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Oxalates

What slows things down

Salts that some plants accumulate, and that bind to calcium all the way to the kidneys.

Effects

They grab the calcium of the same meal: that of spinach is absorbed at only about 5%, against nearly 30% for that of milk. And in people who form kidney stones, dietary oxalate matters: calcium oxalate stones are the most common.

In the gut, oxalate binds to calcium in insoluble crystals that leave with the stool. A trial measured it with labeled calcium: 5% absorbed with spinach, 27% with milk (Heaney et al., 1988). Rhubarb, chard, sorrel, spinach and cocoa are the richest.

The oxalate that reaches the blood leaves through the kidneys; if it meets too much calcium in too little water there, it crystallizes. Calcium oxalate stones make up the majority of kidney stones.

By sex: kidney stones are about twice as common in men as in women. A useful paradox: eating enough calcium with meals protects better than a low-calcium diet, because it holds oxalate back in the gut (Borghi et al., 2002).

Sources: Heaney et al., AJCN, 1988 · Borghi et al., NEJM, 2002

The remedy

Boiling and DISCARDING the water removes a good half. A tendency to kidney stones is the only situation where this deserves real attention.

Where to find it (65)

Also, in smaller amounts (20)