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Athletes put their bodies under intense physical stress

For patients on complex regimens polypharmacy in older adults, pediatric dosing that requires compounding, or specialty conditions where a pharmacist relationship matters for adherence those service differences can matter as much as a few dollars of price difference

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However, if the A1c is 60 mg/mmol, or progressive increase in UACR despite appropriate therapy, eGFR 30% increase in serum creatinine within 3 months of starting SGLT2i, ACEi, or ARB, inability to achieve target BP, or signs/symptoms of another underlying kidney disease, such as glomerulonephritis

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It does not diagnose a metabolic disorder, treat one, or tell you what supplements to take