CKD

The CKD in the past was attributed to hypertension. A Reese Pete SBEP showed a faint pan suspicious for a monoclinal component. Further evaluations shows acanthocytes with a urine protein to creatinine ratio of 1.5, C3 less than 40 with a normal C4 level. Inca is negative, and HIV and the viral hepatitis panel is also negative. Now based on this information, what are you considering and what are those causes that Jack discussed before that are going up or down?