What causes high protein in urine?

The "danger zone" of creatinine refers to a significantly elevated creatinine level, indicating severely impaired kidney function. Creatinine levels outside the normal range may suggest kidney dysfunction or kidney disease. The normal range for creatinine varies based on factors such as age, gender, muscle mass, and individual health. In general, for adults, a serum creatinine level above 1.2 milligrams per deciliter (mg/dL) in males or above 1.0 mg/dL in females may be considered elevated. However, it is essential to interpret creatinine levels in conjunction with the estimated glomerular filtration rate (eGFR), which provides a more accurate assessment of kidney function. An eGFR below 15 milliliters per minute per 1.73 square meters (ml/min/1.73m²) indicates severe kidney impairment and is considered the "danger zone." An eGFR below 15 is indicative of end-stage kidney disease, requiring immediate medical attention and potentially renal replacement therapy, such as dialysis or kidney transplantation. Individuals with abnormal creatinine levels or decreased eGFR should consult a healthcare professional, especially a nephrologist (kidney specialist), for a comprehensive evaluation and appropriate management.

research in the field of proteinuria management was ongoing, and new treatments may have emerged since then. The management of proteinuria typically involves identifying and treating the underlying cause, along with lifestyle changes and medications, as necessary. Some newer approaches being explored for proteinuria management include: 1. Researchers are investigating medications that specifically target pathways involved in proteinuria to reduce protein excretion in the urine. 2. For certain kidney diseases with an immune system component, immunotherapies are being studied to modulate the immune response and reduce kidney damage. 3. Some studies are exploring the use of stem cells to repair kidney damage and reduce proteinuria. 4. Tailoring treatment based on an individual's genetic profile and the specific cause of proteinuria for more targeted and effective therapies. As research progresses, new treatment options may become available to improve proteinuria management and protect kidney function. It is essential to stay informed about the latest advancements in kidney disease research and work closely with healthcare professionals to explore appropriate treatment options. For the latest information on proteinuria treatment, consult a nephrologist or other qualified healthcare professional.

The treatment of proteinuria (protein in urine) depends on the underlying cause and the severity of kidney damage. Some common approaches to manage proteinuria include: 1. Addressing conditions like diabetes, high blood pressure, or kidney diseases is crucial to reduce proteinuria. 2. Adopting a kidney-friendly diet, limiting salt and protein intake, staying hydrated, and avoiding nephrotoxic substances can help manage proteinuria. 3. Depending on the underlying condition, doctors may prescribe medications to control blood pressure, reduce protein excretion, or manage kidney inflammation. 4. Regular urine tests and blood tests are essential to assess kidney function and the effectiveness of treatment. 5. Treating or managing complications of proteinuria, such as edema (swelling) or electrolyte imbalances, is important for overall health. 6. Doctors may work with nephrologists (kidney specialists) and other healthcare professionals to develop a comprehensive treatment plan. Individualized care is crucial to address the unique needs of each patient. With proper management, many individuals with proteinuria can lead fulfilling lives and maintain good kidney health. Regular monitoring of kidney function is crucial to detect any changes early and implement timely interventions to protect kidney function. Following healthcare professional's recommendations and being proactive about kidney health are essential for optimal outcomes.

Yes, many individuals with proteinuria can live long and fulfilling lives with proper management and medical care. Proteinuria itself is a symptom of an underlying condition, and its severity and impact on kidney health can vary widely among individuals. Early detection and timely intervention are crucial to slow the progression of kidney disease and protect kidney function. Identifying and addressing the underlying cause of proteinuria is essential. Managing conditions like diabetes, high blood pressure, and kidney diseases can help reduce proteinuria and preserve kidney function. Adhering to a kidney-friendly diet, staying well-hydrated, avoiding nephrotoxic substances, and regular physical activity can support kidney health and overall well-being. Regular monitoring of kidney function through urine tests and blood tests is essential, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions. Working closely with healthcare professionals and following their recommendations can optimize kidney health and quality of life. It's essential to stay proactive about kidney health and overall health to enjoy a long and healthy life with proteinuria.

