I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease. _Causes_ 1. Kidney damage (nephropathy) 2. Diabetic nephropathy 3. Hypertension 4. Kidney stones 5. Urinary tract infection _Treatment_ 1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist. 2. _Underlying cause treatment_: Address the underlying condition causing proteinuria. 3. _Medications_: - ACE inhibitors or ARBs to reduce proteinuria and blood pressure. - Diuretics to manage edema and blood pressure. 4. _Lifestyle modifications_: - Monitor and control blood pressure. - Manage blood sugar levels (if diabetic). - Reduce protein intake. - Increase fluid intake. - Exercise regularly. - Quit smoking. _Follow-up tests_ 1. Repeat urine tests to monitor proteinuria. 2. Blood tests to evaluate kidney function (eGFR, creatinine). 3. Imaging tests (ultrasound, CT scan) to assess kidney damage.