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Increasing the removal of sugar through the kidneys plays an important role in diabetes-related problems, including kidney damage, blindness, nerve problems, limb loss, and sexual function issues

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Kadooka, Yukio et al

This guide walks through the latest clinical evidence, including the 2025 SURMOUNT-5 head-to-head trial, so you can have an informed conversation with your provider

But whatever your dogs age, if ALP is elevated, ask your vet to investigate the reason