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Increased levels of inflammatory secretory phospholipase A 2 IIA (sPLA 2 -IIA) have also been noted in acute COVID-19 [349]

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In contrast, a multicenter retrospective cohort study, including a higher-risk population (23% with CKD) reported slower eGFR decline and lower risks of CKD progression and doubling of serum creatinine among SGLT2 inhibitor users compared with GLP-1 receptor agonist users

Unforeseen Reactions In February 2025, the paper, Euglycemic Ketoacidosis Following Coadministration of an SGLT2 Inhibitor and Tirzepatide , appeared in JCEM Case Reports , describing a patient who was admitted to the intensive care unit after being placed on both medications