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Real members of MyKidneyDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
May 31
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MyKidneyDiseaseTeam

What a caring partner you are for looking into this for your husband! It's a great question — can someone start dialysis at stage 4?

Dialysis is not typically started at stage 4. It's usually considered when kidney disease progresses to stage 5, also known as end-stage kidney disease (ESKD), when the eGFR drops below 15.

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What a caring partner you are for looking into this for your husband! It's a great question — can someone start dialysis at stage 4?

Dialysis is not typically started at stage 4. It's usually considered when kidney disease progresses to stage 5, also known as end-stage kidney disease (ESKD), when the eGFR drops below 15.

That said, stage 4 is a critical time to:

- Work closely with his nephrologist to monitor kidney function regularly
- Manage related conditions like high blood pressure
- Follow a kidney-friendly diet (a registered dietitian can really help here)
- Avoid smoking and limit alcohol
- Maintain a healthy weight The good news is that with proper management at stage 4, progression to stage 5 can potentially be slowed. The June appointment is a great opportunity to ask the doctor directly about what to watch for and what the plan would be if things progress.

Other MyKidneyDiseaseTeam members have shared that staying on top of monitoring and lifestyle changes made a real difference in managing stage 4. You're already doing the right thing by asking questions!

May 31

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