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Kidney function tests: your eGFR and creatinine levels should be checked every 3-4 months initially, rather than the usual 6-12 months for stable CKD Hydration status: regular assessment for signs of dehydration, particularly during the first few months when nausea is most common Blood pressure monitoring: weekly home blood pressure checks, as your medication needs may change with weight loss Electrolyte levels: sodium, potassium, and other electrolytes should be monitored more frequently, particularly if you experience significant nausea or reduced appetite Medication review: regular assessment of all your medications, as doses may need adjusting with weight loss and changing kidney function Cardiovascular risk factors: CKD increases heart disease risk, so lipid (fat) and diabetes markers need monitoring alongside kidney function Your GP should coordinate this monitoring with your kidney specialist

Singapore Med J (2008) 49:53841

Traditional options like steroid injections or surgery come with significant risks or diminishing returns

The drugs, which include Wegovy and Ozempic, have surged in popularity in the past year as they've trended on social media and been touted by celebrities

casei appears to have the ability to import GSH from the medium with no evidence of synthesis, although a putative fusion protein is found in the genomes