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	ANTI-OXALATE THERAPY

This therapy is used to reduce or eliminate vulvar pain, burning, itching, or discomfort. Oxalate is a salt found in foods and made by the body. When it is excreted as a sharp crystal in the urine, it may irritate sensitive tissues. In order to reduce the amount of urine oxalate, you should reduce the amount in your diet, and you should also take calcium citrate to bind the oxalate to prevent urinary excretion.

Low Oxalate Diet:

You should avoid the following foods: spinach, rhubarb, beets, nuts (including peanuts and soy), chocolate, tea, wheat bran, and strawberries.

Calcium Citrate Tablets
 

Calcium Citrate tablets are available over the counter at your pharmacy. Take two (2) tablets by mouth, three (3) times a day. Each tablet contains 200 mg Calcium and 950 mg Citrate.

This therapy must be continued for a minimum of two months to see if it will help.

OXALATE CONTENT BY FOOD GROUPS
 

Oxalate mg / 100 gm

CEREAL & CEREAL PRODUCTS Bread, white 4.9 Cake, fruit 11.8 Cake, sponge 7.4 Cornflakes 2.0 Crackers, soybean 207.0 Egg Noodle (Chow Mein) 1.0 Grits (white corn) 41.0 Macaroni, boiled 1.5 Oatmeal, pporridge 1.0 Spaghetti, boiled 1.5 Spaghetti in tomato sauce 4.0 Wheat Germ 269.0 MISCELLANEOUS Cocoa, dry powder 623.0 Coffee powder, (Nescafe) 33.0 Chicken Noodle Soup 1.0 Lemon Juice 1.0 Lime Juice 0.0 Ovaltine, powder canned 35.0 Oxtail Soup 1.0 Pepper 419.0 Tomato Soup 3.0 Vegetable Soup 5.0 NUTS Peanuts, roasted 187.0 Pecans 202.0 FRUITS Apples, raw 3.0 Apricots 2.8 Avocado 0.0 Banana, raw Trace Berries   Black 18.0 Blue 15.0 Dew 14.0 Green Goose 88.0 Raspberries, black 53.0 Raspberries, red 15.0 Strawberries, canned 15.0 Strawberries, raw 10.0 Cherries   Bing 0.0 Sour 1.1 Currants   Black 4.3 Red 19.0 Fruit Salad, canned 12.0 Grapes   Concord 25.0 Thompson, seedless 0.0 Lemon Peel 83.0 Lime Peel 110.0 Mangoes 0.0 Melons   Cantaloupe 0.0 Casaba 0.0 Honeydew 0.0 Watermelon 0.0 Nectarines 0.0 Orange, raw 4.0 Peaches   Alberta 5.0 Canned 1.2 Hiley 0.0 Stokes 1.2 Pears   Bartlett, canned 1.7 Pineapple, canned 1.0 Plums   Damson 10.0 Golden Gage 1.1 Green Gage 0.0 Preserves   Red Plum Jam .0.5 Strawberry Jam 9.4 Prunes, Italian 0.8 Rhubarb   Canned 600.0 Stewed, no sugar 860.0 JUICES Apple Trace Cranberry 6.6 height=15> Grape 5.8 Grapefruit 0.0 Orange 0.5 Pineapple 0.0 Tomato 5.0 CONFECTIONERY Chocolate plain 117.0 Jelly, with allowed fruit 0.0 Marmalade 10.8 Sweets, boiled (plain candies) 0.0

MILK & MILK PRODUCTS Butter 0.0 Cheese, cheddar 0.0 Margarine 0.0 Milk 0.15 MEATS & EGGS Bacon, streaky fried 3.3 Beef, canned corn 0.0 Beef, topside roast 0.0 Chicken, roast 0.0 Eggs, boiled 0.0 Fish:   Haddock 0.2 Sardines 4.8 Ham 1.6 Hamburger, grilled 0.0 Lamb, roast trace Liver 7.1 Pork, roast 1.7 VEGETABLES Asparagus 5.2 Beans, green boiled 15.0 Beans in tomato sauce 19.0 Beetroot, boiled 675.0 Beetroot, pickled 500.0 Broccoli, boiled Trace Brussel Sprouts, boiled 0.0 Cabbage, boiled 0.0 Carrots, canned 4.0 Cauliflower, boiled 1.0 Celery 20. Chard, Swiss 645.0 Chive 1.1 Collards 74.0 Corn, yellow 5.2 Cucumber, raw 1.0 Dandelion greens 24.6 Eggplant 18.0 Escarole 31.0 Kale 13.0 Leek 89.0 Lettuce 3.0 Lima Beans 4.3 Mushrooms 2.0 Mustard Greens 7.7 Okra 146.0 Onion, boiled 3.0 Parsley, raw 100.0 Parsnips 10.0 Peas, canned 1.0 Pepper, green 16.0 Pokeweed 476.0 Potatoes, white boiled 0.0 Potatoes, sweet 56.0 Radishes 0.3 Rice, boiled 0.0 Rutabagas 19.0 Spinach, boiled 750.0 Spinach, frozen 600.0 Squash, summer 22.0 Tomatoes, raw 2.0 Turnips, boiled 1.0 Watercress, early fine curled 10.0 BEVERAGES, Non-Alcoholic Barley Water, Bottled 0.0 Coca-Cola Trace Coffee (0.5 G Nescafe) 3.2 Lemon Squash Drink 1.0 Lucozade, bottled (soda) 0.0 Orange Squash drink (orangeade) 2.5 Ovaltine, 2 gm in 100 ml 10.0 Pepsi-Cola Trace Ribena, concentrate 2.0 (Black Currant drink)   Tea, Indian:   2 minute infusion 53.0 4 minute infusion 72.0 6 minute infusion 78.0 Tea, Rosehip 4.0 BEVERAGES, Alcoholic Beer:   Bottled 0.0 Draft 1.0 Lager draft (Tuborg Pilsner) 4.0 Stout (Guiness Draft) 2.0 Cider 0.0 Sherry, dry Wine:   Port Trace Rosé 1.5 White 0.0

