Solving a weightlifter’s renal riddle in a case of misdiagnosed CKD
An inexplicable abnormal result highlights the role of a little known test, cystatin C, when assessing kidney function in those at the extremes of muscle mass

Simon, aged 56, takes pride in his good health. He works long hours as a bank manager, but also prioritises maintaining a healthy lifestyle and regular exercise.
He is well, a non-smoker, and takes no medications. He eats whole foods, mostly low carb with plenty of protein. He lifts weights at the local gym three times a week.