Ginger, in January of 2020 one doctor told him he was at stage 3a - sort of on the cusp (47) - after that no one mentioned his results. In April 2020 it went to 51 then in June dropped to 42. November saw it at 55. He has taken medication for HBP for decades and is under control. Has absolutely no energy - exhausted after making trip to bathroom. Constant back pain in the kidney area. Some confusion, puffy under eyes, sleeping problems, usually not hungry and mostly wants cereal for meals. He doesn't want dialysis if it comes to that. He has taken medication for gout for years. Thyroid medication and lately the doctor put him on medication for cholesterol (never had a problem before). Because of his enlarged prostate he is thinking of asking for a Urolift. I'm not sure whether to encourage him or not. Blood test in November also showed MCV at 99.6 and MCH at 33.5 (he takes an OTC B12 once a day - recommended in 2013. Thank you for your help.