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It's not a safety screening but a personalization tool after your initial safety evaluation

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Diabetologia 48 , 578585 (2005)

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We also closely monitor thyroid function in patients with existing thyroid disorders and assess the impact of renal impairment on treatment suitability

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Existing hyperkalemia: If your potassium is already high, adding spironolactone is generally discouraged

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Its dual action on both the gut lining and connective tissues makes it especially relevant in modern integrative medicine

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