Good afternoon everyone, I am Vivek resident of Gurgaon. Recently, I have been diagnosed with Renal Dysfunction and CKD Stage 3. I am a patient of Spastic Paraparesis ( Undiagnosed? even Genetics test came out negative) since April 2010. I had some Bladder Control issues for 15 + yrs but I was never told by any Neurologist ( I had consulted 6 in this time period) to use Intermittent Catheterization. What is the cause of CKD ? Now, Nephrologists at both Medanta and Artemis have not recommended biopsy for me. Doctors at Medanta believe I could have IgAN based on reports but then HOD at Artemis says it is very likely bladder which caused this. What is the prognosis for me ? I don't have diabetes, my BP is not very high, I have been tested on most panels for Auto immune disease, all negative. Is obstructive Nephropathy allows some kind of improvement if bladder problem is fixed? And is UPCR more reliable than protein urine spot for an underweight individual? In Urinalysis I get Protein Absent, but in UPCR I have 12 mgdl My reports of Feb and March are attached for further investigation, I am on Cilacar T ( 10 mg Clinidipine and 40 mg Telmisartan), 0.25 mcg Calcitriol since last 2 months, previous doctor advised Dapagliflozin 10 mg but HOD at Artemis say it is not of major use for me. Now, what to do here ? I have another question how to increase weight along with carefully handling PRAL and no Animal protein. I am underweight just 54 kg, 178 cm. I need atleast 60+ kg. Diet is something I need guidance