Being on dialysis means your body may need extra protein and sometimes more calories to stay strong. But it can be tough to eat well or enough when you feel tired, nauseous, your taste changes, or you have a low appetite. Your dietitian or doctor may recommend an oral nutrition supplement (sometimes referred to as ONS) to help when your protein or calorie intake is low.
What are ONS?
Oral nutrition supplements come in many different forms such as powders, liquids, shakes, bars and more. Each type is unique in flavor, texture and nutrients. Some ONS options are meant to be a meal replacement for busy days where you’re unable to prepare a full meal, while others are meant to be a quick snack or protein boost. Some ONS options are designed specifically for patients on dialysis; however, some are not so be sure to check with your dietitian. They can help you find the supplements that work best for your needs.
Where can I get ONS?
You may be able to receive ONS through your dialysis provider if you meet certain requirements. For in-center dialysis, ONS may be given up to three times per week (once at each of your three treatments for the week). For peritoneal or home hemodialysis, ONS will be given to you monthly when you are in for monthly labs or doctor visit —up to 13 supplements per month, which equals about three servings per week, depending on your dialysis provider.
There have been many potential benefits reported for patients who receive oral nutrition supplements during their dialysis treatments. One large study found that a group of patients with low albumin levels, or low protein levels in the blood, who received ONS missed fewer dialysis treatments and had fewer deaths compared to those who did not receive ONS, showing that ONS may provide more than just albumin support.1
These supplements can be easily purchased from your local pharmacy, grocery store or even online. Prices vary among sellers, so shop around to find the best deal, or consider buying in bulk.
Oral nutrition supplements may be covered by your health insurance in certain circumstances. Talk with your dietitian to see which programs may be available to you.
References:
- Benner D, Brunelli SM, Brosch B, Wheeler J, Nissenson AR. Effects of oral nutritional supplements on mortality, missed dialysis treatments, and nutritional markers in hemodialysis patients. J Renal Nutr. 2018; 28(3):191-196.
- Welcome to Pathway Plus. Abbott Nutrition website. http://www.pathwayreimbursement.com. Accessed June 9, 2024.
References
Additional Kidney Diet Resources
Visit DaVita.com and explore these diet and nutrition resources:
DaVita Kidney-Friendly Recipes
This article is for informational purposes only and is not a substitute for medical advice or treatment. Consult your physician and dietitian regarding your specific diagnosis, treatment, diet and health questions.