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doi: 10.1111/bju.15313 33 CaldernBGmez-MartnJMVega-PieroBMartn-HidalgoAGalindoJLuque-RamrezMet al
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The study also points to what patients may need beyond the prescription itself: clearer counseling about side effects, steadier clinical support, behavioral strategies, peer connection, and policies that make access less dependent on wealth, luck, or sheer persistence

Combining these effects may reduce kidney blood flow or electrolyte balance, so your healthcare team monitors kidney function and potassium levels periodically
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If it climbs above 6 during tapering, that signals your body is resisting the reduction
