A little background introduction here.. I have Lupus Nephritis Class IV, and was diagnosed in Jan 2015. I was in remission until early Dec 2017, where the urine results showed that there was protein leakage again above the normal range.
My Urine Protein Creatinine Ratio (PCR, see image) has increased from 112.5 (11 Dec 2017) to 164 (18 Dec 2017), to 191 (8 Jan 2018). The doctor has increased the dosage as follows:
11 Dec 2017 - Increased prednisone from 5mg to 20mg daily
18 Dec 2017 - Increased prednisone from 20mg to 40mg, then tapered down to 15mg daily
8 Jan 2018 - Increased Cellcept (mycophenolate mofetil) from 1000mg to 1500mg daily
The doctor said it might take up to 3 months to get the readings down. At the mean time he mentioned that my Creatinine readings (see the one labelled 'Creatinine' indicate that my kidney is still functioning well, but it is under attack by my lupus, which is the reason why he had to increase the immunosuppressant. He said it may take around 3 - 9 months for the medicine to show its effect.
Anyone of you guys have been through this protein leakage journey (so far mine is just going up)? How long did it take for the meds to show their effects? Also what did you change in your diet or lifestyle etc that might have caused your protein leakage to reduce? Would really hope to hear some experience on how this was handled.. When I first heard it from the doctor yesterday, can't help but feel quite disheartening.. considering the fact that for the past 3 weeks I have been stress free and taking care of my diet. If that doesn't work, I feel like I am running out of ideas...