Table 1.

Recommendations for lowering urine oxalate

Recommendation	How to accomplish
Decrease oxalate intake	Avoid or limit oxalate-rich foods including spinach, rhubarb, beets, nuts, chocolate, wheat bran, sesame seeds Consult table of food oxalate content https://regepi.bwh.harvard.edu/health/Oxalate/files/Oxalate%20Content%20of%20Foods.xls
Consume 1000–1200 mg calcium/day	Note the calcium content of dairy products and other calcium-enriched foods usually consumed. Ensure that a calcium-rich food is consumed with a meal known or suspected to contain significant amounts of oxalate
Determine whether colonized with O. formigenes	Not easily accomplished as yet. Wait for commercial development of a test to determine colonization status and procedure for colonization
Decrease vitamin C consumption	Avoid supplements and excessive intake of vitamin C-rich products such as orange juice
Decrease urinary oxalate concentration	Increase fluid intake and decrease dietary oxalate absorption by the above strategies