OxalateGuard

UCLA just proved bacteria are building our kidney stones from the inside — biofilms acting as scaffolding for crystals. We're writing a daily series breaking it all down. Day 1: oxalateguard.com/blog/biofilm-k… @DrKScotland @UclaUrology @Jillkidneystone

Turmeric: 100+ mg oxalate per teaspoon. It's in golden milk lattes, curry powder, supplement capsules, and "anti-inflammatory" blends. Many kidney stone patients add turmeric thinking it's healing — not knowing it's one of the highest-oxalate spices that exists. Our founder made this exact mistake. Almost everyone does. oxalateguard.com/blog/is-turmer…

Turmeric: 100+ mg oxalate per teaspoon. It's in golden milk lattes, curry powder, supplement capsules, and "anti-inflammatory" blends. Many kidney stone patients add turmeric thinking it's healing — not knowing it's one of the highest-oxalate spices that exists. Our founder made this exact mistake. Almost everyone does. oxalateguard.com/blog/is-turmer…

Just published: "Fat Malabsorption and Oxalate: Understanding the Mechanism" We write these because most kidney stone patients get a pamphlet and a "drink more water." That's not enough. oxalateguard.com/blog/fat-malab…

Building on what @HealthTechJess said, the PUSH trial actually nails something bigger than just hydration. The intervention got people to drink more... it just didn't stick. Urine volume went up during the study, but behavior change is when you're trying to maintain 2.5L+ every single day for years. That's not a hydration failure, that's a human failure, and there's a difference. The real takeaway isn't "drink more water doesn't work" ... it's that telling someone to do something and giving them tools to track it are two completely different things. Sustained dilute urine still matters for stone prevention. The PUSH trial just proved that without something making the behavior automatic or visible, people drift back to baseline.

A behavioral intervention designed to increase fluid intake for the prevention of kidney stone recurrence successfully boosted urine volume but did not significantly reduce stone recurrence over 2 years, according to results from the largest randomized controlled trial of its kind. mdsc.pe/4deEwM7

Rice, pasta, bread, meat, cheese, eggs, most fruits — all very low in oxalate. A low-oxalate diet is NOT restrictive. It's about knowing the 10-15 foods to watch and having good swaps for them. Everything else? Eat freely. oxalateguard.com/foods

Recovery goes smoothly after lithotripsy, but the real work starts now ... stone formers who don't change what they're eating typically see stones come back within 5 years. Hydration matters most (aim for 2.5L+ daily to keep urine dilute), but knowing your specific stone type and what triggered it makes a huge difference in preventing the next one.

I needed Lithotripsy today to help break up some kidney stones that have given me some pain lately. I should be feeling better in no time! Hope everyone is doing well!

A follower recently asked: "Can a botched kidney stone surgery or stent removal lead to Peyronie's disease?" If any Urologists could weigh in on this question, that would be great. A generic 'yes' seems to be the going answer. If so, what can be done about this?

Hydration's foundational, but gets overlooked: just drinking water doesn't guarantee you're diluting your urine enough to actually prevent stones. You need to hit that 2.5L+ consistently, and most people underestimate how much that actually is day-to-day. Adding citric acid (lemon juice) to your water bumps up citrate, which actively inhibits calcium oxalate formation—that's the real move over plain water.

HEALTH:- CAUSE/REMEDIES:------ Kidney stones----- Take enough water Diabetes -------- Don't eat heavily at night. High blood pressure ---- Avoid too much salt. Back pain------ Sit upright always. Arthritis ----- Exercise/walk around. Gastritis----- Avoid eating too fast. Herpes simplex------ ?

@ChristosArgyrop @BrentAWilliams2 That's exactly how we think about it — carb counting for oxalate. The database is live and growing, would genuinely value your take on it given your nephrology background. Our DMs are open anytime.

I stopped seeing stone clinic years ago - had to move on to other fields. But these were not real time ss, just litholink values. A real time ss would be a game changer but the available POC does not exist. The database you mention seems more applicable to a real time system, sort of "carb count" for stones. Loving this

The trial in the Lancet that supposedly showed that ⬆️ fluid intake does not prevent recurrent kidney stones is misleading. First they only tested a behavioral intervention to promote fluid intake. Secondly the achieved fluid intake was inadequate thelancet.com/journals/lance…

@elliotktannor @ISNkidneycare @AfricanAFRAN @healthykidneys1 @ncdalliance Our DMs are open if you want to reach out directly — happy to chat more there.

