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They are often confused or used interchangeably they shouldnt be

SUSTAIN 6 Trial In this trial, new or worsening nephropathy, defined as persistent macroalbuminuria, persistent doubling of the serum creatinine, or a creatinine clearance 339 mg/mmol), a sustained decline in eGFR of 30% or more from baseline, or chronic renal replacement therapy (322)

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These are similar to those seen in younger adults with growth hormone deficiency

Rose, R