← Return to GFR down from 58 to 43.8 over 3 years

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GFR down from 58 to 43.8 over 3 years

Kidney & Bladder | Last Active: Sep 1, 2024 | Replies (31)

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@gingerw

@tiglet Welcome to Mayo Clinic Connect! Responses here by @cheyne and @windyshores are right on.

Unfortunately, many PCPs do not consider declining eGFR to be "a big deal" until it is a big deal. Foremost is figuring out what might be causing a decline, and we always want to look at a trend rather than a single test result. Are you hydrating enough? Are you getting over an infection? Are you taking antibiotics? Has there been a change in medications in any way [type/frequency]? Different labs processing your samples? Change in healthy diet protocols? All these can be factors that might change up our numbers.

Health conditions can contribute to declining eGFR. Uncontrolled diabetes or high blood pressure, side effects of medications [sometimes long term], lifestyle, or genetic factors can all play a part, too.

Yeah for you, already changing up your diet. Sodium, phosphorous, potassium, calcium, and processed foods are important to watch on your intake. Hydration is key, also! Have you felt any difference, feel better but cannot "quite" pinpoint why? Subtle changes can have a big impact!
Ginger

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Replies to "@tiglet Welcome to Mayo Clinic Connect! Responses here by @cheyne and @windyshores are right on. Unfortunately,..."

The diet question is complicated. My nephrologist wants me to have more salt, and more protein! The salt due to low blood pressure which can affect eGFR. The protein for muscles because muscle loss can also affect eGFR. Everyone is different! But the main thing is hydration!

Thank you, I've not had any illnesses, but I have been taking SSRIs for depression for many years. My HRT patch was swapped for a pill a few years ago due to availability and then after 3 years the doctor put me back on patches, saying pills weren't ideal. I was also given Lansoprazole for acid reflux in 2021, still on it now, and I wonder if that had contributed too.

I have had a lot of fatigue, and from talking to transplant patients I know this could be related, even at this stage. Today I feel quite down, but I know I will probably feel more positive tomorrow.

Thanks for your kind reply!