A Nutrition Guide: Which Cheese Is Good for Kidney Disease?

October 19, 2025 •

5 min read

Many cheeses are high in phosphorus and sodium, nutrients that people with kidney disease often need to limit. However, with careful selection and portion control, it is possible to include cheese in a kidney-conscious diet. This guide will help you understand which cheese is good for kidney disease and which varieties to avoid.

Quick Summary

For a kidney-friendly diet, choose cheeses that are naturally low in phosphorus and sodium. Soft, fresh cheeses like cream cheese and brie, along with options like low-sodium Swiss, are generally better choices in moderation.

Key Points

Choose Soft Cheeses: Opt for soft cheeses like cream cheese, brie, and soft goat cheese, which are generally lower in phosphorus than hard varieties.
Avoid Processed Cheese: Stay away from processed cheese products, as they frequently contain phosphate additives for texture, which are easily and almost completely absorbed by the body.
Check Labels for Additives: Always read the ingredients list and avoid any products containing "phos," which indicates added phosphorus.
Control Portion Sizes: Even with kidney-friendly cheeses, practicing portion control is important to manage overall nutrient intake.
Consider Low-Sodium Options: Naturally low-sodium cheeses like Swiss are a good choice, and low-salt varieties of cottage cheese can also be included.
Maximize Flavor with Strong Cheeses: Use small amounts of strong-flavored cheeses like Parmesan or sharp cheddar to get a flavor boost without a high mineral load.

Understanding Cheese in a Renal Diet

For individuals with chronic kidney disease (CKD), proper nutrition is essential for managing the condition and slowing its progression. Because healthy kidneys regulate mineral levels, impaired function can lead to an accumulation of certain minerals in the bloodstream. Cheese, while a great source of calcium and protein, can contain problematic levels of three key nutrients: phosphorus, sodium, and to a lesser extent, potassium.

First, phosphorus is a significant concern because excessive levels can weaken bones and cause calcium deposits in blood vessels. Cheese, a dairy product, naturally contains phosphorus, though the amount varies widely by type. Processed cheeses are especially problematic as they often contain added phosphate preservatives (indicated by "phos" in the ingredient list), which are nearly 100% absorbed by the body, unlike the organic phosphorus found naturally in dairy.

Second, sodium intake must be carefully monitored, as high sodium can contribute to high blood pressure and fluid retention, both of which stress the kidneys. Most cheeses are salted for flavor and preservation, so reading nutrition labels is critical for finding low-sodium options.

Finally, while cheese is generally low in potassium, there are exceptions. Some low-sodium cheese varieties may use potassium chloride as a salt substitute, which is something to watch for if you are on a low-potassium diet.

Which Cheese is Good for Kidney Disease?

Selecting the right cheese involves focusing on varieties that are lower in phosphorus and sodium and avoiding those with phosphate additives. Here are some of the best kidney-friendly cheese options:

Cream Cheese: One of the most kidney-friendly choices, cream cheese is low in both phosphorus and sodium. It's also low in protein, making it a versatile option for spreads and dips. When shopping, be sure to read the label to ensure no phosphorus additives have been included.
Brie and Camembert: These soft, creamy cheeses are lower in phosphorus compared to many hard cheeses. They are moderately high in sodium, so enjoying them in small portions is key to staying within daily limits.
Soft Goat Cheese (Chèvre): A good choice for a renal diet, soft goat cheese is low in phosphorus and potassium. It provides a distinct, tangy flavor that allows you to use a smaller amount for the same impact.
Swiss Cheese: Naturally lower in sodium than many other cheeses, real Swiss cheese can be a suitable option. Like other cheeses, it is a source of protein and phosphorus, so portion size matters.
Ricotta Cheese: Whole milk ricotta is relatively low in phosphorus and can be a good option for people with kidney disease. Its sodium content can vary, so always check the label, or look for a no-salt-added version if possible. Because it is made from whey, it contains some potassium, though typically still a moderate amount.
Parmesan Cheese: A strong-flavored cheese that can be used sparingly to add a big flavor punch. Just a small sprinkle of grated Parmesan can be enough to enhance a dish without significantly impacting phosphorus or sodium levels.

Practical Tips for Enjoying Cheese on a Renal Diet

Including cheese in a kidney-friendly diet requires more than just choosing the right type; it also involves smart eating habits. Following these tips can help you savor your favorite cheese while managing your health.

