@mimi1234 We also need to consider other factors. We might start new to us medications for varying concerns, that "don't play well together", and could cause kidney complications. Or we start to have some differing lifestyle changes. Poorer nutrition, less exercise, poorer sleep, more stress, etc. All could be factors in declining eGFR.

I would certainly check with your insurance to see if you can self-refer to a nephrologist. Just a thought!
Ginger