Are pistachios good for kidneys?

Pistachios sit at the top of the potassium and phosphorus tables for nuts — a handful can consume a large share of a stage 4-5 potassium budget.

For early CKD, a strictly counted few nuts occasionally is the ceiling; for stage 3-5 and dialysis, avoid them and choose lower-mineral options.

Macadamias are the lighter nut, and fruits like apple and grapes are the safest swaps.