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The cardiorenal protective effects of finerenone, a novel nonsteroidal mineralocorticoid receptor antagonist (MRA), in patients with diabetes and CKD have also been revealed in recent years [11]
This medication works by mimicking two naturally occurring incretin hormones that regulate blood glucose levels, enhance insulin secretion in response to meals, suppress glucagon release, slow gastric emptying, and reduce appetite
Standard Medical Certification Special issuance medical certificates allow pilots to fly with conditions or medications that would otherwise disqualify them
Current protocols are based on extrapolation from monotherapy data and clinical observation
Continuation of treatment should follow NICE guidance and local commissioning policies, with regular reviews to assess effectiveness and ongoing need
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