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Gather Evidence: Keep records of your drug usage, including prescriptions, receipts, and packaging

The question of renal dosing arises because patients with obesity carry a disproportionate burden of chronic kidney disease (CKD), with roughly 24% of adults with BMI 30 having an eGFR 99% protein binding and large molecular weight (approximately 4,114 Da) [3]

If reflux is a problem, avoid acidic mixers (citrus drinks, vinegar-based tonics, very tart ready-to-drink formulas)

Vest AR, Schauer PR, Rodgers JE, Sanderson E, LaChute CL, Seltz J, Lavie CJ, Mandras SA, Tang WW, daSilva-deAbreu A

You can also ask your healthcare professional about dose timing, dose changes, nausea medication, reflux medication, or constipation support if needed