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L'ISSSTE ha aggiunto dulaglutide per i pazienti albuminurici nel 2025, a dimostrazione della volont degli enti pagatori di finanziare terapie con comprovati risultati renali

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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8

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