Hi , thanks for reaching out with your question! Have you ever considered getting a second opinion if you have access to one? Your doctor should be there to help you. Seeing a renal dietitian can still be helpful as diet is still important in stage 5 (and can differ from the advice given in the earlier stages), so it might be a good resource to explore. Everyone's different and it's not always possible to avoid dialysis, but it certainly doesn't hurt to get a second opinion. I hope you get some more answers soon. Warmly, Minel (Team Member)