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a young woman in a black shirt is taking a selfie with her hand on her shoulder . ALT: a young woman in a black shirt is taking a selfie with her hand on her shoulder .

I bet for a yes, as a kidney transplant nephrologist, #flozinate almost every proteinuria #nephJC

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Hi, I’m Akshaya, nephrologist and transplant doc from India, professional overthinker and flozinator. I take care of kidneys by day and a tiny human by night. We do #flozinate our transplant patients. Powered by curiosity, dark coffee, and questions. Excited to be your host today!🩺☕️
#NephJC

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Our new best friends help to maintain our old best friends.

RASi 🤝 SGLT2i 🤝 GLP1ra
#Kidneywk #Flozinate

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#Flozinate 😎
#kidneywk

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Pre-CKD” should thus encompass
👉🏻Cardio
👉🏻metabolic risk
👉🏻 kidney vulnerability
📉hyperfiltration since the beginning
Importance to #flozinate ever 🔥🎯
@theisn.org @kdigo.org #NephSky #Medsky

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Table 2

Table 2

Indeed!

35 fewer CV deaths but
75 fewer all cause deaths
= 40 fewer non CV deaths

#Flozinate

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🏥Celebrating 82 years since our hospital exists

2 general conclusions
🍎 Always #flozinate- fun quizz by dr Mugurel Apetrii, mentioning APPLE-CKD 😉
🍎 Adapting Benjamin Franklin’s quote: The only certain things in life are death, taxes and #flozination

#NephSky #MedSky

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12/ I loved the Strong kidneys initiative of measuring creatinine in as many nephrologists as possible #ERA25 

I felt lucky and relieved that my creatinine is normal, although @pencilvano made fun of me, saying I am in a hyperfiltration state and maybe I should #flozinate

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kermit the frog is holding a glass of lipton tea and says if you say so Alt: kermit the frog is holding a glass of lipton tea and says if you say so

Says someone who was not happy with SGLT2i and needed #flozinate 😏 #nephjc

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Sodium-Glucose Cotransporter-2 Inhibitor in Diabetic and Nondiabetic Renal Transplant Recipients Sodium-glucose cotransporter-2 inhibitors (SGLT2i) improve cardiovascular prognosis in patients with chronic kidney disease (CKD), diabetes, and heart failure; and slow the decline of kidney dysfuncti...

GREAT-ASTRE study
A real-life cohort
Safety and efficacy in 🇫🇷
@kireports.bsky.social
📉 Reduced proteinuria
✅ Improved eGFR in both diabetics and non-diabetics
#flozinate on KTR? #NephSKy #MedSky

www.kireports.org/article/S246...

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💡 Despite the proven benefits of #flozinate barriers remain:
🔴 Limited Access 🌍
🔴 Late Diagnosis of CKD
🔴 Gaps & 💴💶💷💵
🌟 Let's ensure to #flozinate all!
#ISNWebinar @theisn.org #NephSky #MedSky #ThisIsISN

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🌟 Transforming Diabetes: A paradigm shift💡
🌍 SGLT2i dual 🫀-renal benefits are transformative for populations at higher risk.
Access to 💊 is crucial for health equity.
Let´s #flozinate all!!
#ISNWebinar @theisn.org #NephSky #MedSky #ThisIsISN

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Find a reason to #Flozinate? 😉

Hot take that I may have learned from some neph peeps:

Care to comment #NephSky #CardioSky #MedSky
link.springer.com/article/10.1...

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💊 The rise of #flozinate‼️
Slow 🐢 CKD progression ➡️protect kidneys, 📉 CV risk, & delay renal failure.

Dive in the power of #glipinate and #flozinate synergy! #nefroneando #NephSky #MedSky @theisn.org

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a pile of gold coins are stacked on top of each other . ALT: a pile of gold coins are stacked on top of each other .

10/10
Final #Nephjc thoughts
Don’t shy from adding RASi in ANY CKD stage! Monitor closely- u may cause more benefit than harm !
Old is Gold - Dont forget ur #RASi but also #Flozinate #Glipinate!

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a girl in a yellow sweater sits at a desk with a marker in her hand and the word if on the bottom ALT: a girl in a yellow sweater sits at a desk with a marker in her hand and the word if on the bottom

If no proteinuria they can prescribe more renal goodies than us nephrologists #flozinate #glipinate #nephjc

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Still another reason for SGLT-Inhibitors: ATTR-CM

www.jacc.org/doi/10.1016/...

#CardioSky #MedSky
@christosargyrop.bsky.social @hswapnil.bsky.social
Should we just #Flozinate the water?

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The lines in ‘higher’ eGFR flozin RCTs (this one is DAPA-CKD) cross at 12-18 months, so if eGFR <20 but you think you’ve got longer than that until ESKD (lots of patients!) then #flozinate to slow CKD.

Side-effects may include preventing AKI, hyperkalaemia, CCF & death in a high risk group.

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Me (only my torso pictured) wearing my black fuzzy, comfy colombia vest with the beautifully blue #NephJC logo on the right side.

Me (only my torso pictured) wearing my black fuzzy, comfy colombia vest with the beautifully blue #NephJC logo on the right side.

Same 😎

#NephJC #Flozinate

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I think consensus is #Flozinate early and never stop.

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7/10
#NephJC Chat consensus?

1️⃣ #Flozinate
2️⃣ Protection is likely a #Flozin class effect (and insurance companies need to get with the program)
3️⃣ Keep #Flozinating b/c the effect wears off

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5/10
A figure 💅 paints 1000 words
#Flozinate

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7/ conclusion #flozinate #kidneywk

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⏩LBCT2 last presentation #KidneyWk

Efficacy and Safety of Dapagliflozin in Patients with CKD Stages 4-5 - Chi-Chih Hung
DAPA advKD Trial

#flozinate

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Conclusion
#Flozinate early
Never stop

#KidneyWk

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Last presentation from this LBCt session #kidneywk

@willkidney 🎤 Long-term Effects of Empagliflozin in Chronic Kidney Disease
#flozinate 🍎🍏

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Starting en force at 1045 with @KatieKwonMD explaining “how an apple of day reduces the hospital stay #NephJc 💪🔥#flozinate

@hswapnil @manasib33 @KidneyCathy @kidney_boy

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3/ An exploratory analysis from EMPA-KIDNEY showed Empa slows CKD progression and CV mortality even few more frail patients #flozinate

academic.oup.com/ndt/article/39/Supplemen...

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The Flozinators Ver7 | Suno bluegrass, nashville, female singer song. Listen and make your own with Suno.

Got a new hit for the Flozinaters... ...enjoy! suno.com/song/70be513... #flozinate #ckd #SGLT2 #nephrology #dialysis #music

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💚Available meds for nephro protection and their potential mechanisms

🛡️SGLT2i #flozinate

🛡️GLP-1RA #glipinate (?)

🛡️MRAs

🛡️ACEi

#Nephmadness @Gila_NephMad 🦎

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