Do you recommend dietary changes to your patients with recurrent kidney stone disease who consume coffee and low oxalate teas daily?

Thank you for your question. Many patients get tired of drinking water and would prefer coffee, low-oxalate tea, or other beverages instead. Studies have shown no difference in whether the water is hard or soft. Coffee and low oxalate tea do not seem to increase stone passage either. There is some d...

I don't consider either coffee or low oxalate teas to be important diet factors in calcium oxalate stone disease. I always first counsel to have adequate dietary calcium (1,000 to 1,500mg per day) through dairy or calcium tablets with meals. I only recommend limiting high oxalate foods for patients ...

I tend to focus on urine volume and sodium rather than specifically oxalate unless their oxalate is very high on the 24-hour urine. A plant-based diet has multiple benefits, especially in older adults but this comes with a cost of a higher oxalate load. Since sodium consumption is overall higher in ...