remember, the nutrition values provided are just a guide. The specific amounts of a nutrient can vary widely based on the brand of cheese you buy. Always make sure to check the nutrition facts label – especially for sodium! And, don't forget to check for those phosphorus additive ingredients.

Serving Size Sodium Potassium Phosphorus Calcium
American 3/4 oz 269 62 161 289
Blue or Roquefort 3/4 oz 241 54 81 111
Brie 3/4 oz 132 32 40 39
Cheddar 3/4 oz 137 16 96 148
Chihuahua 3/4 oz 131 11 97 138
Colby 3/4 oz 128 27 98 146
Cotija 3/4 oz 330 16 97 150
Cottage Cheese 1/2 cup 337 126 156 108
Cream Cheese 1 oz 89 37 30 28
Edam 3/4 oz 207 40 114 155
Farmer's Cheese 1/2 cup 312 103 158 82
Feta 3/4 oz 242 14 72 105
Fontina 3/4 oz 168 13 73 116
Fresco 3/4 oz 160 27 82 120
Havarti 3/4 oz 160 9 86 122
Goat (chevre) 3/4 oz 87 33 79 63
Gouda 3/4 oz 174 26 116 149
Gruyere 3/4 oz 150 17 127 212
Mascarpone 1/4 cup 25 77 48 54
Monterey (or Pepperjack) 3/4 oz 126 17 93 157
Mozzarella 3/4 oz 147 24 112 146
Muenster 3/4 oz 132 28 98 151
Nacho Cheese Sauce 1/4 cup 522 19 99 116
Parmesan 3/4 oz 372 39 135 188
Provolone 3/4 oz 153 29 104 159
Ricotta 1/4 cup 63 110 106 153
Romano 3/4 oz 305 18 161 227
Substitute, almond based 3/4 oz 141 15 13 185
Substitute, cream cheese 1 oz 160 41 13 29
Substitute, mozzarella 3/4 oz 144 96 122 128
Substitute, rice based 3/4 oz 141 5 2 185
Substitute, soy based 3/4 oz 185 25 12 6
Substitute, tapioca based 3/4 oz 188 2 8 2
Swiss 3/4 oz 40 16 126 195

Happy Eating!

Melanie

Can I Make My Own Vegan Cheese With Kidney Disease

Source: https://www.thekidneydietitian.org/low-phosphorus-cheese/