Hints and tips for avoiding phosphate additives Choose fresh meat, poultry and fish where possible Choose the best quality meat or fish you can within your budget If using processed meats serve the meal with vegetables and fresh rice, pasta, mashed or boiled potatoes to reduce additional phosphate Use dried rice and pasta rather than buying pre-cooked Cook with fresh ingredients to reduce your phosphate additive intake Food labelling - what to look for to avoid foods with added phosphate Manufacturers are not legally required to state the phosphate content of food on the label but looking out for some ingredients will help you to know which foods contain phosphate additives and should be limited. The name of the phosphate additive may be listed by its full name or E number. Look for ingredients with “PHOS” in the name. See list below for a few examples: E number Phosphate additive E338 Phosphoric acid Try making your own sauces rather than using pre-prepared jars or packets E339 Sodium phosphates E340 Potassium phosphates Cook large quantities of meals from fresh ingredients to give you a tasty, additive free meal then freeze the left overs - also saves time and money too! E341 Calcium phosphates E342 Ammonium phosphates E343 Magnesium phosphates Make your own mash, roast and chipped potatoes and use frozen potato products sparingly Unsweetened juice drinks contain less phosphate additives - remember to limit intake if following a low potassium diet Fast food contains phosphate additives so limit to an occasional treat E450Diphosphates E451Triphosphates E452Polyphosphates E540 Dicalcium diphosphates E541 Sodium aluminium phosphates E1410 Monostarch phosphates E1413 Phosphated distarch phsophate © G16012901W. Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2016 This document MUST NOT be photocopied University Teaching Trust Information Leaflet Control Policy: University Teaching Trust Unique Identifier: CS 13 (16) Review Date: April 2018 For further information on this leaflet, it’s references and sources used, please contact 0161 206 4255 Copies of this information are available in other languages and formats upon request. In accordance with the Equality Act we will make ‘reasonable adjustments’ to enable individuals with disabilities, to access this treatment / service. Phosphate Additives If you need this interpreting please telephone Email: [email protected] Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on 0161 206 1779 Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD Telephone 0161 789 7373 www.srft.nhs.uk If you would like to become a Foundation Trust Member If you have any suggestions as to how this document could be improved in the future then please visit: www.srft. nhs.uk/formembers http://www.srft. nhs.uk/for-patients Ladywell Building Dietitian 0161 206 4255 Lower Phosphate Alternatives What is Phosphate? Phosphate Additives Phosphate is a mineral that comes from food and drink. Your kidneys help to control the levels of phosphate in your body and it is needed to help keep your teeth, bones, heart and blood vessels healthy. Manufacturers are increasingly adding phosphate to lots of different foods. This means you could be eating more phosphate than you realise. Phosphate levels can build up in your blood when your kidneys do not work properly. Too much phosphate in your blood can lead to weakening of your bones and a build up of calcium deposits in your blood vessels. Ask your doctor, dietitian or nurse what your phosphate levels are. Your dietitian may have talked to you about foods that are naturally high in phosphate (such as cheese, milk, nuts) and how these can be kept to a minimum. Your gut absorbs about half of the phosphate found naturally in food. Nearly half of your daily phosphate intake comes from phosphate additives and almost all of this is absorbed by the body. Phosphate additives therefore have more effect on the levels in your blood than that from natural sources. Common reasons for adding phosphate to food include: lTo keep food moist lTo improve the taste and texture of food lTo extend the ‘use by date’ of food Meat Fresh chicken or turkey Homemade chicken nuggets Fresh beef, lamb, pork Homemade beef burgers Try making your own meat balls, bolognese, chilli, curry Foods High in Phosphate Additives Try to Avoid Processed chicken e.g. chicken nuggets, goujons, kievs Sausages Frozen beef burgers Bacon Ham Salami, pepperoni Tinned meats e.g. spam / corned beef Fish Plain white fish - haddock, cod, plaice Homemade fish cakes Homemade battered fish Frozen fish fingers Frozen fish cakes Processed battered fish Cereals Weetabix, porridge oats, rice krispies Cheerio’s, Coco Pops, Pop Tarts, Instant porridge Cheese Hard cheese - maximum of 4oz/week Cream, cottage or ricotta cheese within allowance Cheese slices or strips Primula cheese Cheese triangles Potatoes & starches Fresh potatoes, homemade chips and roast potatoes (parboil first if on potassium restriction) Pasta / rice / cous cous Waffles, oven chips, frozen roast potatoes, potato croquettes, instant mashed potato, potato cakes Bakery Homemade cakes and biscuits Try to avoid recipes using self raising flour and baking powder Drinks Lemonade, Fanta, ginger beer, Lilt, Ribena, Iron Bru, sparkling water, tea, soda water Remember to choose sugar free options if you have diabetes Milk - within half pint (250ml) allowance Cake, biscuit and pancake mixes Breakfast (cereal) bars Tinned or pre-prepared baked puddings Scones, Naan bread, Crumpets Baking powder/Self raising flour Cola drinks, Dr Pepper, Oasis, hot chocolate, Ovaltine, Horlicks, powdered milk, beer, coffee, iced tea, drinking yoghurt, milkshakes, energy drinks © G16012901W. Design Services, Salford Royal NHS Foundation Trust, All Rights Reserved 2016. Document for issue as handout. Unique Identifier: CS 13 (16). Review date: April 2018.
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