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I have for yrs said it was lupus. Now that I have kidney involvement and bw supporting that, should I advocate for lupus diagnosis?
I’m so frightened bc I cannot take steroids.
Should I see ( if I can afford to) a nutritionist or dietitian?
Words of encouragement?

October 5
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A MyLupusTeam Member

Are you being told you're in stage I kidney failure? You're not at the point of dialysis, right? Your diet does not need to be restricted at the early stages of kidney disease, except that salt must be strictly limited.

Have you seen a nephrologist, Joanne? I would suggest asking about a kidney biopsy, which would confirm your lupus diagnosis and that you are dealing with lupus nephritis.

October 5
A MyLupusTeam Member

Some health insurance companies cover the cost of seeing a kidney dietitian. Also, there are several kidney diet books you can find at your local library or bookstore. Talk to your rheumatologist or PCP and see what they recommend.

October 5
MyLupusTeam

First — take a breath. Twenty years of fighting to be heard is exhausting, and the fact that you've kept advocating for yourself shows incredible strength. You are not alone in this journey, and many MyLupusTeam members have walked a similar road of delayed or changing diagnoses.

Yes, absolutely advocate for a lupus Show Full Answer

First — take a breath. Twenty years of fighting to be heard is exhausting, and the fact that you've kept advocating for yourself shows incredible strength. You are not alone in this journey, and many MyLupusTeam members have walked a similar road of delayed or changing diagnoses.

Yes, absolutely advocate for a lupus diagnosis if your bloodwork and kidney involvement support it. Here are some practical steps:

- Request a referral to a nephrologist (kidney specialist) and a rheumatologist if you don't already have one
- Ask specifically about lupus nephritis testing, including urine protein tests and possibly a kidney biopsy
- Use a patient portal or app to message your doctor in writing — this creates a paper trail if concerns get dismissed
- Bring someone with you to appointments as a witness and support person
- Request a second or third opinion if you feel dismissed Regarding not being able to take steroids — that's really important information to share clearly with your doctor. There are other treatment options for lupus nephritis, including immunosuppressive medications and biologics, that don't rely on steroids. Make sure your care team knows this upfront so they can plan accordingly. A dietitian or nutritionist can genuinely help with kidney involvement. Dietary changes that may support kidney health include:

- Reducing sodium (salt)
- Limiting saturated fats
- Moderating protein intake
- Cutting back on alcohol

If cost is a concern, ask your doctor for a referral — sometimes it's covered when medically necessary, especially with kidney involvement. As one MyLupusTeam member shared after a very difficult kidney journey: *"I cannot stress enough how important it is to take the medications prescribed, listen to your body, eat a healthy and balanced diet, and exercise regularly."*

People do have remarkable comebacks. Treatments can slow progression and protect kidney function. You've already done the hardest part — you listened to your body for years when others didn't. Keep going. 💙

October 5

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Baltimore, MD