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Creatine Level 4.7: Start Dialysis or Lower by Foods Oct 3rd 2013, 08:16 Start dialysis when your kidney functiondrops to 15% or less — or if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting. Your doctor will help you decide when to start dialysis, based on results of lab teststhat measure how much kidney function you have left and on your symptoms.

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