I am 43 y/o female, diagnosed with ESRD. On December 2013, I had renal ultrasound in the Philippines which suggested that I have normal right side kidney and slightly enlarged left kidney with parenchymal cyst on both kidneys. I am in the US now and did renal ultrasound this month and my neprhrologist said I have kidney atrophy. I already started dialysis on March 2014 in the Philippines with initial creatinine level of 6.9 and potassium level elevated at 7.8. I am not diabetic and not hypertensive. I weight 122 lbs, 5ft 1inch tall. No swelling. Still making urine. I am continuing dialysis here and all my lab works are normal except for my phosphorous and PTH which are both elevated. My brief history. I use to be hypokalemic ( I reached as low as potassium level 1.2!),I was hypertensive and was on hypertensive medication since I was 21 y/o. I used to be obese (175 lbs) during those times and had bad diet. Today, I am no longer on hypertensive medication. Only on Phosphate binder Sevelamer, and Sensipar and dialebyte vitamin. I am compliant to renal diet now.