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Kidney function rarely announces itself. eGFR and electrolytes together give a picture of how well the kidneys are filtering, and a single result out of range often means less than a trend does. We explain what yours means for you.
Chronic kidney disease is common, largely silent, and substantially under diagnosed. Most people with early kidney impairment have no symptoms at all, and by the time symptoms appear a great deal of function has usually been lost. The great majority of cases never progress to anything serious, provided they are found and the underlying causes are managed, which makes this one of the more genuinely worthwhile things to test.
The blood test measures creatinine and calculates eGFR, an estimate of how well your kidneys are filtering. A urine test for protein is equally important and often skipped, because protein in the urine is both an early sign of kidney damage and one of the strongest predictors of whether it will progress. Testing blood alone gives you half the picture.
Results in 24 to 48 hours with a GP report explaining what the numbers mean, which matters here because eGFR is widely misunderstood and a single slightly low reading causes a lot of unnecessary alarm.

Book your consultation online with our easy online booking form, or call us directly on 0208 050 0379.
No fasting needed. Avoid heavy protein intake and strenuous exercise for 24 to 48 hours beforehand, since both raise creatinine and can make kidney function look worse than it is. This catches out gym goers and anyone on a high protein diet routinely. Stay normally hydrated: dehydration also raises creatinine.
Monday to Friday, 8am to 7pm, Saturday 9:00 am to 2:00pm
Step 1
Same day usually. No fasting, but avoid heavy protein and hard exercise for a day or two beforehand.
Step 2
A blood sample, plus a urine sample where you are having protein testing.
Step 3
Returned with a GP report interpreting them against your symptoms.
Step 4
A GP explains what the numbers mean, arranges a repeat test where needed, and refers on if warranted.

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Creatinine is a waste product from muscle, cleared by the kidneys. As filtering declines, creatinine rises. eGFR, estimated glomerular filtration rate, converts creatinine into an estimate of filtering capacity, adjusted for age and sex, expressed in ml/min/1.73m².
How it is staged, broadly: 90 or above is normal; 60 to 89 is mildly reduced, which in an older person with no protein in the urine is often simply age related; 30 to 59 indicates moderate reduction; below 30 indicates severe reduction and warrants specialist input.
Three things that cause unnecessary alarm, and are worth understanding before you test:
Why urine protein matters as much as the blood test. Albumin in the urine, measured as ACR, is one of the earliest signs of kidney damage and a strong predictor of progression. UK guidance stages kidney disease using eGFR and ACR together, and someone with a mildly reduced eGFR and no protein in the urine has a very different outlook from someone with the same eGFR and significant protein. A kidney assessment without a urine test is incomplete, and that is worth knowing before you buy one.
On what actually helps. Most chronic kidney disease progresses slowly or not at all when the causes are managed: blood pressure control, diabetes control, avoiding regular NSAIDs, stopping smoking, and treating cardiovascular risk. Specific medications, including ACE inhibitors and SGLT2 inhibitors, protect kidney function in the right patients. Only a small proportion of people with reduced eGFR ever need dialysis, and saying so plainly is more useful than leaving someone to search it themselves.
| Private | NHS | |
|---|---|---|
| Referral | None | Via GP, on clinical indication |
| Waiting time | Same Day | Practice availability |
| Results | 24 to 48 hours | Several days to two weeks |
| Interpretation | GP report and consultation | Discussed at a follow up |
| Urine ACR | Ask at your appointment | Standard part of NHS assessment |
| Monitoring for diagnosed CKD | Available | Free, structured, with an annual review |
| Nephrology referral | Arranged | Within the NHS pathway |
| Cost | £95 | Free |
If you are diagnosed with chronic kidney disease, NHS care is the right place for long term monitoring, because it includes structured annual review, medication management and specialist referral pathways. Private testing is worth paying for to get an answer quickly.
No, but avoid heavy protein and strenuous exercise for a day or two beforehand, and stay normally hydrated.
90 or above. 60 to 89 is mildly reduced and often normal for age, particularly with no protein in the urine.
Yes, ideally. Urine protein is one of the earliest signs of damage and one of the strongest predictors of progression. A blood test alone is an incomplete assessment.
Acute causes often improve when the cause is removed. Established chronic damage generally does not reverse, but progression can usually be slowed substantially or halted.
Depends on the result and your risk factors. Anything abnormal needs repeating within three months.
An estimate of how well your kidneys are filtering, calculated from creatinine and adjusted for age and sex.
Usually not immediately. eGFR falls with age, a single reading can be affected by dehydration, exercise, protein intake and medication, and chronic kidney disease requires abnormality persisting over three months.
Regular long-term use can and it is a common and avoidable cause. Occasional use for a few days is a different matter. Worth reviewing if you take it routinely.
Heavy use raises creatinine and can make eGFR look worse than it is. Whether it causes actual harm in healthy kidneys is debated; in existing kidney disease it warrants caution.
With your consent, we would encourage it for anything abnormal.
Book a same-day test. Results in 24 to 48 hours with a GP report that explains what your eGFR means rather than leaving you to guess.