Is quinoa safe to eat with kidney stones?


Jeff Sarris
Jeff Sarris
Host
Jill Harris
Jill Harris
Host

In this conversation, Jeff Sarris and Jill Harris discuss the safety of quinoa for individuals with kidney stones, referencing recent studies and the importance of portion control. They emphasize the variability in oxalate content in foods and provide practical tips for managing dietary intake to prevent kidney stones. The discussion also highlights resources available for individuals seeking to understand their dietary needs better.

Takeaways

  • Quinoa has been a topic of debate regarding its safety for kidney stone patients.
  • Harvard’s recent study on quinoa has clarified its oxalate content.
  • Portion control is crucial; half a cup of quinoa is recommended.
  • Variability in food composition affects oxalate levels.
  • Dietary changes can significantly impact kidney stone formation.
  • It’s important to meet calcium needs daily, even with higher oxalate foods.
  • Meal plans and recipes are available to help manage oxalate intake.
  • The oxalate searchable list is a valuable tool for dietary management.
  • Consultations with experts can provide personalized dietary guidance.
  • Understanding food portions can alleviate anxiety about eating higher oxalate foods.


00:00 Understanding Quinoa and Kidney Stones
06:15 Practical Tips for Managing Oxalate Intake

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WHO IS JILL HARRIS? _
Since 1998, Jill Harris has been the #1 kidney stone prevention nurse helping patients reduce their kidney stone risk. Drawing from her work with world-renowned University of Chicago nephrologist, Dr. Fred Coe, and the thousands of patients she’s worked with directly, she created the Kidney Stone Diet®. With a simple, self-guided online video course, meal plans, ebooks, group coaching, and private consultations, Kidney Stone Diet® is Jill’s effort to help as many patients as possible prevent kidney stones for good.

Transcript

Quinoa Safety for Kidney Stone Prevention

00:00:00 Jeff Sarris

Is quinoa safe to eat with kidney stones? Let's talk about that. Welcome back to the Kidney Stone Diet podcast, the show about reducing your kidney stone risk and living your best life.

I'm your host and fellow student, Jeff Sarris.

00:00:21 Jill Harris

And I'm Jill Harris, your kidney stone prevention nurse. Nurse, nurse, nursey, nursey, nursey.

00:00:26 Jeff Sarris

So, quinoa, that's a big one. It always is. It's a question mark for many years.

So, why is it a question mark and is it safe for someone to actually eat it?

Harvard Research Rules for Unstudied Foods

00:00:38 Jill Harris

You know, this was always so annoying because Harvard didn't study it until a couple years ago. And so, we always said, so this is my golden rule when Harvard did not study a food. Have that food once a week, twice if you got a leftover because we don't throw food out at Kidney Stone Diet, we do not.

So, nobody's making a kidney stone with two meals, get your calcium needs met every day. But then when Harvard, even though it was the worst nightmare for Jeff and for me, and Dave, my other, our other partner, even though it was a nightmare for us and all stone formers, that switch, I was so grateful because they did study quinoa, right?

And so, many…

00:01:26 Jeff Sarris

Yeah, and just to, just for clarity, Harvard did study, restudy a lot of foods and updated that list after many decades.

Soil Variability and Quinoa Oxalate Levels

00:01:36 Jill Harris

And why was there such an uproar? Well, "Well Jill, if you know, some of these levels of change now, how are we to trust it?" I've said the same thing for decades, folks. Probably every time Harvard does study something, it's going to be a little different.

Why? Because every time you pull quinoa out of the ground, or wherever the hell it grows, I'm a nurse, I don't know about botany or plants or whatever. What do I know?

But wherever they pulled it from, it's always in different kinds of soil conditions… Listen to Alexa. It's always in different soil conditions, gets different sunlight.

It's never going to be perfect. So, if they studied quinoa today and it's 52, it may be 43 next time they study just because of how it was grown and where it was grown and the soil conditions. So, it's not perfect and we know, and I know, anybody who's had a medical condition wants all the things lined up and perfect, but there's variability in these things, okay?

So, quinoa. So, people will say, "Well, Jill, I'm not going near it. It's still, Harvard did study it and they say for one cup it's 54 mg of oxalate.

And if, and you tell me I can have 100, well, that's half my day right there." Portion, not perfection. Portion, not perfection. Have half a cup, it's only 25.

Why do I say it? First of all, a lot of vegans and vegetarians need help getting their protein. So, for half a cup of quinoa, you're going to get, you know, a few grams of fiber, you're going to get 4-5 g of protein.

