Kidney Health: Eat Well, Live Well

Inclusion Criteria:

• Adult (18 years of age or older)

• Primary care visit at either one of the three partner clinics from Harris Health [Smith Clinic, Harris Health Outpatient Center (located on the LBJ campus), orMartin Luther King Jr. Health Center (MLK)] and a primary care patient within HarrisHealth System

• Have had at least 1 visit in the past 18 months with prior history in the clinic (i.e., not first visit)

• Diagnosis of CKD (Stage 2, 3a, and 3b) as defined by estimated Glomerular FiltrationRate (eGFR) ≥ 30 and <90 mL/min/1.73 m2 OR CDK 1 or undiagnosed with urine AlbuminCreatinine Ratio ≥ 30 mg/g

• Within the past 12 months, the most current serum K+ ≤ 4.6 mEq/L

• English or Spanish speaking

• Ability to participate in the program at least 6 months

• Ability to clean, prepare, refrigerate/freeze food products that are given to them

• Have access to receive SMS text messages

• Location of preferred produce bag delivery within an available delivery zone

Exclusion Criteria:

• CKD 4, ESRD or on dialysis.

• Taking certain medications chronically (more than twice a week for 90 days) that mayinterfere with K+ metabolism (such as non-steroidal anti-inflammatory drugs (NSAIDs), as self-reported during enrollment screening

• Taking mineralocorticoid receptor antagonists

• Taking Warfarin

• Diagnosis of any specific kidney conditions (such as polycystic kidney disease,glomerulonephritis, Lupus associated with Nephritis, Antineutrophil cytoplasmicantibody (ANCA)-associated vasculitis (AAV)) that would contraindicate studyparticipation as determined by physician

• Medical history of organ transplant that would contraindicate study participation asdetermined by physician

• Received immunotherapy for primary or secondary kidney disease within 6 months priorto enrolment

• Diagnostic of heart failure conditions Class IV in the New York Heart Association (NYHA) functional classification

• Had myocardial infarction, unstable angina, stroke, or transient ischemic attack (TIA) within 12 weeks prior to enrolment

• Had coronary revascularization (PCI, CABG) or valvular repair within 12 weeks priorto enrolment

• On active hospice care as self-reported during enrollment screening

• Diagnosis of active malignancy requiring treatment that would contraindicate studyparticipation as determined by physician

• Has decompensated cirrhosis as determined by physician

• Cognitive impairment that would contraindicate study participation as self-reportedduring enrollment screening