Hi Mark, I been on Atripla since march 2008 and never had any problems cd4 690 undetectable. I live in Vancouver BC where I have to go to hospital to pick up meds and the nurse always talks about my lab results and how I am doing ect ect. Today she told me that I had very high F Urine ACR in Oct last year, it was 9. Today it has come down to 3.5. I always see my doc to get prescription and we always discuss my lab results as well. To my surprise my doc has never ever said anything about this but the nurse at the hospital sounded a bit concerned. I am freaking out a bit as I don't know what I can do to keep it normal. The nurse told me to not to take Protein Supplements. All other tests are normal. I will appreciate any information regarding this and please let me know if I can take protein supplements or if there is anything else I can do to keep it normal. I want to avoid taking any medication to control it. Thanks

You don't indicate what the blood (serum) creatinine or BUN is, or whether you have any other underlying medical conditions like diabetes or are on any other medications that could affect kidney function. Tenofovir in Atripla, as well as excess protein supplementation, could affect kidney function. You may need some further testing to sort this out.