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These findings suggest that GLP-1RAs may be a valuable therapeutic strategy in CKD management beyond glycaemic control

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Trace elements such as zinc, copper, selenium, and thiamine should be checked where clinically indicated Psychological support available through the bariatric team or via GP referral to NHS Talking Therapies (formerly known as IAPT) services GP involvement your GP should be kept informed of your progress and can manage ongoing issues such as reflux, medication adjustments, or new symptoms If you are experiencing symptoms such as persistent sneezing after eating, or any other concerns that arise between scheduled appointments, do not hesitate to contact your bariatric team directly

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