Supplements to avoid or reduce while following a low oxalate diet

• Vitamin C
  It can be metabolized to oxalate. The effect may be delayed by as much as two weeks.
  

• Fish Oils
  If there is poor fat digestion, this may cause more absorption of oxalate. Try it with and without to see which is better. The vitamin D in some fish oils may be a problem for some people.
  

• Vitamin D
  Vitamin D may cause enhanced absorption of unbound calcium in the gut, and this can lead to more free oxalate being absorbed from food. For this reason, calcium taken at the beginning of meals for the purpose of binding oxalate should not include added vitamin D. Calcium taken away from meals may contain Vitamin D.
  

• Iron Some have seen improvements in iron status on diet. It may be needed at the beginning.
  

• Nystatin
  This may possibly keep the gut leaky through effects on the membrane that lies at the at the tight junction. Try eliminating it and see if that works better.
  

• PEG Compounds (like Glycolax or Miralax)
  These may be converted with the help of microbes into oxalate. Especially discontinue if you see symptoms.
  

• Other Supplements or Medicines
  Needs for supplements tend to change on this diet. Many find that they are able to eliminate parts of their supplement program gradually, including anti-yeast strategies. Others find their gut heals so well that they do not any longer require gastrointestinal medications. Work this out with the help of your child's doctor.

• This site is for informational purposes only. Please consult with a qualified medical professional before making any dietary changes.