by Andrew Mellman » Fri Mar 06, 2009 4:11 pm
We almost always ask about low sodium, and have found that long-simmering sauces (many Italian places) can be tough, and we don't go to Asian restaurants as much as we used to (tends to have a lot of salt in the sauces that for whatever reason can't be changed), but as reported earlier in any restaurant that cooks items from scratch we've had absolutely no problems (and in Italian restaurants we just don't order the long-simmering "gravies").
We explain to the waiter that we are on sodium restricted diets, and ask them to check for us what the chef would recommend. We're usually told certain dishes that aren't marinated (as reported earlier) and/or have fresh sauces, but normally at least half of most menus are open for us.
One word of warning: we didn't originally have the server ask the chef for recommendations, and occasionally ended up with a dish that the waiter suggested but that came with "hidden" salt; it really wasn't entirely the waiter's fault, as they only knew what they could see (the seasoning had been done via marinade, or overnight seasoning), but by asking the chef there are no problems.
We have not had to "call ahead". That is a question for those in the industry: would it be better if we do call ahead???
One other thing: in some restaurants we've been told not to order the steaks and/or chicken breasts or other plain broiled dishes, as (at least in one place) they are pre-seasoned, so be sure to ask.
This advice holds for better chains, also. The better chains (that do most cooking from scratch, from Cheesecake Factory to Longhorn Steakhouse type) can adjust cooking easily, and - being chains - already have processes in place for adapting to low-sodium servings. The lower-level chains (chili's, O'Charlie's, Olive Garden) tend to use more pre-packaged foods, and we've found it more difficult.
A final note: be careful of salads. One would think salads with fresh ingredients would be fine, but (1) homemade dressings can contain more salt than you'd think, and (2) while most ingredients have little salt, they add up rapidly. On the Today show yesterday they showed several restaurant salads with more sodium than a Domino's pizza (these were chain salads, one with grilled chicken, one with sauteed divers scallops, and one with fried chicken (no surprise on that one))!
Andrew Mellman