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Would you recommend a SGLT2i for a non-diabetic patient with recurrent uric acid or calcium phosphate nephrolithiasis?

Anderegg et al., PMID 39747681
1 Answer
Mednet Member
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Nephrology · Mayo Clinic
Answered on

No. A major risk factor for uric acid stones is low urine pH. A major risk factor for calcium phosphate (as opposed to calcium oxalate) stones is high urine pH. I am not aware that SGLT2 inhibitors substantially change urine pH.

Stephen B. Erickson, MD

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