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I was diagnosed with SLE July 30th of this year. Two weeks later I spent a week in the hospital and was diagnosed with Lupus Nephritis class IV and class V. Im on all the Lupus meds including the benlysta weekly shot as well as 6 rounds of Cytoxan chemotherapy infusions. My GFR is currently 35. Nephrologist says Chronic Kidney Disease stage 3b....(not sure what the difference is between the ckd and lupus nephritis classes and stages)

September 25, 2025
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Regarding diet, it's important to work closely with your healthcare team to develop a specific plan. Generally, people with lupus nephritis may need to:

• Follow a low-sodium diet
• Monitor potassium and phosphorus intake
• Limit protein consumption
• Watch fluid intake
• Avoid certain supplements, especially echinacea

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Regarding diet, it's important to work closely with your healthcare team to develop a specific plan. Generally, people with lupus nephritis may need to:

• Follow a low-sodium diet
• Monitor potassium and phosphorus intake
• Limit protein consumption
• Watch fluid intake
• Avoid certain supplements, especially echinacea

It's highly recommended to work with a registered dietitian nutritionist who specializes in renal medicine to create a personalized diet plan. Regarding kidney progression and dialysis: With proper treatment, people with lupus nephritis can have a positive prognosis. While 10-30% of people with lupus nephritis may develop kidney failure requiring dialysis, early and appropriate treatment can help prevent or delay this progression.

Your classes IV and V indicate more severe forms of lupus nephritis that require aggressive treatment. The good news is that you're already receiving appropriate treatments including immunosuppressive therapy, which can help prevent permanent kidney damage when started early.

September 25, 2025

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