If 24 hr urine is 280 mg, we can just observe. Ramipril
or similar drugs should be continued. Follow up with your Nephrologist
every 3 months.
Ask your Nephrologist if he/she believes in Fish Oil as a part of the treatment and whether you have already been started on it.
To answer question about Dialysis, only 20 to 30% of the patients who have severe protein loss in urine and/or have kidney dysfunction
(NOTE THAT YOU HAVE NEITHER), will progress to dialysis requiring stage over 20 years !!