IN diseases of the kidney complicating obesity, the greatest care must be taken in the dietetic reducing regimen.
Though recent experiments suggest the harmlessness of a high protein diet on normal kidneys, we must practice caution in prescribing liberal amounts of meat to those with damaged kidneys.
One of the first principles is to avoid all sub-stances which are irritating to the kidneys, such as the brown outer surfaces of grilled and roasted meats, strong sauces, gravies, spicy foods, strong alcoholic drinks, tea and coffee.
Although meats should be limited, this should not be carried to the extreme, each case being a law to itself.
Of very great importance is the limitation of salt, but the degree to which salt restriction should be practiced depends on the individual case.
I am reluctant to be more specific on this subject because every fat patient with kidney trouble who is on a reducing regimen should be under the careful supervision of a skilled physician.