<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here... My nephew is 23.  His creatine reached 15.8 and his pressure was also very high  195/119.  He was put on dialysis three times a week and was given amlopin 5 mg and concor 5mg twice a day.  He has been on dialysis for 4 months and his creatine has come down to 8 and for the past month his pressure has been normal without taking pressure tablets.  He is a 6 ft tall and weighs 100 kg.  His is on a salt free diet and has limited protein intake.  He mainly has vegetarian food and a hard boiled egg thrice a week.  Can he reduce his dialysis to twice a week? How can he reduce his creatine further?  Kindly give me your advice. [/INST] Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your nephew has kidney failure with H.T.and now on maintained dialysis. He needs to undergo a kidney transplantation or continue with dialysis. As his kidneys have failed, till a transplant is done, a dialysis is only option. The kidney function is reflected in the creatinine level, so it's done regularly. If his dialysis is reduced to twice-weekly, his general condition will worsen. If you've any doubts, send all the reports to me, as a direct question. Chat Doctor.  Manga. </s>