I was focusing on these foods you listed (all organic and local organic when possible) but began experiencing Hives on my upper arms ! Jill Harris. I have been making juices with spinach, kales, watercress, lemon, green apple, pineapple, fresh turmeric and fresh ginger. If oxalate binds to calcium in your stomach and intestines and it will leave your body as does all solid waste in your stool. Here is a breakdown of the oxalate data that is available for popular cereal brands. So, the short answer is "no". A few of the highest oxalate foods: Dark chocolate. If you're looking for lower oxalate desserts, swap brownies for oatmeal cookies, chocolate chip cookies or apple pie. Hyperparathyroid disease is a condition in which there's too much parathyroid hormone (PTH) production. Oxalate and Kidney Stones Oxalate is most well known for its role in the formation of kidney stones. However, the available data for this group is not significant, and the amounts may vary depending upon brand/specific ingredients. Excess oxalate is eliminated through your kidneys, in your urine. Low-Oxalate Diet What Is a Low Oxalate Diet? This article details all you, Packed with nutrients but low in calories, leafy greens are crucial to a wholesome diet. Watercress is delicious raw in salads or cooked! In chemical terms, oxalates belong to a group of molecules called organic acids, and are routinely made by plants, animals, and humans. Antioxidants are compounds in plant foods that protect your cells from free-radical damage. If you are concerned, you could always ask your doctor for a 24-hour urine test! Probably my favorite low oxalate green, arugula is tasty in salads or as a topping for pizza and flatbreads. You may wonder how else radicchio differs from other more common leafy vegetables like cabbage and lettuce, and if its worth adding to your diet. Magnesium. Spinach and other greens such as chard, beet, and turnip all bother meA LOT! Whats an alternative to almond milk since I dont drink dairy? It is easy to find exaggerated claims about many things, and oxalate seems to be one of those. A single copy of these materials may be reprinted for noncommercial personal use only. Today, research supports that radicchio offers potential health benefits, which appear to be largely due to powerful plant compounds (8). Low oxalate greens have 1- 5 mg. oxalate per half cup. High Oxalate Foods. Raspberries are the most significant fruit source of oxalate. In the body, oxalates come together with calcium and iron to make crystals. Instead, try white rice, another gluten-free grain, which contains only 4 milligrams of oxalates in 1 cooked cup. https://www.drugs.com/cg/low-oxalate-diet.html, https://www.ncbi.nlm.nih.gov/pubmed/15826055, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3710657/. Supplements are just potentially SUPER concentrated sources of oxalate. As mentioned in the article, many oxalate-containing foods are highly nutritious. National Institute of Diabetes and Digestive and Kidney Diseases. I dont want to develop kidney stones ever in my life again. And as a Life Sciences professional Ive come to understand how the foods we put in our bodies profoundly affect our biochemistry and health. ", Clinical Nutrition Research: "Nutritional Management of Kidney Stones (Nephrolithiasis)", Wake Forest Baptist Health: "Kidney Stones", Health.gov: "Dietary Guidelines for Americans, 2015-2020: Appendix 7. Is radicchio high in oxalates? 2014;192:316. Avoid high oxalate foods, low sodium, less animal protein, incorporate Milk, yogurt, cheese, when eating oxalate foods. Its not a proven fact that any of this works and this isnt medical advice, Im just telling you what worked for me. Nevertheless, the levels here aren't nearly as bad as with some other foods. This doesn't mean you can never have these healthy treats. It appears that if either is brewed very briefly, they may be medium oxalate, but if they are brewed longer they are high. Is that cooked or raw? Just choose a bag that's unsalted so that you keep your sodium intake in check. Honestly, the list of high oxalate greens is much shorter than the list of low oxalate greens. Is there a way to know how my stones were form? Low-oxalate diets are frequently characterized as being <100 mg per day (4). Radicchio is stored like other leafy greens and will keep in the refrigerator for 2 weeks raw and unwashed. However, keep in mind that most research uses concentrated chicory root extract, making it difficult to determine how much radicchio you need to eat to achieve these potential benefits and which specific applications it may have. However, these high oxalate greens are very high in oxalate. You can see this study here: https://www.ncbi.nlm.nih.gov/pubmed/15826055. