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Consumer attitudes to portion size are also worth keeping an eye on

Current developments and ongoing studies As indicated above, several studies are ongoing that aim to increase our understanding of the kidney effects of GLP-1 receptor agonists and the newer incretin mimetics (Table 1)

Shared decision-making should therefore integrate patient priorities regarding weight reduction, treatment tolerability, cost, timing of conception, and readiness for OI or ART, rather than relying on body weight alone as the sole marker of success

However, this should only be attempted under specialist supervision, with appropriate monitoring and emergency medication available