Whether milk is considered bad for proteinuria depends on individual health conditions and dietary preferences. Milk is a source of protein, and excessive protein intake can increase protein excretion in urine for some individuals. However, moderate consumption of milk is generally not a concern for most people with healthy kidneys. For individuals with proteinuria or kidney disease, it is advisable to consult a healthcare professional or a registered dietitian for personalized dietary recommendations. In some cases, a low-protein or plant-based diet may be recommended to manage proteinuria and reduce strain on the kidneys. Alternatively, some individuals may benefit from choosing lower-protein dairy alternatives, such as almond milk or soy milk. The treatment of proteinuria typically involves identifying and addressing the underlying cause, along with lifestyle changes, such as adopting a kidney-friendly diet, managing blood pressure, and controlling diabetes (if present). Regular monitoring of kidney function through urine tests and blood tests is crucial to detect any changes early and implement timely interventions to protect kidney function. With proper management, many individuals with proteinuria can lead fulfilling lives and maintain good kidney health.

Regular exercise can have beneficial effects on overall health, including kidney health, but its direct impact on reducing proteinuria may vary. Exercise helps maintain a healthy weight, manage blood pressure, improve cardiovascular health, and enhance insulin sensitivity, which can indirectly support kidney function. However, intense exercise or excessive physical activity may temporarily raise protein levels in urine due to increased muscle breakdown and protein excretion. It is crucial for individuals with proteinuria to strike a balance in their exercise routine. Moderate and consistent physical activity is generally recommended. Always consult a healthcare professional before starting any exercise program, especially for individuals with existing kidney conditions or proteinuria. The treatment of proteinuria usually involves identifying and addressing the underlying cause, along with lifestyle changes, such as adopting a kidney-friendly diet, managing blood pressure, and controlling diabetes (if present). Regular monitoring of kidney function through urine tests and blood tests is essential to detect any changes early and implement timely interventions to protect kidney function. With proper management, many individuals with proteinuria can lead fulfilling lives and maintain good kidney health.

Rice is not inherently bad for proteinuria. However, when managing proteinuria, it is advisable to consume rice in moderation as part of a balanced diet. Rice is a carbohydrate-rich food and does not contain a significant amount of protein. It can be a good source of energy and nutrients but may contribute to blood sugar fluctuations if consumed in large quantities, especially for individuals with diabetes. A kidney-friendly diet for proteinuria usually emphasizes lower protein intake and controlled portions of carbohydrates, including rice. Whole grains like brown rice may be preferred over refined rice as they offer more fiber and nutrients. It's essential to focus on the overall dietary pattern and include a variety of foods to meet nutritional needs. A registered dietitian can provide personalized dietary recommendations based on individual health needs and kidney function. Combining a kidney-friendly diet with proper medical care can help manage proteinuria and protect kidney health. Regular monitoring of kidney function is crucial to detect any changes early and implement timely interventions. Working closely with healthcare professionals can optimize kidney health and overall well-being.

Proteinuria itself is not considered a disease but a symptom of an underlying condition. Whether proteinuria is curable depends on the cause. In some cases, such as temporary proteinuria due to dehydration or strenuous exercise, the condition may resolve on its own with appropriate hydration and rest. However, if proteinuria is a result of kidney disease or other health issues, complete cure may not be possible, but its progression can often be managed or slowed with proper medical care and lifestyle changes. The key is to identify and treat the underlying cause of proteinuria to protect kidney function and overall health. Managing conditions like diabetes, high blood pressure, and kidney diseases can help reduce proteinuria and preserve kidney function. Regular monitoring of kidney function through urine tests and blood tests is essential, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions. With proper management, many individuals with proteinuria can lead fulfilling lives and maintain good kidney health. It's essential to work closely with healthcare professionals to develop a personalized treatment plan and adhere to recommended lifestyle changes for optimal outcomes.

