More than 250,000 persons in the USA alone (and millions worldwide) have some form of end stage renal disease (ESRD). For the hundreds of thousands who must undergo dialysis to stay alive, excessive serum creatinine – the metabolic “waste” product of creatine, a natural component of meat, contributes to the vicious cycle of nausea, vomiting, anorexia and diminished quality of life experienced by both kidney patients, and those approaching renal failure. Through extensive research, Wendy Lou Jones (Royal Knight, Inc.) has created a unique self-help guide to assist both the kidney patient, and those approaching end stage renal failure, in break this negative cycle. The consumer friendly techniques for creatine removal, presented in 14-point font, are well detailed and easy to follow. Special attention was given to taste and quality of the final product. By applying the techniques outlined in this text, patients with renal insufficiency/impairment should, by working closely with members of their healthcare team, be able to regain the dietary flexibility they had lost.