@mamamusic I too would like to welcome you to Mayo Clinic Connect. I am 67 and my nephrologist says that I have stage 4 CKD. My GFR has bounced between 14 - 42 since 2011. It is currently in the low 30’s. I try to follow the overall trend rather than 1 single lab result. Do you have a provider following this? What treatments are being recommended for you?