@chillip Hello, I see you are responding to my post from 3 years ago. A lot has happened since then. Things were still the same until January 2025. Egfr still about 19. But early January 2025 we both had Covid and he had a heart attack mid January. Lots of damage. Ejection fraction was 15, but improved to 25. Still very low. He is not doing well now even though he has a pacemaker/defibrillator. Not much energy and short of breath. Can no longer play golf. Appetite is not good. We see the kidney doctor Thursday —May 28. Most recent egfr was 16. Not good. Don’t know if it is the heart or kidneys causing most of the problems. Probably a combination. His heart doctor wants him on a CPAP machine, but he is having a hard time getting used to it. He has daytime sleepiness, but I don’t think it will help. I’m afraid he will have to go on dialysis. However he says he will not. Thanks for asking about him. Do you have CKD? If so I hope you are in early stage and can get help. Good bless you.