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Maintenance Phase: Many users transition to maintenance dosing during this period, having achieved significant metabolic improvements

Evidence ranges from promising to preliminary depending on the peptide and indication

Nephrologists defined their ideal patient as someone with diabetic kidney disease exhibiting persistently elevated urinary albumin-to-creatinine ratio (ACR) or decline in eGFR with proper reninangiotensinaldosterone system (RAAS) blockade, starting with SGLT2is first and subsequently adding GLP1-RAs

In addition, as we age, our ability to absorb B12 from food declines, which puts the elderly at higher risk of deficiency

doi: 10.1007/s10549-019-05165-4 10 FanYZhouXXiaTSChenZLiJLiuQet al