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cov200hUnless you have been living in a far flung part of the world where access to data is limited most people are aware that sugar has finally been determined to be a far more problematic part of human health decline and disease risk that the much trumpeted but now derided role of fats. Recently poularised opinions, driven by scientists such as Robert Lustig and communicated via films such as Fed Up have in the minds of many made sugar the new tobacco.

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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