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Clinically, large randomized trials report kidney-related benefits with GLP-1 receptor agonists, most consistently reductions in albuminuria, with additional signals for slower estimated glomerular filtration rate (eGFR) decline in higher-risk subgroups [4, 5]

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The NHS Inform Scotland guidance ties the maintenance schedule to the cause of the deficiency, which is why the plan is revisited rather than left on autopilot

Ultimately, the choice between gastric sleeve surgery and Wegovy will depend on personal preferences, medical advice, and financial considerations