The goal of this clinical trial is to determine whether a plant-focused diet improves nutritional and health outcomes of malnourished adults undergoing peritoneal dialysis (PD). It will also learn about the safety of this diet in this population. The main questions it aims to answer are: 1. Does a plant-focused diet improve nutritional status compared to a standard kidney diet in PD patients? 2. What changes occur in anthropometric, biochemical, and dietary measures over 6 months? Researchers will compare the plant-focused diet to a standard-of-care renal diet to see which is more effective in improving nutrition in PD patients. Participants will: * Be randomly assigned to follow the plant-focused diet or the standard diet. * Be monitored for 6 months through in-person visits (aligned with their routine clinic appointments) and virtual check-ins via messages or calls. * Have their progress monitored for changes in outcomes such as nutrition, blood tests, kidney function, and quality of life.
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Changes in Dietary Adequacy
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention
Changes in Dialysis Adequacy
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Urea
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Creatinine
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Sodium
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Potassium
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Phosphate
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Serum Albumin
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.
Changes in Concentration of Total Protein
Timeframe: At baseline, after 3 months of intervention, and after 6 months of intervention.