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If symptoms persist or worsen it is important to discuss with your healthcare provider as you may benefit from reducing your current dose or trying an alternative medication

Detection of podocyte loss in patients with proteinuria points to podocyte resilience as a potential treatment target and the use of calcineurin inhibitors to reduce proteinuria in patients with lupus nephritis 40,115

Instead, you can consult with a handful of online telehealth platforms and even your primary care doctor (or both!)