Thank you for sharing your concerns. Your experiences, including swelling in your extremities, fatigue, lower back pain, and changes in urinary patterns alongside the finding of proteinuria, indeed suggest a need for careful attention to your kidney function. Ayurveda views proteinuria as potentially arising from both Vata and Pitta imbalances, where Vata can lead to excess dryness and imbalance in bodily fluids, and Pitta may contribute to inflammation in the kidneys. To support your kidney health naturally, start with a balanced, hydrating diet. Aim to consume foods that are primarily Kaphic in nature to balance Vata and Pitta, emphasizing fruits and vegetables like cucumbers, watermelon, and leafy greens while reducing high-protein foods and salty, processed items. Ensure adequate hydration by drinking warm water throughout the day, aiming for at least 2-3 liters daily, infused with tulsi leaves or ginger to enhance its benefits. Incorporate herbs well-regarded in Ayurveda for kidney health. Punarnava can be taken as a decoction or in tablet form, typically 1-2 grams daily, to help reduce swelling and support renal function. Gokshura can also be effective; consider a dose of 1-2 grams a day in powder form, which may assist in reducing inflammation. Varun is another option that can be taken as an infusion, often 1-2 teaspoons of the dried herb steeped in water, known to promote urinary health. For further support, consider practices like gentle yoga or pranayama to improve circulation and reduce stress, which can indirectly benefit kidney function. Avoid strenuous exercises, especially if you experience fatigue or back pain. Regularly practicing some kidney-cleansing therapies like warm oil massages with a focus on the lower back and legs can also offer relief and promote circulation to the kidneys. Additionally, integrating practices that foster agni, or digestive fire, will be essential. This could be done through light meals at regular intervals, consuming warm, cooked foods, and incorporating spices like cumin, turmeric, and coriander to enhance digestion. It's important to maintain regular follow-ups with your healthcare provider to monitor your kidney function while implementing these Ayurvedic remedies. Stay aware of your body's signals and adjust your approach accordingly. By taking these holistic steps while continuing to seek modern medical advice, you can foster a supportive environment for your kidney health and overall wellness.