How do I get all my vitamins and minerals when there are so many foods I canít eat?
Your doctor may recommend renal vitamins or other medications or supplements to ensure you get adequate nutrients to stay healthy.

Should I take a multi-vitamin?
Depending on your diet and other health concerns, your doctor may prescribe a renal vitamin. Take only the vitamins your doctor recommends; other multi-vitamins may not have the right formulation that addresses your nutritional needs. Some vitamins such as vitamin A, normally found in a multivitamin must be limited in dialysis patients.

Should I take supplements?
Speak to your doctor or dietitian first before you take additional supplements. Certain supplements may negate the effects of your diet and other medicines you are taking. Do not take any supplement your doctor has not approved.

Iím never hungry, is it okay not to eat?
You need to eat in order to remain healthy. Food is the primary way your body gets needed nutrients. You need protein, carbohydrates and fats. Although you may be taking vitamins, your body still needs nutrients from natural food sources, like meats, grains, fruits and vegetables.

Food also gives your body energy to fight disease and infection. Drastically cutting back on your food intake may leave you feeling weak and prone to illness.

Your dietitian will recommend a calorie or protein supplement if your appetite remains poor.

Iím always hungry, is it okay to eat a lot?
If you find that you are always hungry, speak with your doctor and dietitian. Your dietitian can adjust your eating schedule and perhaps increase the amount of food you can eat.

Your diet is formulated to include specific amounts of calories, proteins, vitamins and minerals that address your individual health needs. If you overeat, you may not only gain weight, you may also consume too much or too little of certain nutrients. This can cause unneeded complications.