Quick Consult
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De-identified clinical questions only. Quick Consult is decision support, not a patient chart entry.
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Answer:Metformin can be used cautiously in CKD stage 3b (eGFR 30–44) at reduced dose with more frequent renal monitoring; avoid if eGFR <30.
Note: Hold before iodinated contrast and reassess after acute illness; review concurrent nephrotoxins.
Guideline: Diabetes Canada 2024 CKD guidance (illustrative).
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