I've been in Stage V for 9 years but have managed to avoid dialysis so far and no transplant either. One thing I've found helpful is to be very scrupulous about looking up nutrition data over and over again until you start to get a feel for what's what. Then my secret weapon is portion control. When you know something is bad for you but you love that food, occasionally have a bite or two but stop after that. When I out for dinner and my wife orders a hamburger, I order a salad or just a couple vegetable side dishes. But, I allow myself to take a bite of her hamburger, and then stop. When she has french fries take 3 or 4 of the and then stop. Eat those bites slowly and really pay attention to savor the taste, but stop, no matter how much you want to keep eating. Works when you eat with someone else who wants to help because you can't really eat too much of their hamburger anyway! I'm not a big fan of Davita. You can do better figuring it out for yourself.