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You should contact your GP if you: Have been diagnosed with chronic kidney disease (any stage) Have a history of kidney stones , or recurrent urinary tract infections associated with stones, obstruction, or structural kidney disease Have diabetes , hypertension , or cardiovascular disease , which are all associated with increased renal risk Are taking medications that affect kidney function, such as ACE inhibitors, ARBs, NSAIDs, or diuretics Have had a previous episode of acute kidney injury Are considering purchasing weight loss pills online without a prescription A renal specialist (nephrologist) should ideally be involved in the decision-making process for anyone with moderate-to-severe CKD

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