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. The compounds in radicchio may offer other health benefits, but more research is needed to determine specific applications and doses: Radicchio contains antioxidants, vitamins, and minerals that may fight parasites, regulate blood sugar, and support heart and digestive health. Some popular vegan-friendly protein options contain oxalate due to their soy content. All rights reserved. Hope you feel better. Id be very careful avoiding high oxalate foods (especially plant foods in general) without confirming you need a low oxalate diet. Anthocyanins may benefit intestinal health and repair cell damage caused by oxidative stress (10, 11). I know it can be frustrating to put all of this information together. I need a high fiber diet because of other issues so what can I eat that isnt high in oxalates like greens? All oxalate amounts based on 1 cup raw vegetable, unless otherwise specified. Have you been advised to follow a low-oxalate diet? Im confused. While low in calories, radicchio is high in zinc, copper, and vitamin K. The historical medicinal uses of Cichorium intybus include wound healing as well as treating diarrhea, maintaining heart health, and managing blood sugar (8). Great to read about the use of greens you listed! Endive is our last low oxalate green. Although oxalate can be problematic for certain individuals, it is usually not a concern for most healthy people, and the idea that everyone needs to avoid oxalate is a common nutrition myth. God bless you , for your support. Once again, these are the most common oxalate-rich foods which had reliable data available. Furthermore, any dried versions of oxalate-rich fresh fruit (see next section) will also contain high concentrations. Oxalate salts increase the risk of kidney stones, especially in patients with gut dysbiosis. A low oxalate diet limits foods high in oxalates. Oxalic acid binds minerals like calcium and potassium, making them insoluble and less bioavailable (12). ", Asia Pacific Journal of Clinical Nutrition, : Oxalate content of foods and its effect on humans., International Journal of Food Sciences and Nutrition, : Oxalates in some Indian green leafy vegetables., : Effect of antibiotics on Oxalobacter formigenes colonization of human gastrointestinal tract.. Journal of the American Society of Nephrology: Oxalobacter formigenes May Reduce the Risk of Calcium Oxalate Kidney Stones., : Effect of ascorbic acid consumption on urinary stone risk factors., Dietary risk factors of hyperoxaluria in calcium oxalate stone formers., : Medical and Dietary Therapy for Kidney Stone Prevention., : Clinical Practice Calcium Kidney Stones., Treatment of enteric hyperoxaluria., : Nephrolithiasis in patients with intestinal disease., By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Becoming a Vegetarian: Foods to Choose From. This is so helpful. If you're on a low-oxalate diet, try swapping raspberries for low-oxalate berries like blackberries, blueberries and strawberries they all contain only 4 milligrams of oxalates per 1-cup serving. You can fit much more cooked spinach into a cup. Rice Bran. This content does not have an English version. Also increased water intake. Many people believe that radicchio possesses anti-inflammatory properties, as it is one of the few vegetables that does not contain significant amounts of oxalates. There isnt an official amount of oxalate you should eat per day for a low oxalate diet. Oxalate (oxalic acid) is a compound found in a wide range of plant foods, and it is often called an antinutrient. How to do a low oxalate diet People who are placed on low oxalate diets for kidney stones are usually instructed to eat less. My personal favorite is this one! I became very plant based after my breast cancer diagnosis. Oxalate and calcium join together in the kidney and can cause kidney stones. texture to salads. They are an excellent source of fiber as well, providing 28 percent of the DV per serving. Hi, my husband and I have been following a plant based diet since Jan 2020, almost two years, he had a quadruple bypass heart surgery, unexpected and without previous heart complications, dr says it was most related to genetics. Hi Martha! 