@2011panc, I have a friend who is waiting for a kidney transplant and has started dialysis. The last time I talked to him, he was very upbeat about it, even made arrangements to get dialysis so he and wife could take a trip. He says he has much more energy than before and feels good. He does treatment 3 mornings a week, and said he enjoys the time to relax and read.

As for myself, I did not have CKD, but I had acute kidney failure along with end stage liver disease. I had dialysis 3 days per week -in hospital, and out patient while I waited for transplant. It made a difference in my fatigue and edema and energy (keep in mind I was very sick, so any improvement seemed monumental) There might have been more, but the liver symptoms were getting worse.

I know that you are well aware that dialysis filters the toxins that the kidney is losing the ability to do. Has the nephrologist, or the dialysis nurse been able to give you any answers?

@2011panc, In the Kidney and Bladder Discussion - Transplant List, you can find members : @ca426, @ginal, @gaybinator, @mlmcg, @wmoser2613, who have shared about dialysis.
https://connect.mayoclinic.org/discussion/transplant-list/

@rosemarya Thank you for sharing your (and your friend's) experience regarding dialysis. I have and continue to speak with my team about the state of my kidney disease and care plan. At the last discussion we felt that it was close, but not yet necessary. Right now I am feeling that it is even closer. We will all meet again in November. My lab test are still stable but I am feeling more fatigue and less stamina so it might be time to start.