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A few trials to date have sought to evaluate the utility of CLND for melanoma patients in whom micrometastases were detected on SLNB
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Special populations: dosing adjustments for age, kidney function, and prior bariatric surgery Age over 65: The STEP-1 trial included 12% of patients over age 65
What PlexusDx Patients Should Know About Safety Screening Before starting any GLP-1 medication from PlexusDx, baseline kidney function assessment is standard medical practice
The specific pattern matters far less than the shared features of patterns that work: Adequate protein (back to that 1.2-1.6 g/kg target) Substantial vegetable and fruit intake 20 to 30 grams of fiber daily Adequate hydration (which is harder to maintain than patients expect, because thirst signals diminish along with hunger) Limited processed food The patterns that consistently create problems are high-fat fast food (which triggers nausea and slowed gastric emptying on top of already-slowed emptying), very low protein intake, and compressed eating windows that make hitting protein targets mathematically impossible
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