I am being monitored for my condition...semi-annual check-ins with a nephrologist. They check to see if I'm stable or declining, but really have not offered any advice. That frustration seems to be shared by many CKD patients, you really have to do your own investigation on how to change your diet, maybe lifestyle (exercise, reduce stress, avoid NSAIDs). I do feel normal most days, but do too much physical work (cooking, hobbies, etc.) and the fatigue sets in for a couple days. I think the food industry could do a much better job to help everyone avoid chronic illnesses. There's too much salt (sodium) in almost everything. Added Phosphates in the ingredients of many foods that are called healthy. And, it's difficult to get straight answers about foods. Is Canola oil good or bad? Corn oil? Palm oil? New studies suggest they are not. Olive oil and Avocado oil seem to be the safest. The most common thing you'll read is....more study needs to take place to reach any definitive conclusions. My guess is, in 20 years, we still won't have an answer. For now, I'm fighting hard to make the right choices and trying to stay healthy. Thanks for your reply!