20 Tasty Foods High in Iron Youll Love, 8 Foods High in Purines to Limit if You Have Gout, 16 Foods High in Manganese for Immune Support, National Institute of Diabetes and Digestive and Kidney Diseases, UPMC Nutrition Services: "Low Oxalate Diet", Advances in Urology: "Kidney Stone Disease: An Update on Current Concepts", National Kidney Foundation: "6 Easy Ways to Prevent Kidney Stones", National Kidney Foundation: "What Are Oxalates and Why are They a Concern for Kidney Disease Patients? If you eat or drink calcium-rich foods at the same time, they can help your body handle oxalate without turning it into a kidney stone. It is the base of my Tomato & Mozzarella Salad! How a Low Oxalate Diet Could Make Kidney Stones Worse. Lentil soup is also high in sodium, which is another risk factor for kidney stones. Everyone is different! The values are for foods in their raw state unless otherwise stated. Steaming reduced by 5-57%. Proper balance of histamine levels is really important for good gut health. Eating enough calcium, staying hydrated and reducing sodium intake are all crucial in preventing calcium oxalate kidney stones, according to the National Kidney Foundation. Great article, but very sad for us vegans. No Kindney stone issues but I am genetically predisposed to possbile weakness for oxalate issue. I dont worry about using spices in cooking one bit. It sounds like the doctors need to figure out what is going on with a bit more certainty before we can figure out how nutrition fits into treatment! On some lists sunflower seeds are . Before we look at foods, here are some popular drinks that have oxalate data available. Savoy, Napa and purple cabbage are all low oxalate. - Radicchio should be eaten sparingly due to its high content in oxalates which can cause kidney stones. This additional diet took a lot of my go to food sources away . How to choose, store, and add radicchio to your diet, Mediterranean Diet 101: A Meal Plan and Beginners Guide. Sorry to hear that, Tami. Kale is rich in several important nutrients and may offer multiple health benefits when, Despite its impressive nutrient content, cabbage is often overlooked. Melanie is a Registered Dietitian certified in kidney nutrition. Reply. A low oxalate diet is necessary for some people with kidney stones, but not for everyone. Other than low oxalate greens, there are plenty of other green vegetables you can enjoy on a low oxalate diet! Ideally, by a Registered Dietitian who takes the amount of calcium and your other kidney stone risk factors into account. Swap navy beans with red kidney beans, which contain 15 milligrams of oxalates for the same 1/2-cup serving. IF you have high urine oxalate, I would definitely avoid turmeric supplements. Oxalates are organically found in many vegetables, fruits, legumes, nuts, etc, that prevent the plant from getting spoiled by insects. My stone was identified as calcium oxalate. I take turmeric with curcumin bioperine daily to help combat inflammation. However, the oxalate story is a bit more complicated, and understanding what oxalates are, and what their place is in your diet is important. Other varieties are Treviso, which is sweeter and longer in shape, and Castelfranco, which is green with red speckles. Some of the top foods that you can include in a low-oxalate diet include: Fruits: bananas, cherries, mangoes, grapefruit, melons, grapes, nectarines, papaya Vegetables: cauliflower, kohlrabi, radishes, chives, mushrooms, cucumbers, cabbage, peas, avocados Proteins: meat, poultry, seafood and eggs Dairy Products: milk, cheese, yogurt, butter Hyperoxaluria occurs when there is too much of a substance called oxalate in the urine. There are plenty of low oxalate greens that can (and should!) Other whole grains, or are all grains bad? The distinctive color of radicchio comes from pigmented antioxidants called anthocyanins. Make sure to consult with your physician before making any dietary changes. What is kidney (renal) failure? In: Conn's Current Therapy 2016. Interesting I dont know of any research that shows higher oxalate foods can cause seizures. How about kale or all lettuce? Oxalate-degrading enzymes are new enzymes on the market that break down oxalates when taken with high oxalate foods. Yum! On the flip-side, these legumes are high in oxalates, providing 96 milligrams per 1 cup. Much of the radicchio eaten around the world is imported from the Mediterranean region, but today, it is also grown commercially in other areas like California (5). Hi Bonnie! Wow, saag made with various greens..spinach, chard, collards must be off the charts. Im just curious as to why you Worry about some spices in supplement form? Rare Kidney Stone Consortium. Oxalates are substances found in plants, animals, and humans. Id suggest seeing if you can see a RD via your healthcare facility. Radicchio (pronounced