Managing diabetes and blood pressure aggressively, combined with appropriate medications, can significantly slow progression and delay the need for dialysis
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GLP-1 receptor agonists are not recommended during pregnancy or breastfeeding, and women of childbearing potential should use effective contraception
Some providers use off-label semaglutide dosing up to three milligrams for patients who need maximum effect, but this exceeds standard protocols
In a retrospective cohort study, Lin et al
Practical harm-reduction strategies include eating a balanced meal before drinking, spacing alcoholic drinks with glasses of water to maintain hydration, choosing lower-sugar options like dry wine or spirits with sugar-free mixers, and never drinking on an empty stomach
