Saturday, March 5, 2011

How to Avoid Kidney Stones if You're a Vegan

Although a vegan diet is much healthier than the standard American diet (S.A.D.), there is one potential pitfall of this diet in that many of the healthiest plant-based foods contain high levels of oxalate.  Oxalate is a chemical that can be toxic when consumed in high doses.  In the majority of people, it's usually not a problem - the oxalate combines with calcium in the intestines and passes through the body mostly without being absorbed, and any oxalate that is absorbed generally passes through the urine without incident.

In a small percentage of individuals however, oxalate can bind with other substances in the body, like calcium.  This can form kidney stones which are so excruciatingly painful that medical intervention is required.  Calcium oxalate stones are the most common form of kidney stones and recent studies show a correlation between low dietary calcium and kidney stones.

Essentially, much of the calcium in plant-based foods breaks down quickly and is easily absorbed by the body.  This is wonderful for bones and teeth, but it means that there is less available calcium in the digestive tract to bind with the oxalate and prevent it from being absorbed.  Calcium in dairy does not break down so easily and therefore will bind with oxalate.  Most of the calcium in dairy passes out of the body without being absorbed, which is why studies have shown a high correlation between increased dairy consumption and osteoporosis.

Although most vegan health experts will say that over-the-counter calcium is useless because the body doesn't absorb it, the irony is that for vegans who suffer from kidney stones, this kind of calcium is exactly what they need.  Taking a calcium carbonate supplement with meals gives the oxalate something to which it can bind, allowing it to pass harmlessly out of the system.  Combining this approach with cutting down on the highest oxalate foods, should insure that kidney stones in vegans can be avoided.  Additionally eating plant-based calcium-rich foods will insure that your teeth, bones and organs get the calcium they need.

Although the list of foods containing oxalate is extremely long, some of the worst offenders include chocolate, rhubarb, spinach, Swiss chard, beets and almonds.

14 comments:

  1. Lots of great information here, but some of it contradicts credible sources on the internet. I am not sure who is right or wrong; I only want the correct information so I can stop getting kidney stones.

    Could you please list your sources?

    ReplyDelete
  2. My source is my own life experience. When I started getting stones I took the 48 hour test and my oxalate numbers were really high. I had read about a study that showed people who ate dark chocolate had higher oxalate levels than people who ate milk chocolate. So I cut out raw cacao, raw almond milk and started taking calcium citrate and zeolite. My numbers dropped dramatically and I'm still stone-free 3 years later.

    ReplyDelete
    Replies
    1. Sooo not reliable. Glad it worked for you, but that's not enough to make a general statement saying a vegan diet poses a risk for developing kidney stones, since most studies show oxalates from vegetables do not increase the risk. Actually, fruits and vegetables are alkalizing foods which lower acidity in urine and therefore lower the risk of kidney stones.

      Source: check nutritionfacts.org and search "kidney stones".

      Delete
  3. 5 days ago I was delivered really bad news. Having been a vegan for the last year and losing 60 pounds, (getting off of cpap)avoiding a heart bypass and generally feeling amazing.Under the guidance of a leading vegan dr and nutritionist at the high risk nutrition unit st mikes hospital. It was great for the heart. However I formed 6 kidney stones. My main source of protein was nuts, almonds in particular as tofu is too high in estrogen and I'm a guy.My Urologist gave me the list of what I can't eat and it is everything that i did eat. It must have been sponsored by twinkies because they even recommend WHITE BREAD. I'm going to check out the calcium citrate and zeolite but right now it looks like i will have to stop being vegan as i need to eat something -very frustrating. Anyhow thanks for your posting.

    ReplyDelete
    Replies
    1. All plants have estrogen. Eating tofu will not emasculate you. Look at Asian cultures for example. THE EAT TO LIVE BOOK is an exellent resource for eating vegan.

      Delete
    2. All plants have estrogen. Eating tofu will not emasculate you. Look at Asian cultures for example. THE EAT TO LIVE BOOK is an exellent resource for eating vegan.

      Delete
    3. Sadly you can't just say 'look at the Asians'. They have a different physiology to a lot of Europeans. For one, they have higher rates of naturally occurring lactose intolerance, because dairy milk simply hasn't been in their diet to the extent that europeans have had. Inversely, soya has been. I have PCOS. Soya seriously messes with my cycle and I try not to touch the stuff for the sake of preserving my fertility.

      Delete
  4. I'm so sorry to hear that - but don't give up just yet! I know the list you are talking about - It's ridiculous. If I were you I would try cutting out the nuts - they are very high in oxalate - and using hemp seed, sprouts and legumes as your protein source. That's pretty much all I do for protein and it works really well. I've recently been following the Eat to Live plan by Dr. Fuhrman. I find that it is the most nutritionally sound eating program I've ever come across. He talks about how nuts should be eaten only in small quantities and why, and explains why legumes work so well. One thing I learned about legumes is that they have something called resistant starch, which makes you feel full, but doesn't really get absorbed by the body. I also sprout legumes, which provides a fabulous source of protein. Also, So Delicious makes a coconut milk drink (which doesn't taste that coconutty) that is much lower in oxalate and can be a great substitute for almond or soy milk. Bottom line: Go get the Dr. Fuhrman book - Eat to Live. It will help you to create an eating plan that will give you all the benefits you've experienced, without the kidney stones. I really hope you get this worked out! :)

    ReplyDelete
  5. Oh - And I forgot to mention. Hemp seed is awesome! It is a complete plant protein, meaning that it has all 20 amino acids that the body needs. You can read more about it at: http://www.busy-vegan.com/hemp-protein.html.

    Quinoa is a complete plant protein as well, and green peas are loaded with protein! Good luck!

    ReplyDelete
    Replies
    1. Hi Elfi,

      Do you always take calcium citrate w/meals? I changed to a 98% vegetarian diet about 2yrs ago. Developed first stone in 23yrs, last week :(. I love hemp n quinoa, but hate narcotics & $5,000 medical biils. Hemp n quinoa are supposed to be high in oxalate. Though, I haven't been able to find credible numbers, anywhere.

      Delete
  6. After 24 years as a strict vegan i will not change my eating habits and go to meat, i enjoy my health too much however i will reduce the almonds and Chocolate in my diet and increase the calcium. Thanks for the information

    ReplyDelete
  7. A high animal protein intake causes a significant increase in the urinary excretion of calcium, oxalate, and uric acid, 3 of the 6 main urinary risk factors for calcium stone formation.

    ReplyDelete
  8. hi! I am 17 years old, became a high carb / low fat vegan (rawtill4 program) about a year ago and have recently discovered I developed my first stone ever. I'm very upset seeing as people are seeming to thrive off of this program without the stones in their 20s, 30s, and even 40's. I eat a high potato / corn / fruit diet and things just aren't adding up to me in my head other than these oxalates. I'm going to start eating low oxalate as well taking a calcium supplement. I have calcium carbonate pills at the moment which I'm assuming aren't the same thing. Please keep in touch as there don't seem to be many of us.

    ReplyDelete
  9. Need help I have excrutiating pain/stones not sure if this is chronic kidney disease gone along undiagnosed but after a search while in agony it seems like this oxalate issue is why my vegan ass is in so much pain! So angry that plantbased doctors don't inform us about the calcium issue that it can prevent stones giving it something to bind to in our tract. Angry and in pain,I am considering eating some cheese to get extra calcium? Is this suitable or should i get formula from chemist?

    ReplyDelete