If you have proteinuria (protein in urine), it's essential to adopt a kidney-friendly diet that supports kidney health. Some foods to limit or avoid to help manage proteinuria include: 1. Reducing the intake of red meat, poultry, fish, and dairy products can help lower protein excretion in the urine. 2. Processed and packaged foods often contain high levels of sodium and additives, which can be harmful to the kidneys. 3. Limiting salt intake can help manage blood pressure and reduce strain on the kidneys. 4. If you have compromised kidney function, limiting high-potassium foods like bananas, oranges, and potatoes may be necessary. 5. Foods rich in phosphorus, such as dairy products and certain nuts, should be consumed in moderation, especially in advanced kidney disease. 6. Drinks with added sugars can contribute to diabetes and weight gain, affecting kidney health. 7. Excessive alcohol consumption can be harmful to the kidneys and overall health. 8. Limiting caffeine intake can help manage blood pressure and fluid balance. 9. Follow healthcare professional's advice regarding medications that may be harmful to the kidneys. A registered dietitian or healthcare professional can provide personalized dietary recommendations based on individual needs and kidney function. Staying well-hydrated, consuming a balanced diet, and avoiding foods and substances that can strain the kidneys are essential steps in managing proteinuria and supporting kidney health. Regular monitoring of kidney function is crucial to detect any changes early and implement timely interventions to protect kidney function and overall health.

In stage 1 chronic kidney disease (CKD), kidney damage is mild, and kidney function is still considered adequate for maintaining overall health. At this stage, kidney disease may be reversible or manageable with appropriate interventions. By identifying and addressing the underlying cause of kidney damage, it is possible to slow or halt the progression of kidney disease. Some factors that can contribute to stage 1 CKD include high blood pressure, diabetes, and certain medications. Managing these conditions, adopting a kidney-friendly diet, controlling blood pressure, and closely monitoring kidney function can help preserve kidney function and prevent further damage. However, the degree of reversibility and the success of managing stage 1 CKD depend on various individual factors. Early detection and timely intervention play a critical role in optimizing kidney health. Regular follow-ups and ongoing communication with a healthcare professional are essential to monitor kidney function and adjust treatment plans as needed. It is crucial to adhere to the recommended lifestyle changes and treatment strategies to protect kidney function and overall health. By actively managing kidney health and addressing risk factors, it is possible to improve outcomes and potentially prevent the advancement of kidney disease.

Reducing high protein in the kidneys involves identifying and treating the underlying cause of proteinuria (protein in urine). The following steps may help manage and reduce proteinuria: 1. If you have high protein levels in your urine, consult a healthcare professional to determine the cause and develop a personalized treatment plan. 2. High blood pressure can contribute to kidney damage and proteinuria. Managing blood pressure through lifestyle changes and medications can help protect kidney function. 3. If you have diabetes, managing blood sugar levels is essential to prevent kidney complications and reduce proteinuria. 4. A diet low in salt and protein, along with adequate hydration, can be beneficial for kidney health. 5. Some medications and substances can be harmful to the kidneys. Follow healthcare professional's advice and avoid nephrotoxic agents. 6. In some cases, medications may be prescribed to reduce proteinuria or treat the underlying kidney condition. 7. Regular kidney function tests are necessary to monitor changes and the effectiveness of treatment. Individualized care and ongoing communication with a healthcare professional are vital to managing high protein in the kidneys effectively. Early detection and intervention can help slow the progression of kidney disease and protect kidney function. Lifestyle changes and timely treatment play a significant role in optimizing long-term kidney health.

Stage 1 kidney failure, also known as stage 1 chronic kidney disease (CKD), is the early stage of kidney damage, where there is mild impairment of kidney function. At this stage, the kidneys still function sufficiently to maintain overall health, and individuals may not experience noticeable symptoms. The primary indicators of stage 1 CKD are either evidence of kidney damage, such as proteinuria (protein in urine), or a slight decrease in the glomerular filtration rate (GFR), which measures how well the kidneys filter waste products and excess fluids from the blood. In stage 1 CKD, the GFR is equal to or above 90 milliliters per minute per 1.73 square meters (ml/min/1.73m²). Although the kidneys may show early signs of dysfunction, kidney function is generally still considered adequate at this stage. It is crucial to identify and manage kidney disease at its early stages to prevent progression and preserve kidney function. Lifestyle changes, such as adopting a kidney-friendly diet, managing blood pressure, and controlling diabetes (if present), are essential for maintaining kidney health at this stage. Regular monitoring of kidney function through blood and urine tests is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions to protect kidney function and overall health. A healthcare professional can provide personalized recommendations based on an individual's medical history and risk factors.

