If your kidneys are severely damaged, you can get a build-up of phosphate in your body because your kidneys cannot get rid of it.
Along with calcium, phosphate is important for maintaining healthy bones. But if your phosphate level rises too much, it can upset the balance of calcium in your body and lead to thinning of the bones.
You may be advised to limit the amount of high-phosphate food in your diet, such as red meat, dairy products, eggs and fish.
If this doesn’t lower your phosphate level enough, you may be given medicines called phosphate binders. Commonly used medicines include calcium acetate and calcium carbonate.
Some people with kidney disease also have low levels of vitamin D, which is necessary for healthy bones, too.
If you’re low in vitamin D, you may be given a supplement called colecalciferol or ergocalciferol to boost your vitamin D level.