Today is the first dialysis session of the week, and I’m going in 2.9 kg above my official dry weight. That number always looks stark on the screen, but the reality behind it is more complicated. My “official” dry weight hasn’t felt quite right for a while now. Last week I finished a session still about a kilo above target and still ended up with cramp afterwards—the kind that stops you in your tracks and makes you wonder whether the goalposts have quietly shifted again.

So today my plan is to take off 2.6 kg. It’s a balancing act: enough to feel lighter and safer, but not so much that I end up curled up in pain afterwards. Anyone who does dialysis knows that this dance between numbers and lived experience is constant. The machine gives you data; your body gives you truth. And sometimes the two don’t match.

I’ll talk to the team again about adjusting the dry weight. Bodies change. Seasons change. Health shifts. And the numbers need to shift with them.

For now, I’m sitting here in the chair, watching the lines fill, hoping for a smooth run and a gentler finish than last week. One session at a time.