Guidelines for the nutrition management of adult chronic kidney disease consider the estimated nutrition needs of a renal patient in addition to presence of protein catabolism, nutrient loss, and widely ranging disease severity.1 Specifically, the renal diet aims to regulate intake of calories, protein, phosphate, potassium, sodium, and fluid to promote optimal renal function and maintenance of adequate nutrition status. Renal patients whom are not receiving dialysis treatment reflect positive nitrogen balance with a suggested daily energy intake of 30-35 kcal/kg depending on age and protein consumption of 0.6-0.75 g/kg.