Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome back on Ask a Doctor service!

I reviewed carefully your blood lab tests and would explain that the most important findings are :

- high creatinine levels and low GFR, indicating chronic renal disease
- high triglycerides and high VLDL values, indicating dyslipidemia
- high HbA1C and fasting glucose, indicative of diabetes
- high CRP and sedimentation rate indicative of inflammation.

Coming to this point, I would just recommend adding Fenofibrate to your actual therapy, in order to reduce triglycerides and VLDL.

A close monitoring of your fasting glucose is necessary too.

I would also recommend a low protein diet, in order to reduce creatinine levels and take plenty of water to stay well hydrated.

Regarding your shortness of breath, I would recommend performing pulmonary function tests in order to investigate for any possible lung disorder.

Hope to have been helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr. Iliri

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Brief Answer:
My opinion as follows:

Detailed Answer:

Hello again!

You should know that there is no specific medication when there is no specific cause found.

For this reason, I recommend performing pulmonary function tests in order to investigate for a possible lung disorder.

Fenofibrate can help improve your blood lipid profile.

I remain at your disposal for any further questions.

Wishing all the best,

Dr. Iliri

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