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If you take a daily GLP-1 medication, skip the dose on the day of surgery, unless instructed otherwise by your doctor

Within the GLP-1 RA + CKD group, eGFR reduced from 50.1 ml/min per 1.73 m 2 to 44.8 ml/min per 1.73 m 2 at 5 years

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Deganutti, G

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Because these changes cause no symptoms and rarely show up on standard bloodwork, they often go undetected until real damage has been done