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Blauwendraat, C., Nalls, M

doi: 10.1093/ecco-jcc/jjx008 104 MartensE

The same effect of liraglutide was revealed in another study in patients with diabetes and hypertension but without renal impairment 27

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However, symptoms of mild hyponatremia, mild hypokalaemia and accompanying mild hypovolemia closely resemble observed symptoms of keto-flu. Another proposed mechanism of keto-induction is reduced energy substrate availability due to reduced serum glucose and low production of ketones within the first week