rah-dee-key-oh) is a type of chicory with white veins and deep reddish-purple leaves that form a round or elongated head. IDK about the others. No need to worry about those oxalates are only found in certain plant foods. Serving. Many of these low oxalate greens are also very high in nitrates (note: not nitrites! Sincerely, Jamie. Your kidneys may also suffer, as oxalate build-up has been linked to the formation of harmful and painful kidney stones. Instead, the amount of oxalate that is right for you should be individualized to your 24-hour urine results. It's easy to snack on nuts and seeds, so keep the serving size in mind to keep your oxalate intake low. As a significant source of grains, the majority of cereal products will contain high amounts of oxalate. Oxalates. Oxalate (oxalic acid) is a compound found in a wide range of plant foods, and it is often called an antinutrient. At least for the spinach, chard and beet greens? Although research is promising, more human studies are needed to determine how much radicchio is needed in the diet to achieve these effects and which infections it could benefit. Hi Areli You should never eat spinach raw. To start my day out right. Its a good source of micronutrients like zinc, copper, and vitamin K, and works well in Italian dishes like pasta, soup, pizza, and salads. The number was 57. Romaine Lettuces <6.2 mg. Non-green vegetables can contain a large number of oxalates as well; some of these include carrots, beets, beans (baked, dried and kidney beans), summer squash and sweet potatoes. If you would rather not eliminate raspberries from your diet, consider pairing them with a calcium-rich food. Just swap a large, NY-style bagel for a small, regular bagel, and you'll only get 9 milligrams of oxalates. A 1/2 cup of cooked spinach packs 755 milligrams of oxalate, and 1 cup of raw spinach has 656 milligrams. For each food group, you can see the foods with the most oxalate in descending order. I am truly lost. I read many of those ingredients are high oxalate. Radicchio is a bitter variety of chicory often used in Italian dishes. Boil the three high-oxalate greens spinach, beet greens, and Swiss chard and 60% of the oxalates are leached into the cooking water. *In vitro tests show that patented formula inhibits the rate of calcium oxalate crystal growth by 99%. Cabbage vs. Lettuce: Whats the Difference. Cooked and dry cereals without nuts or bran. If you're at a high risk of developing calcium oxalate kidney stones, you may benefit from a diet low in oxalates. You cant believe everything you hear. The roots of some chicory plants are also dried and ground to make a popular coffee substitute by the same name. A 1/2-cup serving of okra has 57 milligrams of oxalates. Terresa. A Registered Dietitian who is familiar with your medical history and current eating habits would be really helpful for you. Balance high-oxalate foods with other fruits and vegetables to help ensure good health. However, pairing this cereal with calcium-rich milk will help lower your risk of kidney stones by increasing your daily calcium intake. Food. The food with the highest oxalate content. When oxalic acid, which is water-soluble, combines with mineral ions it yields various oxalate "salts." These mineral salts form minute crystals. This seems to vary quite a bit by brand of tea as well so I chose not to include either kind of tea here. There is no official definition of a low oxalate green. Mustard Greens Salad with Apples and Dill, https://nutritionforseizures.com/oxalates-what-are-they-and-how-they-can-cause-seizures/#:~:text=For%20the%20purpose%20of%20our,various%20areas%20of%20the%20body, Here is a recent IG post I wrote about this, those with high urine oxalate levels should avoid oxalate, if you have high urine oxalate on a 24 hour urine test. But, similarly to almonds, cashews are high in oxalates. Sorry for rambling, but I just received these results and my doctor cannot see me until August. The list shows blueberries are low i oxalates but other sites say they are high in oxalates and another site said they block the absorbtion of calcium and should be avoided unless you have a lot of calcium. This references are all either cell or animal studies, or do not show that a low oxalate diet will help with any of the conditions. Try these healthy sweet potato recipes. I also have a tea made with ginger, lemon, cayenne pepper, black pepper, cinnamon and turmeric every morning. 