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The evolution from 2023 to 20242025 represents a movement from precautionary cessation to continuation with risk mitigation, reflecting a more sophisticated understanding of risk-benefit profiles [47]

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However, this was a small study of 48 individuals and more research is needed to inform clinical decision making and treatment guidelines

Additionally, there is a documented increased risk of acute kidney injury in patients who become severely dehydrated due to vomiting or diarrhea, making hydration an important part of any treatment plan