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The clinical evidence base for semaglutide as an active pharmaceutical ingredient applies to the studied FDA-approved formulations, not directly to compounded versions
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The drug is then secreted by MATE1 and MATE2 of the kidney in an unaltered form and is cleared through the urine

Pain in the lower back or sides, particularly on one side, combined with urinary symptoms suggests kidney involvement

Large-scale, multi-center studies and clinical trials will be essential to confirm these findings and refine guidelines for patients at risk
