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Several studies have demonstrated that lactated Ringers solution offers significant advantages over normal saline, such as reduced disease severity, lower rates of ICU admission, and shorter hospital stays

Instead in patients with eGFR 60 ml/min/1.73m 2 , 3060, and 60 ml/min/1.73 m 2

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An ideal approach in my opinion would be to start very low, and then every 3 sessions (Melanotan II administration coupled with post-administration tanning) bump the dosage by 25 mcg and increase the tanning duration by 1 minute (assuming tanning is being done in a tanning bed)