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Ketosis + Proteinuria + Gallstones + edema, No Diabetes, Still Undiagnosed. Help :(
Hi, I am a 26 y/o male and had been experiencing edema in my abdominal area.
This all started after I took D-Ribose which I was taking for fibromyalgia. I was also doing a Paleo/Low-Carb diet that time. It was around July 2010.

I found out that D-Ribose can lower the blood sugar. That last day I took it, I felt so ill all over, in retrospect I realized I probably had too low blood sugar. A year later I still am experiencing ketotic-like breath and proteinuria.

My blood tests:
24Hr Urine Protein 192 (normal is <150mg/24h)
Fasting Blood Glucose 94 (65-99mg/dL)
serum Creatinine normal
egfr normal
No ketones in urine but I see my urine still having that oily slick, and it bubbles (protein)

Granted I couldn't reach 2000 calories in a day, but I try to eat above 100g carbs/day. Did I develop too much tolerance of glucose intake that I still get ketosis and proteinnuria?

Help, my doctors don't know what's going on :'( I also have no money left to go back. Lost my insurance. Please have mercy on my if you have sons or daughters my age.

Thanks very much. Please keep me in your thoughts.
1 Answers
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1756321 tn?1499064984
According to the FDA, some studies have found D-ribose supplementation causes an increase in uric acid. High uric acid levels (hyperuricemia) may not cause significant adverse effects in most people however some may develop gout, kidney stones, or kidney failure resulting from high uric acid levels.  As kidney function declines and large amounts of proteins are passing into the urine, swelling of the hands, feet, abdomen and face may occur.

The stages of CKD (Chronic Kidney Disease) are mainly based on measured or estimated GFR (Glomerular Filtration Rate).

Stage 1 (90+)
Normal kidney function but urine findings or structural abnormalities or genetic trait point to kidney disease

Stage 2 (60-89)
Mildly reduced kidney function, and other findings (as for stage 1) point to kidney disease.

3A (45 - 59) 3B (30 - 44)
Moderately reduced kidney function.

Stage 4 (15-29)
Severely reduced kidney function. Planning for endstage renal failure.

Stage 5 <15 or on dialysis
Very severe, or endstage kidney failure (sometimes call established renal failure)
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