@hana21706 Sorry to be blunt here, but if a person needs dialysis to help remove toxins from their body, and they choose to not do it, they are basically signing their death certificate.

There are things your husband can do to help himself, like losing weight, changing his lifestyle to a healthier one, but if his kidney function drops below a certain point, he will need dialysis if there is not a transplant right in his wings.

My husband was on peritoneal dialysis for 5.5 years before his transplant. He continued to work full-time, traveling, and even going camping out in the desert, off-roading and motorcycle rides. Many times people think going on dialysis is meaning giving up on life, but it is not! I hope your husband will reconsider, and speak to his nephrologist about what will happen if he doesn't change or go to dialysis. Has he considered looking for a living donor?
Ginger