My renal dietician came by briefly during dialysis to ask about my weight loss. The nephrologist lowered my dry weight again to 80.5 kg, and I left dialysis at 80.1 kg. My ankles are definitely a bit thinner, even after sitting, and my ending blood pressure was in range without taking the extra NIFEdipine pill. Maybe the “new” me does only weigh 175 pounds.
I told the nutritionist that I was experiencing diarrhea about half the time after drinking a protein shake, whether it’s Nepro (renal) or other brands. She said that this happens to other patients too, and to drink it more slowly. She also mentioned a second renal protein shake brand call Novasource from Nestlé. Like Nepro, there are three flavors: Vanilla, Strawberry, and Cafe Mocha. I also got two sample shakes and a discount order form from her.
Let’s compare Novasource Strawberry and Nepro Mixed Berry:
| Nutritional Item | Novasource | Nepro |
| Serving Size | 8 fl oz | 8 fl oz |
| Calories | 475 | 420 |
| Total Fat | 24 g | 23 g |
| Saturated Fat | 2 g | |
| Sodium | 220 mg | 250 mg |
| Potassium | 230 mg | 225 mg |
| Total Carbohydrates | 43 g | 38 g |
| Protein | 22 g | 19 g |
| Phosphorus | 200 mg | 170 mg |
| L-Carnitine | 63 mg | 63 mg |
| Taurine | 36 mg | 38 mg |
| Water | 168 mL | 172 g |
| Calcium | 200 mg | 250 mg |
| Vitamin D | 2.5 mcg | 5.0 mcg |
The two nutritional information charts had different formats and order so I chose the ones that I usually list in random order. The two products look fairly similar; both have low potassium and phosphorus compared to regular, non-renal protein shakes. I hope the Novasource shakes taste better. I’ve only really had the Mixed Berry Nepro, and have gotten to dislike the flavor somewhat. I used to drink them at room temperature but a lot of people online have suggested drinking it cold. It’s better cold, but the chalky aftertaste is still there.
The list price for Novasource on their website is $108 for a case of 27. The cheapest price I found on Amazon is ~$90 for 27 including shipping. The nutritionist gave me an order form directly from Nestlé that has each case for $64. Similarly, Nepro usually sells for $92 for a case of 24 but the discount price is $57. Question is why anyone would buy and drink these shakes if they’re not on dialysis?