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These often feature single-strain formulations (Akkermansia only) or generic multi-strain probiotics without metabolic-specific targeting

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1 If the decision is made for the patient to remain on a GLP1RA, they should be switched to a GLP1RA that is not contraindicated at lower eGFR levels (dulaglutide, liraglutide or OW semaglutide)

PubMedPMC 29

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However, the beneficial effects of SGLT-2 such as weight loss, renal protection, and metabolic benefit make SGLT-2 a potential therapeutic option post-transplantation among patients with metabolic syndrome, obesity, and kidney dysfunction