I make my own sausage with a kidney friendly recipe, but my husband would like to have sausage gravy. He is not supposed to have milk so we use almond milk for cereal. Can you use it to make the gravy and have it taste ok or is there a better kidney friendly, good tasting alternative?

You could definitely use unsweetened almond milk to make a lower phosphorus and lower potassium sausage gravy. Technically, you could use any dairy alternative, including rice, oat, hemp or soy milk as well. Oat milk is extra creamy, so would probably taste good in your sausage gravy. You could also add a little more flour to help thicken the gravy – plant-based milks tend to be thinner than cow’s milk. I always caution patients to check the ingredients label on plant-based milks for phosphorus additives – they are very common!