I was diagnosed with CKD 10 years ago. I had a 30 minute appointment with someone to help me with my diet. I am learning on my own. I am now stage 4b. I had a fistula put July 30th. My last gfr was 18. I have managed my diet by going to the National Kidney pages. Now I have a plant based diet. I don't eat dairy. I also have SPMS so I have been eating an anti-inflammatory diet for a long time. I don't eat processed food.