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@user34857138530: #чудесная #осень #осень2026 #осеньвогороде #мемкомедия #2026 #рекоминдации #capcut #fyp #MemeCut #Meme #депрессия #позднеевремя #время #высоты #вечеря #вечер #городок #города #город #ноч #день #утро #жизнь #одиночество #один #красоты #красотыприроды
🇩🇪☦️Э́пшŢĘйĤ☮️🇬🇧
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Saturday 17 October 2026 19:44:08 GMT
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тгк:Adidasツ :
красивая погода
2026-10-18 06:44:41
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Interesting drug choice - part 10 🚨 Answer: 2️⃣ Losartan 🧠 The hidden clue isn't the blood pressure… it's the uric acid. Most people think: 👉 "All ARBs are the same." ❌ Not true. Both lower blood pressure... But only one helps lower uric acid. 🤔Why loaartan? Most ARBs are uric acid neutral. ✅ Losartan is the only ARB with a clinically significant uricosuric effect. It blocks the URAT1 transporter in the proximal renal tubule. ➡️ ↓ Uric acid reabsorption ➡️ ↑ Uric acid excretion ➡️ ↓ Serum uric acid 🚫Why not telmisartan? ✅ Excellent antihypertensive. ✅ Cardiometabolic benefits. ❌ Does not have a clinically meaningful uric acid–lowering effect. 💡 Pharmacist Pearl For a patient with: ✅ Hypertension + gout ✅ Hyperuricemia ✅ Recurrent uric acid kidney stones 👉 Losartan is the preferred ARB (unless contraindicated). Because it treats both hypertension and helps reduce uric acid—something other ARBs generally do not. ⚠️ Remember: Losartan is not a gout treatment and should not replace urate-lowering therapy (e.g., allopurinol) when indicated #ddpharmacist #大雕药剂师 #大雕健康笔记
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