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end stage renal disease is defined when the kidneys are functioning <15% of its capacity. whether you need dialysis at present depends upon a number of factors. if you are eating well, there is no breathlessness and your potassium and acid level are within acceptable range, you can wait. however, you should be ready for need of dialysis in future, if it arises. you should be prepared and have a av fistula made at earliest and get vaccinated
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