The protein-to-creatinine ratio (PCR) is a diagnostic test used to assess proteinuria (protein in urine). It measures the amount of protein relative to creatinine in a urine sample. The main reasons for performing this test include: 1. PCR helps identify abnormal protein levels in the urine, which may indicate kidney dysfunction or damage. 2. For individuals with known kidney issues, PCR is used to track changes in protein excretion and assess kidney function over time. 3. Proteinuria can be an early sign of kidney disease, and PCR aids in detecting kidney problems before symptoms become apparent. 4. For individuals undergoing treatment for kidney disease, PCR can help assess the response to interventions and the progression of kidney damage. 5. Certain kidney diseases, such as diabetic nephropathy and glomerulonephritis, are associated with proteinuria. PCR can assist in diagnosing these conditions and guiding treatment decisions. Regular monitoring of kidney function using PCR and other kidney function tests is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions to protect kidney function and overall health. A healthcare professional can determine when PCR testing is appropriate based on an individual's medical history and risk factors.

A high protein-to-creatinine ratio (PCR) in urine, also known as proteinuria, indicates increased protein excretion and can be a sign of kidney dysfunction or damage. A PCR value above the normal range (typically above 150 milligrams of protein per gram of creatinine, mg/g) suggests proteinuria. When proteinuria is persistent or associated with underlying kidney disease or other health conditions, further evaluation and management are necessary. Proteinuria can lead to several consequences: 1. Prolonged proteinuria can contribute to kidney damage or progressive kidney disease. 2. Excessive loss of protein in urine can lead to nutrient imbalances and malnutrition. 3. Proteinuria may contribute to fluid retention and swelling (edema) in the hands, feet, or face. 4. Proteinuria is associated with an increased risk of cardiovascular issues. 5. Unmanaged proteinuria can accelerate the progression of kidney disease. Managing proteinuria involves identifying and treating the underlying cause, adopting a kidney-friendly diet, controlling blood pressure, and using medications if necessary. Regular monitoring of kidney function is crucial to detect any changes early and implement timely interventions to protect kidney function and overall health. A healthcare professional can provide personalized recommendations based on an individual's medical history and risk factors.

A protein-to-creatinine ratio (PCR) value of 200 milligrams of protein per gram of creatinine (mg/g) in urine is relatively high and can indicate significant proteinuria (protein in urine). The normal range for PCR is typically less than 150 mg/g. A PCR value of 200 mg/g suggests an increased excretion of protein in the urine, which may be associated with kidney dysfunction or damage. However, the interpretation of PCR results should consider an individual's medical history, risk factors, and overall kidney function. A single abnormal PCR value may not necessarily indicate severe kidney disease, as factors like dehydration, exercise, or certain medications can temporarily raise protein levels in urine. If proteinuria persists or is consistently above the normal range, further evaluation by a healthcare professional is necessary to determine the underlying cause and develop an appropriate treatment plan. Regular monitoring of kidney function is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions to protect kidney function and overall health. Early detection and intervention can help manage proteinuria effectively and optimize long-term kidney health.

An albumin-to-creatinine ratio (ACR) value that exceeds 1000 milligrams of albumin per gram of creatinine (mg/g) is considered extremely high and may indicate severe albuminuria (albumin in urine). Such a high ACR value suggests a significant loss of albumin through the urine, which is concerning and requires immediate attention. Albuminuria at this level is often associated with advanced kidney damage or kidney disease, and it can be a critical sign of kidney dysfunction. Conditions like diabetes, hypertension, and other kidney diseases can lead to such elevated albumin excretion. An ACR value above 1000 mg/g warrants urgent medical evaluation by a healthcare professional to identify the underlying cause and initiate prompt management. Early detection and intervention are crucial to protect kidney function and overall health. Further tests, medical history assessment, and possibly a kidney biopsy may be needed to determine the severity of kidney damage and develop a personalized treatment plan. Regular monitoring of kidney function is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions. Immediate medical attention is essential for those with an extremely high ACR value to prevent further kidney damage and optimize long-term kidney health.

