For younger adults (18-30 years) , the primary considerations include ensuring psychological readiness for long-term treatment, assessing fertility plans, and monitoring for gastrointestinal side effects
There is concern that long-term users could still face a higher fracture risk later in life
Although any part of the nephron can be affected, proximal tubular epithelial cells (TECs) are particularly vulnerable because of their high metabolic rate and limited ability to produce energy without oxygen
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Patients can now receive medical evaluations, lab testing orders, prescription recommendations, and follow-up care without ever leaving their homes