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Plasma acylcarnitine profiles generally provide more robust and reproducible indicators of systemic metabolic disturbance, and selected signatures may outperform the urinary albumin-to-creatinine ratio (UACR) in the early detection of DKD

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For mild to high-risk procedures or if the last GLP-1 dose was within days, consider rapid-sequence induction, use of cricoid pressure where appropriate, or endotracheal intubation rather than laryngeal mask airway