Hi Dr. Spry, I recently had my annual bloodwork done last week, I have been doing annual physicals and bloodwork for the past 20 years. I am 54 years old now. 5 feet seven inches tall and 150 pounds. I run 25-40 miles per week 7-8 months out of the year, and I stay active the other 5 months. My recent blood tests came back with an EGFR of 56 and a creatinine of 1.34. Last year the creatinine was 1.17. Total protein was 7.4 and BUN was 24. Glucose levels 80 mg/dl. Albumin was 5.0. I am resigned to the fact that I have stage 3 CKD. I am scheduled for an ultrasound this week. I am 90 percent vegan in my eating habits. My question is, is there anything I can do? Can my kidney function be improved? I did have my urine tested three years ago and it was normal. Although my urine has always been off and foamy for at least the past 10 years. My question; are there any at all avenues I can explore ie; Mayo Clinic in Rochester, Minnesota or are there any treatments in the medical world that can help this? I would just like to know if I can improve my overall health and reduce my mortality rate. Any advice would be helpful. Thank you very much.

The diagnosis of Stage 3 chronic kidney disease (CKD) requires two separate tests with an estimated glomerular filtration rate (eGFR) of less than 60 milliliters per minute per 1.73 meters squared and these tests should be at least three months apart. A urine test that shows blood protein or infection can act to confirm the diagnosis of CKD. Hence, you may need further testing in order to confirm the diagnosis of CKD.

The treatment of CKD first requires a specific diagnosis in order to determine the specific treatment. Once you have CKD, then the goal is to prevent further damage to the kidneys. You should have a normal blood pressure of less than 130/80. You should not smoke. If you have diabetes, then this should be carefully controlled. 

It sounds like you are doing most everything you can do to live a healthy lifestyle. The ultrasound that you mentioned can help to evaluate the kidneys for reversible kidney disease such as blockage or other acquired kidney disease.  

I do not have any other suggestions about treatment based on the information that you present.  

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