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Nutrition Update: 4 Steps to Follow a Low-Sodium Diet Like a Pro

PSC Partners Seeking a Cure


Brittany Roman-Green is a licensed dietitian nutritionist and certified personal trainer.  She is the owner of her private practice in Mountain View, California and specializes in gut and liver conditions.

**NOTE: Always speak with your doctor before starting a new diet to make sure that the diet change is appropriate for your medical condition and treatment.

Nutrition Update: 4 Steps to Follow a Low-Sodium Diet Like a Pro

A low sodium diet might be recommended for individuals with ascites (fluid build up in the abdominal cavity) which can occur in people with liver failure. If you have ascites, ask your doctor before initiating a low sodium diet to ensure it’s an appropriate treatment for you. Once you get your doctor’s approval, follow a low sodium diet using these four steps.

1. Choose Whole > Processed Foods

Processed foods contain significantly more sodium than whole foods, such as fresh fruits, vegetables, whole grains and legumes. However, choosing whole over processed foods can be challenging if you live in a part of the country that doesn’t have easy access to fresh fruits and vegetables. Depending on where you live, fresh produce can also be expensive. If price is a factor that’s preventing you from consuming fresh produce, try looking up a local farmer’s market to purchase in season, fresh fruits and veggies which will be cheaper than their grocery store counterparts. Another great alternative is to purchase frozen produce as these foods typically don’t contain added sodium-just double check the nutrition facts label to make sure.

2. Skimp on the Salt

One way to reduce your sodium intake is by using fresh herbs, spices and citrus to add flavor to your meals instead of salt. Try sautéing mushrooms in olive oil and thyme. You can also try marinating chicken with lemon and rosemary (Yum!).

3. Look at the Label

Look at the nutrition facts label in processed and convenient foods to check the sodium content. Ideally, we would make all our meals and snacks from scratch, but since that’s not always practical, monitor the sodium content in the processed foods you consume by reading the nutrition facts label. A good goal is to consume less than 2000mg of sodium in total throughout the day.

4. Don’t Be Fast, Cheap, or Easy

They say, you are what you eat, so don’t be fast, cheap, or easy. Most restaurant meals and fast foods are loaded with sodium. Avoid these foods by planning ahead as much as possible. When being mindful of sodium content, meal prepping all of your meals and snacks for the week can dramatically reduce your total sodium intake. Your leftovers from the night before will likely contain a lot less sodium than most meals bought outside your home, so bring your leftovers to work instead of buying your lunch out.

Substitutes for High-Sodium Containing Food

Not sure which foods are high in sodium? Check out this chart for alternatives to common high sodium containing foods.

High Sodium Foods Low Sodium Substitutes
Deli meats Oven-roasted turkey, chicken breast
Frozen pre-made dinners/meals Home-cooked dinners
Canned beans Low sodium canned beans rinsed thoroughly, dry beans
Salted nuts Unsalted raw nuts
Canned fruits and vegetables In season fresh fruits/vegetables, frozen fruits/vegetables, thoroughly rinsed low-sodium canned fruits/vegetables
Canned soups Soups made from scratch
Breakfast cereals or other processed breakfast foods (such as pancake mixes) Raw oats, homemade breakfast foods
Condiments (such as soy sauce, marinated products) Cook with fresh herbs, spices and lemon or limes
Processed cheese (such as American cheese or cheese spreads) Mozzarella, Swiss cheese
Pasta sauce Home-made pasta sauce

Following a low sodium diet can be challenging at first but once you get the hang of it, the diet will become easier to maintain. If this list seems too daunting, start by tackling one of these approaches and slowly work your way to mastering all of them. Decreasing your sodium intake a little is still better than not decreasing it at all.

For more information on Nutrition and PSC, click here

2 thoughts on “Nutrition Update: 4 Steps to Follow a Low-Sodium Diet Like a Pro”

  1. Krystal says:

    Thank you so much for the information. It was a lot of help.

  2. Jeffrey Martin says:

    How do I gain and then maintain weight while being aware of a PSC diet. Tried protein and whey power drinks. Need ideas !

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