485. Nuts are notoriously high in oxalates but you can enjoy lower oxalates nuts in moderation. Okra is often used to thicken gumbo but is high in oxalates. This content does not have an Arabic version. There isnt good research that shows limiting oxalate helps with rheumatoid arthritis. I had my very first one seven years ago. Medium oxalate greens have 5 -15 mg. oxalate per half cup. Research Dr Fred Coe from the University of Chicago on Kidney stones also. hi Melanie That is, oxalates have a negative effect on bug's experience when they are eating the plant, which makes them disregard the plant as food after a few bites. Raspberries are incredibly nutritious, rich in antioxidants, vitamin C and manganese. Is there a very comprehensive list ?. "Daily Nutritional Goals for Age-Sex Groups Based on Dietary Reference Intakes and Dietary Guidelines Recommendations", University of Chicago: "How to Eat a Low Oxalate Diet", University of Chicago: "The 179 High Oxalate Foods and Products", American Journal of Kidney Diseases: "Serum Uric Acid and Risk of Kidney Stones", Arthritis Foundation: "Safe Foods for Gout", American Kidney Fund: "Foods and Drinks to Avoid When You Have Gout", Annals of the Rheumatic Diseases: "Purine-Rich Foods Intake and Recurrent Gout Attacks". Out of these four, the most commonly discussed are the primary and enteric types. But too much oxalate in your urine can cause serious problems. We do not necessarily need to consume any oxalate in our diet. Kale is surprisingly low in oxalate. Id recommend focusing on eating a variety of green leafy greens (as well as ALL vegetables) to improve heart health. FDA approves first drug to treat rare metabolic disorder. I dont have a good source for that. Bridget. The 7 low oxalate greens you can use frequently are as below (Name and Approximate Amount per 100mg): Arugula - less than ( <) 4mg. Though it looks similar to red or purple cabbage, radicchio has a distinct bitter or spicy taste, which becomes less pungent if cooked. Yes! Also, my accurate oxalate list on my resources page. All kinds of cabbage are low in oxalate. For example, raw spinach has around 656mg oxalate per cup. Coconut milk and flax milk are both low in oxalate. Other research has indicated that radicchio contains polyphenolic compounds like luteolin that have antiplatelet activity, meaning they may improve circulation and prevent blood clots (16). While this soup is considered relatively healthy, it's also high in oxalates. If you're still in the mood for soup, but looking for a low-oxalate alternative, swap it for chicken noodle soup, which only has 3 milligrams of oxalates per can. If your urine oxalate isnt high, then removing otherwise healthy foods (like spinach!) Grains: Egg noodles. Can see from the list what has caused the deterioration and can now adjust my diet accordingly. My kidneys are fine but I do stay away from spinach, namely, because ridiculously high amounts of oxalate will cause me to have a seizure. Thanks. Sauted cabbage is an excellent side dish for pretty much any entre. Concentrations of oxalic acid are low in most plants and plant-based foods. By the way for stones, I was told a dash of fresh lemon in water does wonders, how true it is I do not know but feel free to look into it and let me know. Because a cup of cooked spinach started out as far more raw spinach. Fans of green smoothies might consider rotating . Can you share a resource that lead you to this conclusion? All information on this site is meant for educational purposes only and should not be used in place of advice from a medical professional. But they are quite high in oxalates, with 1 cup of lentil soup providing 39 milligrams of oxalates. To cook it like a pro, try these flavorful, high-protein tofu recipes. I do eat what anyone would call a very varied vegan diet, but my issues have not resolved, or even improved at all really. Soy products are a significant source of oxalic acid, so in addition to miso, soy-based condiments/dishes like natto, cheonggukjang, and tempeh will contain high amounts. Holistic and creative cooks watching kidney stones have difficulty with some foods not on usual oxalate lists. It can also be diced and added onto pizza. For a lower-oxalate alternative, swap lentil soup with vegetable beef soup, which only contains 5 milligrams of oxalates per 1-cup serving. There are four main types of hyperoxaluria - primary, enteric, dietary, and idiopathic. Cook high-oxalate vegetables to lower their oxalate content. Step #3: Consider supplementing with vitamin B6. If you go too far, a low oxalate diet is actually very unhealthy. Your email address will not be published. The only berry that is very high in oxalate is raspberries (look at the list). A large, New York-style bagel packs 40 milligrams of oxalates. Who Needs Low Oxalate Greens? The highest content of oxalates is found in products with pure cocoa: Oxalate rich foods. I went to a urologist in Illinois yesterday and was very surprised she had never heard of Dr Coe! Zinc. Thank you for that. Miso soup is high in oxalates and sodium, which can both increase the risk of calcium kidney stones. Good luck! An animal study found chicory extract to have a significant antiparasitic effect on a type of roundworm infection common in pigs. