hope dialysis is not inevitable. i bounce all over the place but started at low level. my primary care, when i lived in another state, didn't even suggest a nephrologist. when we moved, my rheumatologist sent me to one immediately. so i can't understand the medical attitude toward early ckd. that's the time to catch it and perhaps send patient to
dietician. doesn't seem to be happening. at least not to me. i don't understand. even now at stage 3, i determine what i eat. i have to read a lot. also, docs don't pay attention to drugs prescribed. with each new med goes a call to nephrologist to find if the drug is safe. often, he doesn't approve. really, the medical community remains a challenge to me. good luck and keep your eye on the prize so to speak.