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Another unique aspect of CHIVA is that rather than attempting to completely eliminate all reflux, as in other surgical methods, CHIVAs goal is interruption of venous hypertension at its source, higher up in the venous system (Mowatt-Larssen 2010

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Patients may be asymptomatic or may develop symptoms of urolithiasis, and ureteral obstruction and post-renal acute renal failure

At the starting dose of 0.25mg weekly, one vial provides 40 weekly doses, though reconstituted semaglutide should be used within 28 days for optimal potency