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Description
The quality, safety and efficacy of Rybelsus are only guaranteed up to the expiry date stated on the packaging
It seems likely that these therapies will be complementary to some degree, which would provide further benefit to delaying progressive loss of kidney function, but definitive data are not yet available
The National Institute for Health and Care Excellence (NICE) has issued guidance on its use within the NHS for type 2 diabetes
We therefore suggest monitoring drug levels at least at the start of cotreatment with GLP1RAs, especially in patients with kidney dysfunction who are at risk for drug accumulation to toxic levels
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