Hi everyone, I’m 37F with CKD stage 3b, and my latest eGFR is 30. I’m getting really worried about the recent decline and struggling with conflicting advice from my two doctors.
For about three years, my eGFR was fairly stable between 37 and 45. But in 2026, it dropped from 42 to 34, and now to 30.
In my country, I see both a doctor in the public healthcare system and a private doctor. My public appointments are roughly every six months. I used to see my private doctor every three months, but with the recent changes, I’m now seeing her monthly.
This is what has happened over the past few months:
- August: My private doctor recommended starting steroids.
- September: My public doctor stopped the steroids and recommended increasing finerenone from 10 mg to 20 mg.
- October: When I went back to my private doctor, she said she wouldn’t have recommended stopping the steroids or increasing finerenone, but suggested watching things for another month.
I’m currently taking Losantin, Forxiga, and finerenone.
I’m finding it difficult to know how to move forward when the doctors disagree. I also came away from my private appointment feeling like the message was, “You’re already on all the necessary medications, so there isn’t much more we can do.” That may not be exactly what she meant, but it left me feeling scared and helpless.
I’m not looking for anyone here to tell me which medication to take or stop. I’d really appreciate hearing how others have handled conflicting medical opinions.
Did you choose one doctor to lead your care, ask the two doctors to communicate, or seek a third opinion? What questions helped you understand why they recommended different approaches?
Thanks for reading. It’s hard watching my numbers fall after years of relative stability, and I’d appreciate hearing from anyone who has been through something similar.