Do you recommend an overall decrease in daily dietary animal protein intake or focus more on decreasing the actual portion size of animal protein per meal in your patients with recurrent calcium based nephrolithiasis who have hypercalciuria?

I find initiating dietary changes is more difficult for my patients than initiating or changing medications. Regarding reducing dietary animal, protein consumption, I try to work with patient preferences. I have no strong preference of my own.

Stephen B. Erickson, MD.