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10.1016/j.pharmthera.2009.06.002

(2019) reported that urinary NGAL accurately predicted AKI development in 27 subjects, identifying NGAL as a strong early marker of AKI. Despite this, managing CKD in liver transplant recipients remains challenging, with limited options to prevent or mitigate the progression of kidney damage

These include the starting dose, rate of dose escalation, dietary habits (particularly high-fat meals), concurrent medications, and individual gastrointestinal sensitivity