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Whilst in non-albuminuric DKD, there is a decrease in the GFR below 60 mL/min/1.73 m 2 , but with an absence of albuminuria [19]

Oral medications may feel easier to obtain, easier to hide, and easier to misuse

Context for confounding and differential diagnosis: SGLT2 inhibitors are known to increase genital mycotic infection risk, including vulvovaginal candidiasis, and real-world studies demonstrate clinically significant vaginitis incidence in usersmaking SGLT2 exposure a critical confounder when patients attribute yeast infections to semaglutide

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