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Periodic measurements of both urinary albumin excretion and GFR in high risk patients are advisable
But for those with certain liver enzyme differences or microbiomes that favor TMA production, the risk is tangible and manageable
10.1016/j.tibs.2019.01.005 73
As the field evolves, its crucial for healthcare leaders and organizations to stay agile, adapt to new trends, and focus on what matters most for patients and providers, namely: GLP1s are now firstline therapies: Adoption has accelerated from just 3% in 2021 to more than 23% in 2025, displacing longstanding generics like metformin
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