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Often these processes are dose and chemical related

Return-to-Sport or Activity Once symptoms improve, we guide you back to high-level function using reaction drills, return-to-lift programming, and task-specific progressions

Kidney function tests: your eGFR and creatinine levels should be checked every 3-4 months initially, rather than the usual 6-12 months for stable CKD Hydration status: regular assessment for signs of dehydration, particularly during the first few months when nausea is most common Blood pressure monitoring: weekly home blood pressure checks, as your medication needs may change with weight loss Electrolyte levels: sodium, potassium, and other electrolytes should be monitored more frequently, particularly if you experience significant nausea or reduced appetite Medication review: regular assessment of all your medications, as doses may need adjusting with weight loss and changing kidney function Cardiovascular risk factors: CKD increases heart disease risk, so lipid (fat) and diabetes markers need monitoring alongside kidney function Your GP should coordinate this monitoring with your kidney specialist

Singapore Med J (2008) 49:53841