Phosphorus / phosphate

Bone and teeth, ATP energy, DNA/RNA, cell membranes and acid-base buffering.

Swiss reference value

Switzerland age 18–65: 550 mg/day.

Good food sources

Dairy, meat, fish, eggs, legumes, nuts and whole grains; phosphate additives in processed foods.

When intake or status is low

Rare; severe hypophosphataemia can cause weakness, bone pain, confusion, respiratory and cardiac problems.

Long-term health connections

Refeeding after severe malnutrition can dangerously lower phosphate. In kidney disease, excess is more often the problem.

Skin, hair and nails

No specific hair or nail signs.

Who is more at risk

Refeeding, alcohol dependence, severe malnutrition, some antacids and hormonal disorders.

How to assess it

Assess serum phosphate and cause clinically; monitor actively during refeeding.

Supplements: when to consider

Not needed with a normal diet; medically treat confirmed hypophosphataemia.

Too much and safety

High phosphate load is especially relevant in kidney failure; additive phosphates are well absorbed.

International reference systems