Hi My name is Timakii, I have been on dialysis for about 10 years now. My biggest issue regarding my treatment are taking my binders. I was wondering is there a more natural binder other than those super sized horse pills that I am expected to take with each meal?
Hello Titanic and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. Till you undergo a kidney transplant, dialysis is mandatory, (2-3/weekly). The diet restrictions of 40gm protein intake, low salt, low potassium and fluid intake, will need to be maintained, with the medication, including binders. The size of the phosphate binder tablet, isn't a worry, as you can get it broken in two, before intake, after discussing with your Nephrologist. Lanthanum or Seawater, may be used, as directed by your doctor. If you've any doubt, send it as a direct question, to me, for an expert opinion. Chat Doctor.  Manga.