I'm Dr. Joshua Schwimmer, a nephrologist and internal medicine physician in New York City. • Kidney Notes was the first active nephrology blog. (Trivia: Kidney Notes is so old that the National Library of Medicine still uses it as an example of how to formally cite blogs.) • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Thursday, June 1, 2006

Preventing Kidney Stones with Lemonade


Via WebMD:
Kidney stones form when urine in the kidney becomes supersaturated with stone-forming salts -- and when the urine doesn't contain enough stone-preventing substances. One of these substances is citrate.

For people prone to stones, doctors usually prescribe potassium citrate. It can be taken as a pill or in liquid form. But lemon juice is full of natural citrate.

When made into low-sugar or sugar-free lemonade, Nakada and colleagues found, lemon juice increases the amount of citrate in the urine to levels known to inhibit kidney stones. It doesn't work quite as well as potassium citrate. But for patients who'd rather avoid yet another medication, lemonade is an attractive alternative...

To make lemonade, Stoller, Nakada, and Kang recommend mixing 1/2 cup of concentrated lemon juice with 7 cups of water. A sugar substitute may be added to taste. Sugar should be avoided, as the extra calories in sugared lemonade are too much for most people's health.
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