9 Best Foods for Focal Segmental Glomerulosclerosis

9 of the Best Foods for Focal Segmental Glomerulosclerosis

9 of the Best Foods for Focal Segmental Glomerulosclerosis
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Focal segmental glomerulosclerosis (FSGS) stiffens the tiny filters in your kidneys, which makes it more difficult for your body to maintain the right balance of nutrients.

 This can lead to fluid retention, extra protein in your urine, and high cholesterol and blood pressure.

“Diet is one of the best ways we have to manage these exact symptoms,” says Thomas L. Salazer, MD, the chief of the division of nephrology at Hackensack University Medical Center in Hackensack, New Jersey. “By eating the right foods, you take unnecessary workload off your kidneys.”

Your provider may refer you to a dietitian, who can help you develop a personalized nutrition plan. Kidney-healthy diets include sodium limits and plenty of fresh fruits and vegetables, whole grains, and low-fat meat and dairy.

 Diet can’t replace other treatments, but it can play a large role in managing your symptoms and preventing FSGS from progressing.

1. Salmon

Salmon delivers healthy fats called omega-3 fatty acids.

Omega-3s help lower inflammation and improve blood pressure for better kidney function, says Alice P. Machado, RDN, CDCES, the clinical nutrition manager at Baptist Health South Miami Hospital, part of Baptist Health South Florida in Miami.

This fatty fish also helps manage fat levels in your blood, which can rise in response to protein loss, says Dr. Salazer.

Machado recommends 2- to 4-ounce portions of salmon, especially if your provider tells you to limit protein.

“One of my favorite, simple recipes is salmon with fresh dill, minced garlic, and a squeeze of lemon,” says Salazer.

2. Steel-Cut or Rolled Oats

Whole grains like oats help to balance your cholesterol levels, which can get high with FSGS, says Salazer. “The soluble fiber in oats — specifically beta-glucan — acts like a sponge in the digestive tract to help pull cholesterol out of the body. Oats also provide slow-burning energy throughout the day.”

Salazer recommends ½ cup to 1 cup of cooked oats for each portion. “Pick plain, unflavored oats so you can then control the ingredients and use your own natural sweetness, like a dash of cinnamon or fresh fruit, rather than the added sugars found in flavored instant packets,” he says.

Whole grains are also naturally low in sodium, says Jessica Fentress, RDN, a clinical dietitian at VCU Health in Richmond, Virginia. You can add even more whole grains to your diet by switching out white bread for whole-grain bread or white rice for brown rice.

3. Blueberries

Berries pack a punch with fiber and antioxidants, and they’re also low in sugar, says Fentress. They can help to manage blood sugar and boost your immune system, she says.

Cell damage from oxidative stress can speed up kidney damage over time, so you need to get plenty of antioxidants with FSGS, like the anthocyanins in blueberries, says Salazer.

Phosphorus can build up in your blood with kidney conditions, so you may need to limit this nutrient in your diet.

Blueberries are naturally very low in sodium and phosphorus, making them a safe, kidney-friendly fruit, says Salazer, who recommends a portion size of ½ cup to 1 cup of fresh or frozen blueberries.

4. Red Bell Peppers

Red bell peppers give you vitamins A and C, but are low in potassium and phosphorus, says Machado.

 They also have high levels of antioxidants called lycopene and beta-carotene, which help lessen oxidative stress — a key driver of kidney disease progression, she says.

“Vitamin C helps your body absorb iron and supports your immune health,” says Salazer, who recommends portion sizes of ½ cup to 1 cup of firm, brightly colored peppers, raw or cooked.

You can eat red bell peppers as a side with proteins, mixed into pasta or casserole dishes, raw in salads, or even as a snack food with dips, says Machado.

5. Garlic and Onions

Garlic and onions can add a lot of flavor to your meals without any extra sodium, says Fentress. They also have antioxidants called flavonoids.

