Metabolic Acidosis: Therapy

The primary focus of any therapy is to treat the underlying condition in question–for example, renal insufficiency (kidney weakness).

General measures

  • Alcohol restriction (abstaining from alcohol), as alcohol has an acid-forming effect.
  • Limited caffeine consumption (max. 240 mg of caffeine per day; this corresponds to 2 to 3 cups of coffee or 4 to 6 cups of green / black tea), because coffee and black tea have an acid-forming effect
  • Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for the underweight.
  • Review of permanent medication due topossible effect on the existing disease.

Conventional non-surgical therapy methods

Regular control examinations

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grain products).
  • Observance of the following special dietary recommendations:
    • Limit consumption of acid-forming foods:
      • Cereal products – barley, rice, brown bread, white flour products.
      • Legumes – peas, lentils, corn.
      • Vegetables, salads and fruit – artichokes, canned vegetables, Brussels sprouts, canned fruit.
      • Seeds and nuts – peanuts, Brazil nuts, walnuts, flaxseed, sesame seeds.
      • Milk and dairy products – créme fraîche, fruit yogurt, UHT milk, hard cheese, cottage cheese, sour cream, processed cheese.
      • All types of meat and sausages, poultry.
      • All kinds of fish, seafood
      • Drinks – cocoa, lemonade
      • Miscellaneous – margarine, candy, chips, jam, chocolate, sweets of all kinds, sugar.
    • Increase consumption of alkaline-giving foods:
      • Legumes – fresh peas, white and green beans.
      • Vegetables and salads – eggplant, broccoli, cauliflower, cucumbers, carrots, kohlrabi, lettuce, parsley, sauerkraut, among others.
      • Fresh fruit – including apple, pineapple, banana, pear, strawberries, blackberries, raspberries, figs, cherries, kiwi, mango, peaches, plums, grapes, lemon.
      • Mushrooms – chanterelles, porcini mushrooms.
      • Seeds – pumpkin and sunflower seeds
      • Milk and dairy products – buttermilk, whey, raw milk.
      • Drinks – herbal tea, non-carbonated mineral water, soy milk.
      • Miscellaneous – dried fruits, yeast, olives, raisins, soy, tofu.
    • Detailed information on acid- or base-forming foods see below “Nutritional Medicine” of the disease of the same name.
    • Supply of a dietary supplement with alkaline minerals / base therapy (calcium, potassium and magnesium citrate in combination with zinc and vitamin D3).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.