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The lower the GFR, the greater the damage to the kidneys, associated with the accumulation of toxins in the body, which increases the risk for hypertension, atherosclerotic cardiovascular disease, and progression to ESKD and the need for kidney replacement therapies, such as dialysis and transplantation

So when a patient is looking at their plate, a plate does not look like a pyramid

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if more than 3 days, skip that dose Daily GLP-1s: If you miss a dose, follow your PIL instructions If you take insulin or sulfonylureas alongside GLP-1 medications, do not adjust these doses yourself without medical advice, as this could increase hypoglycaemia risk Report persistent side effects to your GP rather than stopping treatment abruptly Some patients may require dose adjustment if they develop acute illness, undergo surgery, or experience significant changes in kidney function