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We have seen this happen, and this can be particularly problematic if your kidney function is already lower due to CKD." Patients with advanced CKD (eGFR between 1530 mL/min/1.73 m) or end-stage kidney disease (eGFR below 15 mL/min/1.73 m) require close monitoring since clinical data in these groups is limited

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This perspective aligns with recommendations from the American Gastroenterological Association Institute Rapid Clinical Practice Update Newsletter, which suggests that implementing a liquid diet on the day preceding sedation or surgery may represent a more acceptable alternative to discontinuing GLP-1RAs therapy 185 (See Figure 6)

Fishy Odor One of the more distinct side effects of L-Carnitine supplementation is the potential for a fishy body odor

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