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The best designed study to date is a systematic review of 80 randomized clinical trials involving 107,860 participants, which found no association with GLP-1RA treatment and serious psychiatric adverse effects: major depression, suicide, or psychosis (105)

Of note in this case, the patient did not have CKD and was on exenatide for many years before being switched to dulaglutide which caused AKI 4 weeks later [11]

Before starting, measuring baseline values that you can track later is worth the effort

Drug-induced liver injury (DILI): The suspected causative agent should be reviewed and discontinued where clinically safe to do so