Some research suggests these antioxidants help protect your kidneys from inflammation and cell death.

And when you add garlic and onions to your meals, the added flavor can also help you lessen added salt in those foods, says Machado.

6. Quinoa

Plant-based proteins like quinoa create fewer waste products called uremic acids, so they offer a source of protein that the kidneys can process more easily than some animal-based options, says Salazer.

You need protein to keep your muscles strong and help heal tissue, but your provider may tell you to limit how much you eat each day. Your daily limit will depend on your weight, age, and the amount of protein in your urine.

Salazer recommends a ½ cup portion of cooked quinoa. This grain has a slightly bitter protective coating, so rinse it before cooking, he says.

7. Cauliflower

Cauliflower contains nutrients like vitamin C, folate, and fiber, says Salazer.

“It also contains specific compounds (indoles and thiocyanates) that help the liver neutralize toxins, which indirectly eases the overall workload on your body’s filtration system.”

“Cauliflower in particular is low in potassium,” says Machado. And purple cauliflower also contains anthocyanin, a powerful antioxidant, she says.

Salazer recommends portion sizes of a ½ cup cooked or 1 cup raw. “If you're buying pre-packaged ‘cauliflower rice,’ look at the ingredient list to make sure it doesn’t contain any other ingredients or additives,” says Salazer.

8. Pineapple

Pineapple helps lower blood pressure, a common complication of severe kidney disease, says Machado. “Pineapples also have diuretic properties that help the body eliminate waste products, such as creatinine, that burden the kidneys.”

This fruit also has low levels of potassium, says Machado. Too much potassium can cause heart rhythm problems, so if your provider tells you to limit potassium, pineapple can be a good dietary choice.

9. Roasted Pumpkin Seeds

Nuts and seeds provide heart-healthy fats, fiber, and plant-based protein, says Machado. They can also have potassium and phosphorus, so ask your provider or dietitian how much you can include in your diet before you add these.

If you need to avoid phosphorus, for example, roasted pumpkin seeds have very little. And sunflower seeds are low in potassium.

As a reference, here are some nuts and seeds high in potassium or phosphorus that you may need to avoid.

High in phosphorus
High in potassium
Cashews
X
Pistachios
X
X
Black walnuts
X
Pine nuts
X
X
Almonds
X
X
Peanuts
X

Resources We Trust

EDITORIAL SOURCES
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Resources
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  3. Focal Segmental Glomerulosclerosis (FSGS): Symptoms, Causes and Treatment. The American Kidney Fund. August 19, 2026.
  4. Focal Segmental Glomerulosclerosis (FSGS). National Kidney Foundation. June 30, 2026.
  5. Rout P et al. Focal Segmental Glomerulosclerosis. StatPearls. December 11, 2024.
  6. Farmed Salmon vs. Wild Salmon. Washington State Department of Health.
  7. Whole Grains: Hearty Options for a Healthy Diet. Mayo Clinic. August 19, 2025.
  8. Peppers, Bell, Red, Raw. U.S. Department of Agriculture. April 28, 2022.
  9. Stop the Tears: Why Onions Are Good for You. Cleveland Clinic. May 30, 2023.
  10. Alsawaf S et al. Plant Flavonoids on Oxidative Stress-Mediated Kidney Inflammation. Biology. November 26, 2022.
  11. Mocanu CA et al. Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease. Nutrients. October 22, 2021.
  12. Cauliflower, Raw. U.S. Department of Agriculture. April 18, 2024.
  13. Nuts and Seeds. National Kidney Foundation.
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Sean Hashmi, MD

Medical Reviewer

Sean Hashmi, MD, is an experienced nephrologist and obesity medicine specialist based in Southern California. As the regional director for clinical nutrition and weight management ...

Abby McCoy, RN

Author

Abby McCoy is an experienced registered nurse who has worked with adults and pediatric patients encompassing trauma, orthopedics, home care, transplant, and case management. She is...