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Pulmonary Pharm & Therap 21(3): 449-454

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With respect to their individual use, important questions remain unanswered, including whether or not GLP-1RA reduces the risk of end stage kidney disease or doubling of serum creatinine in cohorts with DKD at baseline - a question currently being studied in the ongoing FLOW trial with semaglutide

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This does not make them inherently dangerous, but it does mean the quality assurance depends heavily on the specific pharmacy producing the compound