Hi , thanks for your question! I hope others may be able to chime in to share their own experiences. You probably have already, but did you ask your doctor yet? Did they have any insight? One of our health leaders, Claire, shared something similar in her article: https://chronic-kidney-disease.net/living/community-advocacy, it seemed like hydration had a lot to do with it in her case. But obviously, everyone's health and situations are different, so I'd be curious to know if your doctor had any ideas as well, if you feel comfortable sharing! Warmly, Minel (Team Member)