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June 18, 1927


JAMA. 1927;88(25):1970. doi:10.1001/jama.1927.02680510028013

Clinicians are awakening to a realization that the dietary management of certain types of nephritis has perhaps been too rigorously "standardized" in the past. For the most part the diets prescribed are considerably limited in one direction or another; and the restricted intakes are often ordered somewhat indiscriminately for all patients in the category of renal disorder. This makes for convenience of administration, though by no means always for wholesome therapy. The general dictum for the dietary regulation is to spare a diseased kidney unnecessary functional labor, and at the same time furnish the nutrients distinctly appropriate for each case. Sometimes the application of these principles calls for a choice between disadvantages rather than a discrimination between advantages.

One of the recent changes in the dietotherapy of nephritis concerns the physician's attitude toward the protein factor in nutrition. Heretofore the beliefs, on the one hand, that protein feeding can in