Read the ingredients list carefully

Always check the label for phosphate additives. These are typically listed under words containing "phos," such as dicalcium phosphate, disodium phosphate, or phosphoric acid. Cheeses containing these additives should be avoided, as the body absorbs inorganic phosphorus more readily and completely than natural phosphorus. Stick to cheeses made with milk or whey, lactic cultures, and salt.

Practice portion control

Even lower-phosphorus and lower-sodium cheeses should be consumed in moderation. A typical recommended portion is about 1 ounce (30 grams), or roughly the size of a matchbox. Limiting intake to a couple of times per week is a common strategy.

Use strong-flavored cheeses as a condiment

For cheeses higher in sodium or protein, such as feta or sharp cheddar, use them as a flavor enhancer rather than the main ingredient. A small amount crumbled over a salad or dish can provide a satisfying taste without excessive mineral load. This is a great way to make cheese "go a long way".

Consider dairy alternatives

For those who need to severely restrict dairy, there are non-dairy cheese alternatives. Plant-based milks like oat, rice, and almond milk can be used to make sauces or creams. However, it is essential to check the labels of these products, as some may still contain added phosphorus. Nutritional yeast is another popular vegan substitute that offers a cheesy flavor and is low in salt.

Comparison Table: Kidney-Friendly vs. Higher-Phosphorus Cheeses


Feature	Kidney-Friendly Options	Higher-Phosphorus Cheeses
Examples	Cream cheese, soft goat cheese, brie, low-sodium Swiss, ricotta	Processed American, Velveeta, cheddar, Parmesan (large quantities)
Phosphorus	Typically lower in phosphorus per serving	Often high in natural or added phosphorus
Sodium	May have lower sodium (like Swiss) or can be found in no-salt-added versions (cottage cheese, ricotta)	Frequently very high in sodium, especially processed varieties
Key Consideration	Focus on soft, natural varieties without additives; practice moderation	Check for phosphate additives; limit serving size and frequency

Conclusion

Navigating dietary restrictions with kidney disease can feel limiting, but it doesn’t have to mean giving up all cheese. By understanding the key nutrients to watch, such as phosphorus and sodium, and being selective with your choices, you can continue to enjoy cheese in your diet. Focus on softer, natural cheese types like cream cheese, brie, and soft goat cheese, and always read the ingredient labels for phosphate additives. Remember that moderation and portion control are critical. Consult with a renal dietitian to create a personalized plan that incorporates your favorite foods while prioritizing your kidney health.

Disclaimer: The information provided in this article is for general knowledge and informational purposes only, and does not constitute medical advice. It is essential to consult with a qualified healthcare professional, such as a renal dietitian, for personalized dietary recommendations based on your specific health needs and stage of kidney disease.

Frequently Asked Questions

Yes, Swiss cheese is often considered a good option for a renal diet because it is naturally lower in sodium compared to many other cheeses. However, it is important to still watch your portion size, as it contains protein and phosphorus that need to be managed.

Processed cheese is generally a poor choice for kidney disease because it is typically high in sodium and contains inorganic phosphate additives. These additives are almost completely absorbed by the body, leading to a significant increase in phosphorus levels, which can be harmful to kidney health.

Yes, cottage cheese can be included in a kidney diet if you choose a low-sodium or no-salt-added version. Be mindful of the phosphorus and protein content and practice portion control. Comparing brands for the best nutritional fit is recommended.

The presence of "phos" in an ingredient list (e.g., sodium hexameta-phosphate, phosphoric acid) indicates that inorganic phosphorus additives have been added. For those with kidney disease, it is best to avoid cheeses with these additives, as the body absorbs them almost entirely.

Strong-flavored cheeses, like sharp cheddar or blue cheese, can be used in a renal diet by consuming them in very small amounts. A small sprinkle can provide a satisfying taste without a high mineral load, helping to make the cheese go a long way.

For those needing to avoid dairy, alternatives include rice, soy, oat, or almond milk, although labels should be checked for added phosphorus. Nutritional yeast is another excellent dairy substitute that offers a cheesy flavor while being low in sodium.

Yes, grated Parmesan can be acceptable in small quantities, as it is relatively low in phosphorus per small serving and provides a strong flavor, so less is needed. Using it as a garnish is a great way to enjoy its taste without overdoing it.