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Keller's experience in sports medicine has helped athletes from high school to professional

Clinically, the induction of sustained or periodic hypoglycaemia at levels below 85 mg dl 1 in humans can occur in settings of liver failure, congestive heart failure, malnutrition and anorexia, cancer-associated cachexia and wasting, lupus, chronic alcoholism and with certain medications 41,59,60,61,62,63,64

10.3920/BM2016.0233 108 SpinlerJ

Its not simply the kidneys "slowing down", its a multifaceted process involving: Chronic inflammation Fibrosis (scar tissue replacing healthy kidney cells) Vascular damage Autoimmune triggers Oxidative stress Reduced regenerative capacity Until now, the primary goal of treatment has been preservation, not restoration