What is your opinion of the use of ace inhibitors to protect the kidneys in early chronic renal failure?
I would be much happier using diet and herbs to lower her BUN (60) and creatinine (1.9, normal range 05 - 1.8) levels since she is asymptomatic, has a uspq of 1.042 and all other blood values are normal. Her internist however thinks she should start treatment immediately.
Also she has a history of mast cell disease and a kidney diet seems at odds with the no grains diet I've been feeding her.
Any advice you could give on how to proceed would be much appreciated.

