This JAMA Patient Page describes the body’s heart rhythm and the role of electronic pacemaker devices in maintaining heart rhythm for patients with certain conditions.
https://ja.ma/3HqMxjg
This JAMA Patient Page describes the body’s heart rhythm and the role of electronic pacemaker devices in maintaining heart rhythm for patients with certain conditions.
https://ja.ma/3HqMxjg
#ERA25 #MedSky #Nephrology
#ERA25 #MedSky #Nephrology
In CKD, ⬇️renal clearance 👉 metformin accumulation
Metformin inhibits mitochondrial complex I& gluconeogenesis, ⬆️ pyruvate 👉 shifting metabolism toward lactate production
⚠️👉 LATIC ACIDOSIS
www.aging-us.com/art...
pubmed.ncbi.nlm.nih....
In CKD, ⬇️renal clearance 👉 metformin accumulation
Metformin inhibits mitochondrial complex I& gluconeogenesis, ⬆️ pyruvate 👉 shifting metabolism toward lactate production
⚠️👉 LATIC ACIDOSIS
www.aging-us.com/art...
pubmed.ncbi.nlm.nih....
The contd use of metformin may be appropriate when eGFR falls <30 ml/min. RCT is needed to confirm these findings
www.ajkd.org/article/S027...
The contd use of metformin may be appropriate when eGFR falls <30 ml/min. RCT is needed to confirm these findings
www.ajkd.org/article/S027...
(Though flozins not stopped below 20)
Now DAPA-advanced CKD presented at #KidneyWk which started at GFRs 10-30 suggest slowing GFR >> GFR dip (paper not published yet)
RENAL LIFECYCLES awaited!
(Though flozins not stopped below 20)
Now DAPA-advanced CKD presented at #KidneyWk which started at GFRs 10-30 suggest slowing GFR >> GFR dip (paper not published yet)
RENAL LIFECYCLES awaited!