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Filtration and kidney reserve Creatinine and estimated GFR Cystatin C Urine albumin-to-creatinine ratio Urinalysis BUN and hydration context Acidbase and mineral balance Serum bicarbonate or carbon dioxide Sodium, potassium, chloride and magnesium Calcium and phosphorus Uric acid Dietary acid and alkali intake Methylation and oxidative burden SAM, SAH and SAM:SAH ratio Methionine and homocysteine Adenosine when available 8-OHdG and lipid peroxides Glutathione and transsulfuration markers Kidney detoxification strategies discussed by Dr
Adverse Reactions/Side Effects The following serious adverse reactions are described elsewhere in the labeling: Severe Optic Atrophy in Patients with Lebers Disease [see Warnings and Precautions (5.1)]
Monitor liver enzymes (ALT, AST) as semaglutide has rare reports of liver injury
Ensure the skin is fully dry before injection
Intrinsic factor is essential for B12 absorption in the terminal ileum
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