The protein-to-creatinine ratio (PCR) is calculated by measuring the amount of protein and creatinine in a urine sample and expressing the results in milligrams of protein per gram of creatinine (mg/g). Here's how to calculate it: 1. Collect a random urine sample. 2. Measure the amount of protein in the urine sample (mg). 3. Measure the amount of creatinine in the same urine sample (mg). 4. Divide the protein amount by the creatinine amount to get the PCR value (mg/g). PCR = Protein (mg) / Creatinine (mg) The PCR test helps assess proteinuria (protein in urine) and provides valuable insights into kidney health. Elevated PCR levels may suggest kidney diseases such as glomerulonephritis, diabetic nephropathy, or nephrotic syndrome. However, it's essential to interpret PCR results in the context of an individual's medical history and risk factors. Further evaluation and monitoring by a healthcare professional are necessary to determine the underlying cause of proteinuria and initiate appropriate management to protect kidney function and overall health. Regular health check-ups and kidney function tests are crucial, especially for individuals with risk factors for kidney disease, to monitor kidney health and detect any changes early for timely intervention and preservation of kidney function.

A high albumin-to-creatinine ratio (ACR) in urine, similar to a high PCR (protein-to-creatinine ratio), indicates an increased excretion of albumin, a specific type of protein, in the urine. The ACR test is used to assess kidney function and detect early signs of kidney damage or kidney disease, particularly in individuals with diabetes. A normal ACR value is typically less than 30 milligrams of albumin per gram of creatinine (mg/g). A high ACR, generally above 30 mg/g, suggests albuminuria (albumin in urine) and may be an early sign of kidney dysfunction or damage. Conditions like diabetes, hypertension, and other kidney diseases can lead to increased albumin excretion. Early detection of albuminuria is crucial because it allows healthcare professionals to implement appropriate interventions to protect kidney function and manage underlying health conditions effectively. If the ACR test shows abnormal results, a healthcare professional may recommend further tests and evaluations to determine the underlying cause and develop a personalized treatment plan. Regular monitoring of kidney function is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions.

The normal range of protein-to-creatinine ratio (PCR) in urine is generally considered to be less than 150 milligrams of protein per gram of creatinine (mg/g). The PCR test measures the amount of protein relative to creatinine in a urine sample and is used to assess proteinuria (protein in urine). Values within the normal range suggest that protein excretion is within expected levels for a healthy individual. PCR levels above 150 mg/g may indicate elevated protein excretion and potential kidney issues. However, it's essential to interpret PCR results in the context of an individual's medical history and risk factors. Further evaluation and monitoring by a healthcare professional are necessary to determine the underlying cause of proteinuria and initiate appropriate management to protect kidney function and overall health. Regular health check-ups and kidney function tests are crucial, especially for individuals with risk factors for kidney disease, to monitor kidney health and detect any changes early for timely intervention and preservation of kidney function.

Yes, a PCR (protein-to-creatinine ratio) test can show positive results even if an individual does not have noticeable symptoms. Proteinuria (the presence of protein in urine) can occur without causing any obvious signs or symptoms in its early stages. Often, kidney dysfunction or damage may progress silently without apparent warning signs. The PCR test is a sensitive tool used to detect proteinuria, and it can identify abnormal protein levels in the urine before symptoms become evident. Detecting proteinuria early is crucial because it may indicate an underlying kidney condition or risk of kidney disease. By identifying proteinuria promptly, healthcare professionals can initiate appropriate evaluation and management to protect kidney function and overall health. Regular health check-ups and kidney function tests are essential, especially for individuals with risk factors for kidney disease, to monitor kidney health and detect any changes early for timely intervention and preservation of kidney function. Early detection and intervention are key to preventing further kidney damage and optimizing long-term kidney health.

While PCR (protein-to-creatinine ratio) tests are generally accurate, like any medical test, there is a possibility of errors or false results. False-positive or false-negative results can occur due to various factors. Some reasons for inaccurate PCR test results include: 1. Errors in urine collection, storage, or handling can affect test accuracy. 2. Strenuous exercise before the test may temporarily elevate protein levels in the urine, leading to a false-positive result. 3. Concentrated urine due to dehydration can also cause temporary protein elevation, leading to false positives. 4. Infections can temporarily raise protein levels, potentially causing false-positive results. 5. Certain drugs may interfere with the test and affect results. If a PCR test shows abnormal results, a healthcare professional may recommend retesting or additional tests to confirm the findings. Clinical judgment and a thorough assessment of an individual's medical history and symptoms are essential in interpreting test results accurately. Regular follow-ups and monitoring of kidney function are crucial, especially for individuals with risk factors for kidney disease, to ensure appropriate management and early detection of any changes.

