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Summary Whereas the Anemia Work Group does not recommend changing patients with HD-CKD from standard bicarbonate dialysate to ultrapure dialysate for the purpose of enhancing ESA responsiveness, studies suggest that the use of ultrapure dialysate results in lower ESA doses in patients with HD-CKD

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It's not even listed amongst the side effects of Ozempic, both because of its rarity and because it requires improper use of the medication in most cases