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Impact of bioelectrical impedance-guided fluid management and vitamin D supplementation on left ventricular mass in patients receiving peritoneal dialysis: a randomized controlled trial

These agents may prove effective alone or may permit significant reductions in the dosage requirement for existing treatments such as metreleptin and insulin

The real risks come from unregulated products and self dosing without evaluation

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Imaging studies offer the most objective assessment but add cost and complexity

But once you look at medication options, cost structure, intake steps, and support , the differences get real