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What is your preferred initial therapy for patients with IgA nephropathy and more than 1 gram of proteinuria, given the recent approvals of sparsentan and budesonide alongside existing options like prednisone and ACEi/ARBs?

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Given the recent approvals of sparsentan and budesonide, which initial therapy do you prefer for patients with IgA nephropathy and more than 1 gram of proteinuria?

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