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5.Could you provide a medical note for my child's school explaining that the odor is a medication side effect and not a hygiene issue

J Steroid Biochem Mol Biol

A: Likely, yes

doi: 10.1186/s13075-019-1920-0 207 WangYXuNZhaoSJiaoTFuWYangLet al

Hidrox and chronic cystitis: biochemical evaluation of inflammation, oxidative stress, and pain

Given the reabsorption of renin by proximal tubule cells through megalin, and the broad expression of ACE within the kidney, allowing locally synthetized ANG II independent action, the interference of SGLT-2-i with intrarenal RAS could explain such results