Kidney Function There are concerns that taking it may have a negative effect on kidney function, particularly in people with pre-existing kidney disease
But insulin dose reduction needs to be done carefully and gradually, with close CGM monitoring, to avoid either hypoglycemia (from too much insulin relative to your new needs) or hyperglycemia (from reducing too aggressively)
& Freire, F
Sudheer S, Bai RG, Muthoosamy K, Tuvikene R, Gupta VK, Manickam S (2022) Biosustainable production of nanoparticles via mycogenesis for biotechnological applications: a critical review
Both the European Commission (EC) and the UKs Medicines & Healthcare Products Regulatory Agency (MHRA) have authorized setmelanotide for the treatment of obesity and the control of hunger associated with genetically confirmed BBS or genetically confirmed loss-of-function biallelic POMC, including PCSK1, deficiency or biallelic LEPR deficiency in adults and children 2 years of age and above
They may get little to no B12 from their food, because vitamin B12 only occurs naturally in animal sources