WEIGHT MANAGEMENT SERVICE
ESTABLISHED 2017
Under A Specialist?
If you are using weight-loss injections such as semaglutide or tirzepatide, and are also under the care of a specialist for conditions like kidney, heart, or bowel disease, it’s important to approach treatment with extra care. These medications can affect appetite, digestion, fluid balance, and how your body handles nutrients, which may interact with your existing condition or treatment plan. Always follow the advice of your specialist team and inform them about your medication, so your diet, fluid intake, and monitoring can be adjusted safely to support both your weight management and overall health.
We work closely with a multidisciplinary team, including specialist doctors, nurses, and renal, cardiac, or gastrointestinal dietitians, to ensure your care is safe, coordinated, and tailored to your individual needs. If you are taking weight-loss medications such as semaglutide or tirzepatide, we communicate regularly with your specialist team to align your nutrition plan with your medical treatment. This collaborative approach helps us monitor your progress, adjust dietary advice, and manage any side effects, ensuring that both your underlying condition and weight management goals are supported effectively.
Core Principles For Kidney Patients
Diet on dialysis is really important because your kidneys can’t fully remove waste, balance fluids, or regulate minerals. The exact plan depends on whether you’re on hemodialysis or peritoneal dialysis, but here are the core principles most people follow:
🧂 1. Control sodium (salt)
Too much sodium makes you thirsty and causes fluid buildup.
Limit:
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Processed foods (crisps, ready meals, canned soups)
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Fast food, takeaway
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Salty snacks and cured meats
Better choices:
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Fresh, home-cooked meals
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Herbs, garlic, lemon instead of salt
💧 2. Watch fluid intake
Dialysis removes excess fluid, but too much between sessions can strain your heart and lungs.
Includes:
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Drinks (water, tea, coffee)
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Ice cream, soups, jelly, even ice cubes
Tips:
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Sip slowly
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Use smaller cups
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Suck on ice or frozen fruit (if allowed)
🍌 3. Limit potassium (very important)
High potassium can affect your heart rhythm.
Foods high in potassium (limit):
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Bananas, oranges, avocados
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Potatoes, tomatoes
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Chocolate, nuts
Lower-potassium options:
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Apples, berries, grapes
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White rice, pasta
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Cabbage, cucumber
🥛 4. Control phosphorus
Too much phosphorus weakens bones and causes itching.
Limit:
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Dairy (milk, cheese, yogurt)
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Cola drinks
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Processed foods with “phosphate” additives
Often needed:
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Phosphate binders (medication prescribed by your doctor)
🍗 5. Eat enough protein
Unlike earlier kidney disease, dialysis patients usually need more protein because dialysis removes some.
Good sources:
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Lean meat, chicken, fish
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Eggs
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Some dairy (in controlled amounts)
⚖️ 6. Maintain calories & weight
Dialysis can make you lose appetite, but maintaining energy is crucial.
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Eat regular meals
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Add healthy fats (olive oil, butter in moderation)
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Consider nutrition drinks if prescribed
⚠️ Important notes
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Diet is individual — your limits depend on your blood test results
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Work closely with a renal dietitian
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Sudden changes in potassium, fluid, or weight can be dangerous
Core Principles For Heart Patients
For patients with heart conditions, the most widely recommended approach is a heart-healthy, Mediterranean-style or DASH-style eating pattern. Current cardiovascular guidelines strongly emphasize overall eating patterns rather than focusing on a single “superfood.”
Core dietary advice for heart conditions
1) Eat more of these foods
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Vegetables and fruit: aim for at least 5 portions daily
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Whole grains: oats, brown rice, wholemeal bread, quinoa
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Beans, lentils, chickpeas: excellent for fiber and cholesterol control
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Nuts and seeds: small daily portions (unsalted)
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Oily fish: salmon, sardines, mackerel, trout (1–2 times per week)
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Healthy fats: olive oil, avocado
2) Reduce these foods
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Salt / sodium → especially important for high blood pressure and heart failure
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avoid processed meats, crisps, canned soups, ready meals
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aim for less than 6 g salt per day (about 1 teaspoon total from all foods)
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Saturated fats
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butter, cream, fatty red meat, pastries
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Trans fats / ultra-processed foods
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fried fast foods, packaged snacks, commercial baked goods
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Avoid Added sugars
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fizzy drinks, sweets, desserts
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3) Protein choices
Try to shift from red meat toward plant proteins and fish:
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beans and lentils
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tofu / soy
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fish
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skinless chicken
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small amounts of lean meat
4) Fluids (important in some heart conditions)
For heart failure, some patients need:
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fluid restriction
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closer sodium limits
This depends on severity and medications, so it should follow the cardiologist’s advice.