Hi young man/ lady. Thanks for asking the question. As a young person with hypertension, you must be investigated for secondary causes of hypertension thoroughly. I hope your doctor(s) are doing it/ done it. You seem to have a lot of protein leak which needs to be quantified by a 24hour urine collection. Most common secondary cause of high blood pressure is due to kidney issues and I suspect you will need a kidney biopsy unless it has been already done. You donot have kidney failure yet since creatinine is still 1.09 (?mg/dl), so please donot panic. I am glad that you are rightly concerned about your health. The oxalate crystals are probably nothing to worry about and renal denervation is reserved for people with resistant essential hypertension (i.e all secondary causes ruled out and BP not controlled on at least 3 anti-hypertensives). Although you have not given me much information of the tests carried out till date, I suspect you have not been investigated completely. You can get back to me with the results of all tests done till date either here or on my website (docrambhat.com) and I will be able to advice you further. Best wishes. RB