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Patients with chronic kidney disease (CKD), especially CKD stage 3 , should discuss dosage and monitoring with their provider

Lee MW, Bassiouni R, Sparrow NA, Iketani A, Boohaker RJ, Moskowitz C, et al

Set point resistance : Your body defends against further weight loss through hormonal shifts, including changes in leptin, ghrelin, and insulin sensitivity, that increase hunger and slow metabolism