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When to be concerned about eGFR?

Chronic Kidney Disease (CKD) | Last Active: Dec 20, 2025 | Replies (29)

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@sharlea1313 In my opinion, there is a difference between cautionary and insignificant. eGFR quite often jumps between values from day to day and perhaps within a day and among various labs. Cystatin C eGFR perhaps is more stable. A score of 53 out of normal 60 is still a good value so I agree with your doc, that at this point it is of no concern, but cautionary. eGFR works only with trends so if you are concerned, have the test repeated in 2 or 3 months. The "e" in eGFR means "estimated", so it is nothing more than that. The only true tests for kidney function are the iothalamate and/or iohexol, and you are nowhere near that. Stages 1, 2, and 3a are cautionary, easily handled by your PCP with repeat testing, and a referral to a nephrologist if your PCP deems nevessary.

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Replies to "@sharlea1313 In my opinion, there is a difference between cautionary and insignificant. eGFR quite often jumps..."

@collegeprof I recently had my first Cystatin C eGFR and it was 38. Same day, and all previous times for months, creatinine eGFR has bounced around in the 50s.

I need meds that have some nephrotoxicity.

I’m confused.