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Willmer, C

Renal protection with glucagon-like peptide type 1 receptor agonists In CVOTs of arGLP1 renal outcomes were prespecified as key secondary outcomes in 4 studies done with liraglutide, subcutaneous semaglutide, dulaglutide, and efpeglenatide,58,59,63,64 or were collected as safety parameters in other studies.60 Overall, the prevalence of CKD stage 3 in these studies was low (2030%) (Table 1)

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Incorporating both structured exercise and increased daily movement (taking stairs, walking meetings) helps maintain energy expenditure

And these side effects are a major reason for medication discontinuation