potassium is a big deal since it is filtered out by the kidneys and if your kidney function is lowered, dangerous levels could build up and possibly lead to a heart attack.
on the flip side you generally have to start ramping up protein intake once on dialysis.
but agreed that this isn’t straightforward and if it was so easy, people wouldn’t be on dialysis and renal dietitians would be overjoyed. it’s infuriating to read the other comments suggesting it’s all some garbage american diet.