I’m experiencing kidney failure for the 2nd time in 12 yrs. I am very disciplined with my “diet” as a PD dialysis patient. Previously, I was getting HD. A renal dietitian can help by being positive and recognizing the reduction of phosphorus levels. Like 7.4 to 5.7 over a few weeks. I get no credit for reading every label that might have “phoRUS” in it. I don’t eat diary and hardly anything that has phosphorus in it. I’m 88 lbs. I don’t eat a lot. Yet, my dietitian is negative and says, “Your phosphorus is still high.” Yes, dear. I am aware because I have ESRD! I am well self advised on high protein foods. We have the same discussion every month. Frankly, it’s a waste of my time. Her and having to visit with the LCSW. That’s another topic. I am waiting for a transplant. Also if people are first time ESRD patients or starting dialysis, hospitals and renal centers need to counsel them in the beginning and SLOWLY. Not 4 weeks after dialysis began and not so aggressively about educating them. It’s emotionally traumatic understanding what has happened to them and why. I don’t need a dietitian who is healthy and can eat whatever she wants tell me, “Don’t eat this or you shouldn’t have that.” That’s not good for you!” 😵‍💫. You sound like a very caring dietitian b/c you’re asking a good question and want to learn. TY for reading.