GFR down to 54. I am 66 years old. Should I be seeing a nephrologist? My GP says not necessary.

I generally recommend referral to a nephrologist when someone has Stage 4 chronic kidney disease (CKD) or when the primary care physician (PCP) has a question about the diagnosis of CKD. This means when the estimated glomerular filtration rate is less than 30 milliliters per minute per 1.73 meters squared. I agree that most PCP’s or General Practice (GP’s) physicians are capable to managing Stage 1-3 CKD.

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