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. I dont eat dairy very often and like green smoothies-kale, cucumber, watercress and spinach and blueberries. Because of the very large amounts of oxalate produced, the kidneys of many people with primary hyperoxaluria fail by early to middle adulthood. Primary hyperoxaluria is a rare inherited (genetic) condition present at birth. Buckwheat, spinach and beets are all healthy foods that are high in oxalates. You can easily find out yourself by simply doing different diets for measured times. Foods that are high in their oxalate content have a bitter taste when they are consumed in their . Calcium Oxalate is a compound found in many foods and is also a waste product produced by the body. No worries at all! Once you've removed high-oxalate foods from your diet . 8-11, Vegetables and Vegetable Products, 1984. Hyperoxaluria and oxalosis care at Mayo Clinic. Eventually, these small crystals can stick together, forming a larger, hard crystal known as a kidney stone, according to the National Kidney Foundation. Of course, anyone who feels they need to limit oxalate should do so after consulting with their dietitian or medical physician. Scallions - traces. I eat spinach all the time. One cup of raisin bran flakes has 57 milligrams of oxalates. Breads & Grains. Popeye might inspire you to eat your fair share of spinach, but if you're at a high risk of calcium-oxalate kidney stones, you may want to watch out. She has published her research and given national presentations in kidney nutrition. For individuals who have been advised to go on a low-oxalate diet, then this list shows the foods that contain larger amounts. 1 Oxalates, sometimes collectively dubbed oxalic acid, are naturally occurring compounds in certain plant foods that can bind to the calcium in your body as your system digests. But lately (well for the past 5 years at least!) There are several types of hyperoxaluria: Primary hyperoxaluria. Unfortunately, many people are given general advice to "avoid all green vegetables" on a low oxalate diet. Lots of water and diet. High levels of free radicals in your body may lead to oxidative stress and associated illnesses like cancer, heart disease, digestive conditions, and Alzheimers (9). Kale and bok choy If you're watching your intake of oxalates, kale and bok choy are nutrient-rich greens with just 2 milligrams. It Increases Blood Circulation in the Body which Promotes Healthy Skin, Hair and Nails. Instead, swap hot chocolate with chocolate milk, which only has 7 milligrams of oxalates per 1 cup. Stuff endive with a tasty filling like blue cheese and apples! Kidney C.O.P. Patent: Compositions and methods to inhibit kidney stone growth. It is one of my go-to toppings for avocado toast. It adds a bright green color and a soft (buttery, if you will!) High oxalate foods include many fruits, vegetables, and grains. Im so confused and want to know if I need to change my diet or what should I ask my urologist tomorrow. My googling returned mostly questionable sites. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Oxalosis happens after the kidneys fail in people who have primary and intestinal causes of hyperoxaluria, and excess oxalate builds up in the blood. Low oxalate greens do exist. Hi. Its cooks down considerably. If you are at risk of calcium oxalate kidney stones, you may want to limit your intake of certain nuts, especially almonds, because of their high oxalate content. Oxalate is a natural chemical in your body, and it's also found in certain types of food. According to your list its one of the absolute worst. Hi, I have rheumatoid arthritis and was recently diagnosed with sarcoidosis in the chest and nodules in the lungs. Fish oil, omega 3 help degrade oxalates. Why Follow a Low Oxalate Diet? The absolute best cheese for a low oxalate diet is swiss. Boiling works especially well for this. If you tend to eat raisin bran cereal in the morning, you might want to reconsider your breakfast if you're following a diet low in oxalic acid.

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