@OxalateGuard @ISNkidneycare @AfricanAFRAN @healthykidneys1 @ncdalliance Sounds good 👍🏾

Tip 26 I know you have heard this over and over again. The key question is whether you have increased the fruits and vegetables and reduced the carbohydrate and fats? It’s not too late to start eating a healthy diet. Have you checked your kidney function yet?

Peanut butter: 26 mg oxalate per 2 tbsp. Sunflower seed butter: 4 mg. Your sandwich doesn't have to change. Just the spread. That's what low-oxalate eating actually looks like — not deprivation, just smarter swaps. oxalateguard.com/foods

Science — Can Probiotics Prevent Kidney Stones? The Honest Answer Another deep dive from our team. Every claim backed by sources. Read more: oxalateguard.com/blog/can-probi…

Rhubarb has more oxalate per serving than almost any other food — over 500 mg per cup. To put that in perspective: urologists recommend stone formers stay under 40-100 mg per DAY. One serving of rhubarb is 5-12x that entire daily limit. If you've had kidney stones, this one's a hard pass. oxalateguard.com/foods

Rhubarb has more oxalate per serving than almost any other food — over 500 mg per cup. To put that in perspective: urologists recommend stone formers stay under 40-100 mg per DAY. One serving of rhubarb is 5-12x that entire daily limit. If you've had kidney stones, this one's a hard pass. oxalateguard.com/foods

Fair point on the flour standards...that's a real difference. But even with 00 flour or whatever staple they're using, the oxalate load from legumes and nuts doesn't change much. Regional food fortification helps with micronutrients, not the mineral composition that matters for stone risk.

@matkashbakihai @SinhGodsServant You were today years old when you found out that there is something called 00 flour. Their food fortification standards are different than ours. That's verifiable even from far thanks to the internet. I've studied in Europe. Those cities are way more walkable than in India.

All Indian fitness coaches say things like start the day with high protein, low carb, etc. The Italian at the table next to mine starts with Sweet Brioche and Sweet Milky Coffee. Average Italian is way way fitter than even these joker coaches

@STxStargazer @Diegoranchinc Thyroid dysfunction can trigger stones... that story your husband's doctors checked TSH, free T4, and antibodies (Hashimoto's especially ties to recurrent stones)? Sometimes it's that changes everything.

@Diegoranchinc 🙏Kidney stones can be caused by a non-working thyroid. A lady who got pneumonia & was hospitalized went into a coma on the fourth day.Her son asked how they were giving her thyroid meds.They asked What thyroid meds? Gave them to her intravenously and she woke up that afternoon.

A friend of mines wife passed away with cancer a few years ago. She was 44, absolutely gorgeous and the sweetest person. My friend has been dealing with a bad back and taking a lot of pain meds while waiting on surgery. Four days ago he went to the hospital for two kidney stones. They did surgery breaking the stones up and sent him home with more pain meds. Yesterday one of my friends went to his house to check on him. I didn't go see him because I have been sick the last few days. My friend found him dead in his bed. RIP to my buddy Pat. Only 47 years old.

Black tea: 50-100+ mg oxalate per day if you drink several cups. Green tea: similar — it's all Camellia sinensis. Coffee: associated with REDUCED kidney stone risk in multiple studies. Not all hot drinks are created equal. If you're choosing between your morning tea and morning coffee, the science clearly favors the coffee for stone prevention. oxalateguard.com/foods

Brutal stretch... that back-to-back recovery plus infection is a lot for your body to handle. Once you're through antibiotics, might be your doc if the infection was actually seeded by bacteria from the stone itself, since that changes whether you need extra precautions going forward.

So 2026 so far for me: Appendix surgery Followed by 3 months recovery Then kidney stones And now...........Kidney infection 👍👍👍

Legumes and nuts are rough, but dairy's actually not the villain here. Calcium from food binds oxalate in your gut before it gets absorbed...low calcium diets spike stone risk way more than high calcium ones do. The real trap is mixing high oxalate foods with low calcium intake. You can do high protein vegetarian if you're strategic about it.

@matkashbakihai @SinhGodsServant What is to be done with that? Any high protein 'vegetarian' dish is either derived from dairy & hence a source of Ca and not iron or is based on high amounts of nuts and pulses. The latter, if consumed regularly for a long time, puts the consumer at a high risk of kidney stones.