LOW OXALATE MEAL PLAN
(40-50 MG)

FOODS	LITTLE OR NO OXALATE <2 MG OXALATE/ SERVING - EAT AS DESIRED	MODERATE OXALATE CONTENT 2-20 MG. OXALATE/ SERVING LIMIT: 2 (½ C) SERVINGS A DAY	HIGH OXALATE FOODS >10 MG. OXALATE SERVING AVOID COMPLETELY
BEVERAGES & JUICES	* Apple juice * Beer, bottled * Coca-Cola (12 oz) * Distilled Alcohol * Grapefruit juice * Lemonade or limeade w/o peel * Wine: red, rosé * Cola (12 oz) * Pineapple juice * Tap water (preferred for extra calcium)	* Coffee (9 oz) * Cranberry juice (4 oz) * Grape juice (4 oz) * Orange juice (4 oz) * Tomato juice (4 oz) * Nescafe powder	* Beer: Draft, Stout (Guinness), Lager, pilsner * Juices containing berries * Ovaltine and other mixed beverage mixes * Tea, Cocoa
MEAT GROUP	* Eggs * Cheese, cheddar * Lean lamb, beef or pork * Poultry * Seafood	* Sardines	* Baked beans, canned in tomato sauce * Peanut butter * Soybean Curd (Tofu)
MILK (two or more cups)	* Buttermilk * Low-fat milk * Low-fat yogurt with allowed fruit * Skim milk
FRUITS	* Avocado * Banana * Cherries: Bing * Grapefruit * Grapes: Thompson-seedless * Mangoes * Melons: Cantaloupe Casaba Honeydew Watermelon * Nectarines * Peaches: Hiley * Plums: Green or golden	* Apple * Apricots * Black Currants * Cherries: Red Sour * Orange, edible portion * Peaches: Alberta * Pears * Pineapple * Plums: Damson * Prunes: Italian	* Blackberries * Blueberries * Concord Grapes * Red Currants * Dewberries * Fruit Cocktail * Gooseberries * Lemon Peel * Lime Peel * Orange Peel * Raspberries * Rhubarb * Strawberries * Tangerine
VEGETABLES	* Avocado * Brussel Sprouts * Cauliflower * Cabbage * Mushrooms * Onions * Green Peas * Potatoes: Irish * Radishes	* Asparagus * Broccoli * Carrots * Corn: Sweet White or Yellow * Cucumber, peeled * Green Peas, canned * Lettuce: Iceberg * Lima Beans * Parsnips * Tomato, 1 small * Turnips	* Beans: Dried, Green, Waxed * Beets: Greens, Roots, Tops * Celery * Chard, Swiss * Chives * Collards * Dandelion Greens * Eggplant * Escarole * Kale * Leeks * Mustard Greens * Okra * Parsley * Peppers, green * Pokeweed * Potatoes, sweet * Rutabagas * Spinach * Summer Squash * Watercress
FATS & OILS	* Bacon * Mayonnaise * Salad Dressing * Vegetable Oils	* Nuts: Peanuts, Pecans
MISC.	* Jelly or Preserves (from allowed fruits) * Lemon/lime Juice * Salt/pepper (1 tsp/day) * Soups (from allowed ingredients)	* Chicken Noodle Soup (dehydrated)	* Chocolate * Cocoa * Pepper (>1 tsp/day) * Vegetable Soup * Tomato Soup
BREAD & STARCHES	* Cornflakes * Macaroni * Noodles * Oatmeal * Rice * Spaghetti * White Bread	* Cornbread * Sponge Cake * Spaghetti, canned in tomato sauce	* Fruit Cake * Grits, white corn * Soybean crackers * Wheat Germ