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Sin embargo, medicamentos como semaglutida, dulaglutida, tirzepatida y liraglutida no requieren ajuste de dosis basado en la funcin renal, aunque se recomienda precaucin en enfermedad renal avanzada debido a la experiencia clnica limitada y el riesgo potencial de efectos gastrointestinales que podran causar deshidratacin

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Addressing emotional and psychological aspects is crucial, he says

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Tirzepatide and semaglutide were at the top

This is fundamental peptide safety practice