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Description
11.4 Dehydration and Kidney Function Monitoring Gastrointestinal side effects such as vomiting or diarrhea may precipitate dehydration, potentially impairing renal function
This can lead to further complications and a decline in your overall health

Extracting extra or fractional doses from pens defeats the devices design, risks contamination, and can derail titration

Adjustments for potential confounding variables were made, though residual and unmeasured confounding is still a possibility
