Optimized for Stage 4 Dinner 3 Servings

Steamed Pacific Cod with Double-Boiled Vegetables

Tender steamed Pacific cod fillet served over a medley of carrots and green beans leached in boiling water, finished with lemon olive oil.

Nutrition Per Serving USDA FoodData Grounded
Calories 210 kcal
Protein 19 g
Potassium 280 mg
Phosphorus 140 mg
Sodium 90 mg
Prep Time: 15 mins · Cook Time: 15 mins · Total Time: 30 mins
Why This Recipe Fits Stage 4:

Provides exactly 19 g of high-quality protein per portion, fitting precisely into strict Stage 4 dietary protein limits (0.6 g/kg/day) without creating uremic waste buildup.

Ingredients

Check items as you prep your kitchen:

Cooking Instructions

  1. LEACHING STEP: Bring a large pot of water to a boil. Add green beans and sliced carrots. Boil for 6 minutes, then drain and discard all cooking water.

  2. Set up a steamer basket over boiling water. Place the cod fillets in the basket, cover with a tight lid, and steam for 7 to 8 minutes until fish flakes easily.

  3. In a small cup, whisk together olive oil, fresh lemon juice, and black pepper.

  4. Divide the warm white rice and leached vegetables among three plates.

  5. Place a steamed cod fillet on each plate and drizzle the lemon olive oil over the fish and vegetables.

Kidney Nutrition & Mineral Prep Tips

Dietitian Tip: Limiting animal protein to 3 oz portions in Stage 4 prevents nitrogenous waste accumulation (uremia), protecting remaining nephrons from progressive scarring.

Stage Adaptation: Formulated for Stage 4; safe for Stages 1 through 3b.

Clinical Disclaimer: Recipe nutrient values are based on USDA FoodData Central calculations. Individual lab parameters vary; always confirm your personalized potassium, sodium, and protein limits with your nephrologist or renal dietitian.