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Evidence-based GLP-1 & peptide discussion since 2023
ForumsLab Results & BiomarkersKidney function on semaglutide — need advice Page 5

Kidney function on semaglutide — need advice

sean_dublin Thu, May 30, 2024 at 3:16 PM 37 replies 2,704 viewsPage 5 of 8
JenMemphis
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Jun 16, 2024 at 7:22 AM#21
TirzTom said:
If you are going to change something, change one thing and give it long enough to express itself.

Saving this. It is the first explanation that did not require me to already understand it. Adding it to my notes with a link back to this thread.

29 2MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 26 others
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Dr.RheumBOS
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Jun 22, 2024 at 9:49 AM#22

From the other side of the consultation, briefly. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

30 3wei_SG, cory_ATX, lori_vegas and 27 others
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LondonLisa
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Jun 28, 2024 at 12:12 PM#23
Dr.RheumBOS said:
Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then…

Agreed, and the practical implication is not to over-read a single eGFR during a period of rapid loss and altered hydration. Trend, with UACR beside it.

Correct me if the detail matters more than I have assumed.

31 4RetaRick_CA, JenPlateau, SallyK_inj and 28 others
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BariatricNurseD
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Jul 4, 2024 at 2:32 PM#24
Dr.RheumBOS said:
Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then…

Coming at Dr.RheumBOS’s question from a different direction. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

32 5tom_AK, josh_phd_bmore, roxy_nash and 29 others
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VendorMark
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Jul 10, 2024 at 4:48 PM#25

The figures, for anyone assembling their own picture. The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the same conditions. Nobody wants that answer and it is still the answer.

Last edited: Jul 10, 2024 at 6:48 PM
33 6claudia_zurich, nancy_portland, rick_sfbay and 30 others
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