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Whilst it is generally recognised and understood that diet is able to markedly affect acid-base status and that manipulating this may have a positive effect on conditions such as osteoporosis and kidney health, there is a great deal of misunderstanding as to how this may be best achieved.[1],[2]

An established (and valid) method of estimating acid loads of foods or diets is by calculating the potential renal acid load (PRAL). PRAL provides an estimate of the production of endogenous acid that exceeds the level of alkali produced for given amounts of foods ingested daily.[3]

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