Specialist told my client to stop taking creatine and eat less protein

[Soule]

The important thing is to have a screening to give a certain result, not to take action to correct an underlying problem. Is there a problem or not? Is the reading a transient value? Has this guy done a workup yet or just made generic CYA suggestions? What is the followup?

Thanks stef - I’ll pass this along.

[Soule]

The important thing is to have a screening to give a certain result, not to take action to correct an underlying problem. Is there a problem or not? Is the reading a transient value? Has this guy done a workup yet or just made generic CYA suggestions? What is the followup?

Her response:

To answer stef: It is not transient, it’s persistent, but varies in severity. Two nephrologists have worked me up and neither can identify the underlying problem causing the proteinuria. They both said they’re not sure if the proteinuria is pathologic, or possibly a benign variant of normal (though this would be unusual). One of them wants to start me on an ACE inhibitor called lisinopril for the generic renal protective effects and recommended I avoid the high protein diet, avoid NSAIDs, and probably avoid creatine.
My ultimate question is— do a lot of people who lift have protein in their urine too?

[dalan]

Even if the doctor WERE just dumbly looking at numbers...the eGFR and creatinine levels are both extremely normal. Not even brushing the edges of normal, for that matter. The "stop taking creatine" advice appears to have been loaded in the chamber before the results even came back from the lab.

That's what I was thinking. I see nothing amiss about those numbers either. They're actually quite good.