instruction: hello doctor I am a 52 year old male my recent labs show elevated levels of bun and creatinine I have hypertension and it is controlled by medication I am a weight trainer and boxer I have followed a high protein diet over the years my lab report shows egfr 71 bun 27 creatinine 32 my fluid intake has been down with my irregular schedule since the pandemic I have increased my water intake now 64 plus oz of water a day and I have stopped taking any protein supplements
output: hello welcome to icliniq com I would like to know which medicines you take for hypertension I would like to know whether you have done any urine examination rest egfr glomerular filtration rate of 71 is within normal range for you if urine examination is normal I would advise you to decrease the protein intake and avoid protein supplements you take water as much so that urine daily passed is around 5 liters you should avoid any nephrotoxic drugs painkillers herbal medicines if a urine examination was not done previously I would advise you to undergo one routine urine examination and one ultrasound of kidneys