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As DKD advances, nephrologists take on a central role in managing progressive renal function decline, persistent albuminuria, complex electrolyte disturbances, and planning for renal replacement therapy when appropriate (164)
The two are also similar in that some people do not respond to GLP-1 therapy or MAT (Niewijk, 2024)
The FDA has issued warnings about compounded GLP-1s because some contain salt forms (e.g., semaglutide sodium or acetate) that differ from the approved drug, and quality control can vary across compounding pharmacies
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