Hey , Thanks for reaching out! Typically a GFR reading of 44.9 would indicate that you are in stage 3, which means you could have mild to moderate kidney damage. Dialysis is not usually prescribed until later stages, but I would urge you to have a conversation with your doctor if you haven't done so already. They will know exactly what treatment you need at this time. Are you currently following any treatment plans for CKD? In the meantime, here is an article that will give you more information about GFR readings and the stages of CKD: https://chronic-kidney-disease.net/stages. Sending warm thoughts! - Kat (Team Member)