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A separate 2024 FDA referral and additional 2026 scrutiny around GLP-1 compounding practices may still be unresolved
According to NICE guidance, referral to a specialist may be appropriate for people with refractory gout despite urate-lowering therapy, those with tophi, where there is diagnostic uncertainty, or in the presence of significant kidney disease
Exposure to ROS can induce lipid peroxidation, which occurs when ROS oxidizing agents interact with membrane phospholipids 51
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