Kidney injury, particularly with exenatide, can occur due to dehydration from severe gastrointestinal side effects like nausea and vomiting
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They need a complete picture of everything entering your body to manage bleeding risk, healing, and drug interactions
Investigations typically include full blood count, serum B12 levels and, where indicated, additional tests such as methylmalonic acid, holotranscobalamin, or homocysteine measurements, particularly when serum B12 results are borderline
One of the intended effects of GLP-1 medications is to slow digestion, which means food sits in the stomach and small intestine longer than usual, giving gut bacteria more time to ferment sulfur-containing foods and producing hydrogen sulfide as a byproduct