That's wonderful for people who are having a hard time meeting their protein goals, like I said, vegans and vegetarians. Plus, it's nice to have that on the side of your plate, like a chewy, little, nutty kind of thing. So, you can absolutely have quinoa.

Just don't have two cups of it anymore. Here's why people stop, "Well, Jill, I think one of the reasons I made a kidney stone is I was eating spinach, almonds, and quinoa every day." "Well, Charlie, about how much…" "Jill, I was eating at least 3 cups of quinoa." So, you see, this is why this game, whether you're trying to lose weight, gain weight, it's always about portion.

You want to gain weight, yeah, a little bit more calories. Just have bigger portions of your food. You want to lower oxalate, keep the food, don't eat a whole cup, have half.

So, you'll see, if you're watching this on YouTube, I have quinoa in my house. "Well, Jill, you don't never have no stone." But my family members do, and I don't want them. "Well, Jill, you're the leading expert in the world on diet change for kidney stones.

Why does your family have stones?" 'Cause they don't listen to me! "Why don't they listen to you, Jill? That's ridiculous." 'Cause none of them have had to have a surgery yet.

They're like, " Aunt Jill, I'll just pass it. Don't worry about me. Shut up." So, I have.

I don't say a word no more. But me and you, we know better. So, I have listened to people all day for 30 years talk about, nearly 30 years, talk about pain, crying, vomiting, diarrhea, running to the hospital, a nephrectomy, meaning losing a kidney, sepsis, a, you know, having their ureter resected.

You can't believe what I've heard. That's why I'm so crazy about this subject. And so, I do exactly what I ask you to do.

So, quinoa, when I have it, half a cup. Any kind of carby thing, I always have half a cup. That's my portion size for a carb.

Most of my plate, if I have a carb, most of my plate, meat, quarter of a plate, vegetables, half a plate, some fruit if I'm having fruit, quarter of a plate, carbs. That's what a plate should look like. Protein, fiber.

That's what keeps you full. You have a whole plate of white rice, you're going to be hungry in a second. There's nothing keeping you full.

Anyway, so you can certainly have quinoa. Please bring it back. It's a nice, healthy, little grain.

You should be bringing it back into your diet. Portion, not perfection. Have half a cup.

Hell, even if you said, "Jill, I want to have a whole cup." You could have a whole cup. Take it with calcium because that is a higher oxalate food then, it's 54 g. But honestly, you don't need half a cup, a whole cup.

I would stick with half a cup so you can enjoy it without any anxiety, 'cause I know a lot of you feel anxiety when you're trying a higher oxalate food. But if you just cut the portion, definitely not a problem.

Searchable Oxalate Database and Meal Plans

00:06:15 Jeff Sarris

Yeah. And if you're curious about more foods, like what is the oxalate content in the foods that you're eating? We have a tool right on the website at kidneystonediet.com/oxalate-list, or you can just Google "kidney stone diet oxalate" and it'll come right up.

And you can find all of the results that Harvard has in a searchable list that's easy to understand and sort of see what you're eating and how that could be impacting your oxalate levels. But also, as Jill always says, people take away so many foods when they're afraid of oxalate. So, that's why we have meal plans over at kidneystonediet.com.

You can look at the meal plans. Jill has hundreds of recipes. You get four recipes every day: breakfast, lunch, snack, and dinner, of things that you can eat that will not increase your risk for kidney stones and can help you prevent future stones from happening.

00:07:06 Jill Harris

Absolutely. And all the oxalates figured out for each recipe so you don't even have to think about it. But, yes, Jeff's tool, the oxalate, searchable oxalate list is fabulous.

You can also put it on your phone. Our help center on the website in the menu, last thing on the menu will tell you how to do that, put on your phone. Even this old lady knows how to do it and mine is on my phone 'cause I'm always looking at it myself.

So, yeah, quinoa, bring it on back, folks. Portion, not perfection.

00:07:33 Jeff Sarris

Yeah, definitely. And if you're ready to dive deep, you can talk directly to Jill. Jill has private consultations available at kidneystonediet.com, or through the All-Access Pass, you get discounted private consultations with Jill.

It's the only place it's ever been discounted and the only place it will be. So, if you're ready to take control and prevent future stones, head on over there and you can find absolutely everything that you need to move forward. But I think with that, we'll wrap and we'll see you next week.

00:08:01 Jill Harris

Have a wonderful afternoon, everybody!