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The 2020 Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for Diabetes Management in CKD 13 recommended first-line use of metformin for kidney transplant recipients with T2D and estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73m 2 , noting that future studies were needed to confirm safety and clinical benefit of GLP-1RAs
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