Arjun sir I have proteinuria . One medicine Kerendia 20 mg has been prescribed by nephrologist. But the problem is that this medicine causes high potassium and increases creatinine levels.. Doctor is giving priority to proteinuria. I am in a fix. My creatinine level is 2.69.. Your guidance please sir. I am 62 years of age. Regards

A drug called sparsentan has now received FDA approval for FSGS (Focal Segmental Glomerulosclerosis). This is important because FSGS is a condition where patients often have significant protein leak, and treatment options have been limited. Sparsentan works by targeting pathways involved in proteinuria reduction, and studies have shown it can help reduce protein leak in selected patients. But this is important ⚠️ Sparsentan (FSGS) — who is it for? Key cut-offs (from trials / approval context) - eGFR: generally ≥ 30 mL/min/1.73 m² - Proteinuria: significant protein leak (often UPCR ≥ 1.5 g/g) - Diagnosis: biopsy-proven primary FSGS (not secondary causes) What this means for you It’s a positive step forward in kidney care. But more importantly:Understanding your own reports (protein, eGFR, diagnosis) matters before thinking about treatments like this. New treatments are coming — which is good. But the basics still matter: - controlling BP - reducing protein leak - staying consistent Comment below - what do you think?

Most people panic when they see one creatinine value. But the truth is —one number doesn’t matter. The trend matters. That’s why I’ve created a Creatinine Trend Tracker for you. It helps you: - See your values as a graph (not random numbers) - Understand if your trend is stable, fluctuating, or rising - Avoid unnecessary panic from small changes How it works You simply: 1. Enter your creatinine values with dates 2. The graph updates automatically 3. You get a simple traffic light result When do you get access? This tool will unlock on Day 10 of the10 Day Kidney Health Challenge. By then, you’ll understand: - What creatinine actually means - What affects it - What to track So when you use this tool, it actually makes sense. What to do now Start the 10 Day Kidney Health Challenge

Seeking wellness

Based on my personal experience and insights gathered from @Arjun Sabharwal , health guides, and various webinars, here are some important do’s and don’ts to help slow down the progression of CKD: Do’s & Don’ts: 1. Avoid frequent use of painkillers, especially NSAIDs 2. Stay away from unverified herbal supplements, particularly those that may contain heavy metals 3. Limit salt intake in your daily diet 4. Focus on lifestyle changes — balanced diet, regular exercise, and adequate sleep 5. Prevent severe dehydration; stay well hydrated as advised by your doctor 6. Maintain appropriate protein intake as per medical guidance 7. Take prescribed medications consistently, in the right doses and at the right time 8. Keep diabetes and blood pressure under strict control 9. Track your key health parameters over time and avoid panicking over a single fluctuation These are practical steps that can make a meaningful difference over time. What has worked for you? Would love to hear your learnings and experiences — please share in the comments.