40 subjects with a confirmed diagnosis of IBD or \>6 months post-RYGB with a diagnosed USD event or kidney stone on imaging within the past three years and 40 healthy controls will be administered a high oxalate diet on Days 0-3 and Days 21-24 with a washout period on Days 4-7 and will be administered 250mg sodium oxalate on Days 8-20, via prepared spinach, from Weil Cornell Medicine's Clinical and Translational Science Center. Subjects will partake in four stool collections, four 24-h urine collections, two blood collections, and four sets of colonic permeability testing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
80
Diets will contain 16% protein, 30% fat, and 54% carbohydrate, and are controlled in the amounts of calcium (400mg), oxalate (250mg), ascorbic acid (50mg), fiber (30 grams) and, other nutrients. Each controlled diet will be consumed for four days. On days of controlled diets, subjects will be provided with 2 liters of bottled water per day to ensure adequate hydration. After the controlled diet period, there will be a three-day washout period, where participants will consume Ad-lib diets supplemented with a daily intake of oxalate in the form of cooked spinach to be taken with breakfast daily for a total of 2 weeks.
NYU Langone Health
New York, New York, United States
RECRUITINGUrinary Oxalate Levels (UOx)
UOx will be quantified in 24-h samples
Time frame: Day 2-3
Urinary Oxalate Levels (UOx)
UOx will be quantified in 24-h samples
Time frame: Day 23-24
Total Fecal Oxalate Levels
Time frame: Day 2-3
Total Fecal Oxalate Levels
Time frame: Day 14
Total Fecal Oxalate Levels
Time frame: Day 23-24
Urinary Calcium Levels
Time frame: Day 2-3
Urinary Calcium Levels
Time frame: Day 23-24
Sucralose Levels
Time frame: Day 2-3
Sucralose Levels
Time frame: Day 23-24
Calcium Oxalate (CaOx) Supersaturation Levels
Time frame: Day 2-3
Calcium Oxalate (CaOx) Supersaturation Levels
Time frame: Day 23-24
Plasma Oxalate Levels
Time frame: Day 2-3
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Plasma Oxalate Levels
Time frame: Day 23-24