@geomusser

It's a good thing that your wife's nephrologist did not outright reject the option to do Bela. Did she go over what are the criteria are to use Bela? Is this the same nephrologist you wife has had since transplant? We are from out-of-state so we have a home/local nephrologist who is working with Mayo to resolve my husband's issue with Everolimus(we think it's the drug that's causing his anemia). You are fortunate to be able to meet directly with the transplant nephrologist! We were told after 3 years post transplant, we're pretty much "on our own" - we do not have anymore follow-ups with Mayo Az.
With regards to Everolimus, the most common side affects are anemia, hyperlipidemia, mouth sores, edema, and proteinuria. I have not heard that high blood pressure is one of its side effects. My husband had mild edema - he can live with that but he cannot live with the anemia, which in his case is bordering on severe if left unchecked. So at the moment, he has been told by his home nephrologist to pause the Everolimus and take the dreaded prednisone instead. We are waiting for my husband to recover from the anemia before any changes be made to his long-term transplant medication.