before   4  yers   she  found to hve  low  hgb     and she had  heavy mensis 

abdominal ct  was done    but  then after   that    she  check  creatinine   and it  was  1.5 
then 2 

at  which she   askked to do kidney biopsy    but  she  refused at the begninig 
she   sought medical advice  at   dr  albourini 
creatnine   was  2   2021 
she was given  alfacal 
ferrous  fumarate and varviodelol 
she was given  modal 

before one month  she  had  hgb  5 
creatinine  5 mg/dl 

pln 
to do r enl us 
to do creatinien and labs