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Laboratory monitoring should be guided by the patients clinical presentation and may include A1C, renal function, liver enzymes when indicated, electrolyte assessment for patients with significant gastrointestinal symptoms, and additional testing based on comorbid conditions

Investigations Routine haematology and biochemistry, followed by endoscopy and radiology, are the principal investigations

However, with very few Americans financially able to sustain a lifetime supply of the drug (and even prescribed patients getting snubbed by increased demand), her position as a role model for aspiring athletes can't help but feel compromised

Am J Kidney Dis 21:548552

no serious adverse effects in that group