The BBHC Kidney Health Protocol is a personalised nutrition and lifestyle-coaching programme developed for adults with stage 3, stage 4 or stage 5 chronic kidney disease. It may also be adapted for people receiving dialysis or living with a transplanted kidney.

Its purpose is to reduce avoidable dietary and lifestyle stress on the kidneys, support proper nutrition, improve metabolic control and help preserve remaining kidney function for as long as reasonably possible. The programme works alongside—not in place of—the client’s nephrologist, renal dietitian, dialysis team or transplant team.

There is no single “kidney diet” suitable for everyone. The protocol is therefore based on the individual’s diagnosis, eGFR, urine-protein results, blood pressure, blood-glucose control, medications, supplements, fluid status and laboratory measurements, including potassium, phosphorus, sodium and bicarbonate.

The protocol focuses on:

Removing ultra-processed foods, excess sodium, phosphate additives and other dietary substances that may place unnecessary strain on the kidneys.

Adjusting protein intake according to kidney function and treatment status—because someone receiving dialysis may have very different protein requirements from someone with stage 3 CKD who is not on dialysis.

Restricting potassium, phosphorus or fluids only when blood results and the medical treatment plan indicate that this is necessary.

Providing appropriate amounts of suitable vegetables, high-quality protein, natural fats and nutrient-dense, minimally processed foods.

Supporting healthier blood pressure, blood-glucose control, mineral balance, hydration and general metabolic health.

Identifying supplements, over-the-counter products and dietary practices that may be unsuitable for impaired kidney function or may interact with prescribed medication.

Regularly reviewing progress and adjusting the programme as laboratory results, medications and kidney function change.

For dialysis clients, the protocol accounts for treatment-related changes in protein, fluid and electrolyte requirements. For kidney-transplant recipients, it places additional emphasis on protecting the transplanted kidney, food safety, medication interactions, blood-pressure control and metabolic health.

The BBHC Kidney Health Protocol does not promise to cure kidney disease or guarantee that further decline will stop. Its objective is to remove avoidable stressors, support the body with appropriate nutrition and help create the best possible conditions for stabilising kidney function and slowing preventable progression.

This is an educational health-coaching programme and not a replacement for medical diagnosis, dialysis, transplant care, prescribed medication or treatment by a qualified kidney specialist.