@gingerw I also wanted to reiterate that CKD 3a can raise your risk for kidney cancer. Sometimes it is the other way around and the tumor comes first in younger people. I swear I felt fine pretty much until late menopause at 56. Then I turned 59 and had a retinal detachment end of Jan. 2025 followed by 2 other eye surgeries. I turned 60 and still ok. Lots of stress at my job. Tired after work and on weekends thinking it's my weight and age. Then bam! Find out I have been living with 6cm tumor for years in my left kidney! I feel like every person with CKD should have a screening ultrasound of their kidneys. Most women are asymptomatic, put up with fatigue. Usually have comorbid conditions, like me! Everything causes fatigue the older you get. If my tumor had been found a few years ago, less than 4cm or smaller, I would not be walking around with only 1 kidney now with stage 3 ccRcc. It could've been removed and saved my nephrons. That kidney still worked, gone now. I know it is blessing, I am not sicker. I am sick enough to get disability "compassionate allowances" . The 5 year survival rate drops at stage 3. I wish I wasn't unemployed now. I wish I didn't live in this state or this country where killing immigrants and Iranians is what they budget for, instead helping citizens and supporting medical research. I feel if you don't have a million in the bank, you won't be able to retire or live if you get sick. Not a good day, im sorry Ginger.