Preventing Kidney Stones on Keto Diet: What to Eat and Avoid

Kidney stones are a common condition that affects many people around the world. They are formed when minerals and salts in the urine form crystals, which then clump together to form a stone. These stones can range in size from tiny particles to large, golf ball-sized objects that can cause severe pain and discomfort.

Preventing Kidney Stones on Keto Diet What to Eat and Avoid
Preventing Kidney Stones on Keto Diet What to Eat and Avoid

One of the main causes of kidney stones is a diet that is high in purines, a compound found in certain foods. The ketogenic diet, which is a low-carbohydrate, high-fat diet that is popular among many people, has been linked to an increased risk of kidney stones. This is because the diet is often high in purines, which can lead to the formation of stones in the kidneys.


In this article, we will discuss how to prevent kidney/uric acid stones while following a ketogenic diet. We will provide tips and advice on how to cut down on high-purine foods and follow a healthy diet plan that is low in purines.

Also read, The Ultimate Guide to the Ketogenic Diet: Benefits, Risks, and Meal Plans


Understanding Purines and Kidney Stones


  • Purines are a type of organic compound that is found in many different foods. When purines are broken down by the body, they produce uric acid, which is then excreted by the kidneys. If there is too much uric acid in the urine, it can lead to the formation of kidney stones.
  • Kidney stones can be made up of different types of crystals, but one of the most common is uric acid. Uric acid stones can be caused by a variety of factors, including a diet that is high in purines.
  • The ketogenic diet is often high in purines because it is based on a high intake of animal products, such as meat, fish, and dairy. These foods are rich in purines and can increase the risk of kidney stones.


Tips for Preventing Kidney Stones on a Ketogenic Diet


If you are following a ketogenic diet and want to prevent kidney stones, there are several things you can do:


  1. Cut down on high-purine foods: To reduce the risk of kidney stones, it is important to limit your intake of high-purine foods. These include red meat, organ meats, beer/alcoholic beverages, meat-based gravies, sardines, anchovies, and shellfish.
  2. Increase your intake of low-purine foods: To replace the high-purine foods in your diet, you can increase your intake of low-purine foods such as vegetables, fruits, whole grains, and low-fat dairy products.
  3. Stay hydrated: Drinking plenty of water can help to flush out any excess uric acid from your kidneys and reduce the risk of kidney stone formation.
  4. Monitor your protein intake: While the ketogenic diet is based on a high intake of protein, it is important to monitor your intake and make sure you are not consuming too much. Excess protein can increase the risk of kidney stones.
  5. Talk to your doctor: If you have a history of kidney stones or are at risk of developing them, it is important to talk to your doctor before starting a ketogenic diet. They can provide you with advice and guidance on how to follow the diet safely and reduce the risk of kidney stones.


Supplements for Preventing Kidney Stones in Keto Diet


Supplements can also help prevent the formation of kidney stones in a keto diet. Here are some supplements that can help:


  1. Magnesium: Magnesium can help prevent calcium stones from forming. It binds with calcium in the digestive tract, preventing it from being absorbed into the bloodstream and eventually forming stones. You can take magnesium supplements or eat foods that are high in magnesium, such as almonds, spinach, and avocados.
  2. Potassium Citrate: Potassium citrate can help prevent uric acid stones from forming. It works by raising the pH of urine, making it less acidic and less likely to form stones. You can take potassium citrate supplements or eat foods that are high in potassium, such as bananas, sweet potatoes, and leafy green vegetables.
  3. Vitamin B6: Vitamin B6 can help prevent the formation of oxalate stones. It works by breaking down oxalate in the body, which reduces the amount of oxalate that is excreted in urine. You can take vitamin B6 supplements or eat foods that are high in vitamin B6, such as bananas, potatoes, and chicken.
  4. Vitamin D: Vitamin D can help prevent the formation of calcium stones. It works by increasing the absorption of calcium from the digestive tract, which reduces the amount of calcium that is excreted in urine. You can take vitamin D supplements or get it from sunlight exposure and foods such as fatty fish, egg yolks, and fortified dairy products.


It's important to note that taking supplements should not be a substitute for a healthy diet. A healthy diet that is low in purine foods and high in fruits, vegetables, whole grains, and low-fat dairy products is the best way to prevent kidney stones in a keto diet. It's also important to consult with your healthcare provider before starting any supplement regimen, as some supplements can interact with medications or have side effects.

Also read, South Indian Keto Meal Plan for Weight Loss


Key takeaway from this article to avoid Kidney Stones on Keto Diet:


  1. Avoid high-purine foods like red meat, organ meats, and shellfish.
  2. Include plenty of vegetables and fruits in your diet.
  3. Choose low-fat dairy products over full-fat versions.
  4. Drink plenty of water to stay hydrated.
  5. Limit alcohol intake, especially beer and other alcoholic beverages high in purines.
  6. Cut down on meat-based gravies and sauces.
  7. Eat whole grains instead of refined grains.
  8. Consider supplementing with citrate to help prevent kidney stones.
  9. Talk to your doctor if you have a history of kidney stones or other kidney issues.
  10. Follow a balanced, healthy diet to reduce your risk of kidney stones.



In conclusion, a keto diet can increase the risk of kidney stone formation due to its high protein and fat content. To prevent kidney stones in a keto diet, it's important to cut down on high-purine foods and follow a healthy diet plan that has mostly vegetables and fruits, whole grains, and low-fat dairy products. Additionally, taking supplements such as magnesium, potassium citrate, vitamin B6, and vitamin D can help prevent the formation of kidney stones.

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