There is no specific universal threshold for the exact number of grams of protein that are "bad" for the kidneys, as it varies depending on an individual's kidney health, overall health, and medical history. Protein intake should be individualized based on factors such as kidney function, age, body weight, and activity level. For healthy individuals with no kidney issues, a general recommendation is to consume around 0.8 to 1.2 grams of protein per kilogram of body weight per day. However, for individuals with kidney disease or compromised kidney function, lower protein intake may be advised to reduce the workload on the kidneys and manage proteinuria. Excessive protein intake may put strain on the kidneys, especially in those with pre-existing kidney issues, but it is essential to consult with a healthcare professional or a registered dietitian to determine the appropriate protein intake for each individual. A personalized approach ensures that protein needs are met while supporting kidney health and overall well-being. Monitoring kidney function and working closely with a healthcare professional are essential for those with kidney concerns to ensure appropriate dietary choices and protect kidney function.

The amount of protein considered "bad" for kidney disease varies based on individual factors, such as the stage of kidney disease, overall health, and medical history. In general, a low-to-moderate protein diet is recommended for individuals with kidney disease to lessen the burden on the kidneys. Protein restriction is commonly advised to prevent further damage and reduce proteinuria (protein in urine). The recommended protein intake for most kidney disease patients is typically around 0.6 to 0.8 grams of protein per kilogram of body weight per day. However, the exact protein allowance should be determined by a healthcare professional or a registered dietitian based on an individual's specific condition and nutritional needs. Protein is essential for various bodily functions, and excessively low protein intake may lead to malnutrition. Therefore, a personalized approach is crucial to balance protein needs while protecting kidney health. Regular monitoring of kidney function and working closely with a healthcare professional can help manage protein intake and promote kidney health for individuals with kidney disease.

A high protein level in urine, known as proteinuria, is generally defined as excreting more than 150 milligrams of protein per gram of creatinine (mg/g) or more than 15 milligrams of protein per millimole of creatinine (mg/mmol) in a random urine sample. The measurement of protein in urine is typically done using tests like the protein-to-creatinine ratio (PCR) or the albumin-to-creatinine ratio (ACR). Proteinuria can be a sign of kidney dysfunction or damage and is often associated with kidney diseases such as glomerulonephritis, diabetic nephropathy, or nephrotic syndrome. However, a single abnormal protein measurement may not necessarily indicate a severe condition, as factors like dehydration, recent exercise, or certain medications can temporarily raise protein levels in urine. To confirm and monitor proteinuria, multiple urine tests over time are necessary. If proteinuria persists or is accompanied by other symptoms, further evaluation and consultation with a healthcare professional are essential to determine the underlying cause and develop an appropriate treatment plan to protect kidney function and overall health. Regular monitoring of proteinuria and kidney function is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions to preserve kidney health.

A bad creatinine ratio, or a high protein-to-creatinine ratio (PCR), suggests an abnormal excretion of protein in the urine and is indicative of proteinuria. The PCR measures the amount of protein relative to creatinine in a urine sample. A normal PCR value is generally considered to be less than 150 milligrams of protein per gram of creatinine (mg/g) or less than 15 milligrams of protein per millimole of creatinine (mg/mmol). A PCR value equal to or greater than 150 mg/g or 15 mg/mmol is considered abnormally high and may indicate kidney diseases such as glomerulonephritis, diabetic nephropathy, or nephrotic syndrome. A high creatinine ratio can be concerning as it may suggest kidney dysfunction or damage. However, it's essential to interpret the PCR result in the context of an individual's medical history, age, and risk factors. Further evaluation and monitoring by a healthcare professional are necessary to determine the underlying cause of proteinuria and initiate appropriate management to protect kidney function and overall health. Regular monitoring of PCR and kidney function is crucial, especially for individuals with risk factors for kidney disease, to detect any changes early and implement timely interventions to preserve kidney health.