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Specifically, the guideline recommends the following: The 2024 KDIGO clinical practice guideline for chronic kidney disease also further supports a cautious approach, including a specific practice point recommending the planned discontinuation of ACE inhibitors and ARBs (and sodium-glucose cotransporter 2 inhibitors) before elective surgery

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[DOI] [PubMed] [Google Scholar] [268].Fujishima M, Sugi T, Choki J, Yamaguchi T, Omae T (1975)
This medication is compounded by a licensed pharmacy in accordance with Section 503A of the Federal Food, Drug & Cosmetic Act and is dispensed only with a patient-specific prescription from a licensed healthcare provider following a thorough medical evaluation

Dasgupta recommends evaluating and addressing the many other causes that could contribute to insomnia or fatigue

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