ðˈɛɹfoːɹ, mˌɛdɪkˈeɪʃənz, wˌɪtʃ kæn mˈoːɹ ɹᵻlˈaɪəbli ˈɔltɚ ðə jˈʊɹɹɪn pˈiː ˈeɪtʃ, ɹˈæðɚ ðɐn dˈaɪət mˌɑːdɪfɪkˈeɪʃən, hɐvbɪn ðə tɹˈiːtmənt ʌv tʃˈɔɪs wɛn tɹˈaɪɪŋ tʊ ˈɔltɚ jˈʊɹɹɪn pˈiː ˈeɪtʃ. wˌaɪl ðɛɹ hɐvbɪn ɹˈiːsənt ɪmpɹˈuːvmənts ɪn ɹˈɛkəɡnˌaɪzɪŋ dˈɪfɹənt vˈɛɹɪəbəlz ðæt kæn ɐfˈɛkt ˈæsɪd ɛkskɹˈɛʃən ɪnðə jˈʊɹɹɪn, ðə lˈɛvəl ʌv diːtˈeɪl nˈiːdᵻd tə pɹɪdˈɪkt ðə jˈʊɹɹɪnˌɛɹi pˈiː ˈeɪtʃ bˈeɪst ˌɔn dˈaɪət ɪz stˈɪl dˈɔːntɪŋ.
Therefore, medications, which can more reliably alter the urine pH, rather than diet modification, have been the treatment of choice when trying to alter urine pH. While there have been recent improvements in recognizing different variables that can affect acid excretion in the urine, the level of detail needed to predict the urinary pH based on diet is still daunting.