Have you even read this paper you illiterate blind bat??? Steroids are the first line treatment. ACE inhibitors are recommended for use but not the standard of care. I don't even know why I am replying to you and wasting my time.
I trust you stay friends with that nephrologist mate of yours after this stock takes off.
read this and weep:
30 publications were selected; 5 were controlled trials (4 randomized controlled trials). 8 assessed RAAS inhibitor monotherapy, while the rest studied RAAS inhibitors in combination with other drugs, mainly immunosuppressants. On average, a 32% proteinuria reduction (ROM, 0.68; 95% CI, 0.47-0.98) and no change in creatinine clearance (ROM, 0.95; 95% CI, 0.77-1.16) from baseline to the last reported follow-up was observed in patients treated with RAAS inhibitor monotherapy. When a RAAS inhibitor was combined with other drugs, a 72% proteinuria reduction was observed from baseline to the last reported follow-up (ROM, 0.24; 95% CI, 0.08-0.75). The published data did not allow for the assessment of the effects of RAAS inhibitor monotherapy on estimated glomerular filtration rate and end-stage kidney disease risks.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065901/
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