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Renal Impairment: Acute renal failure and worsening of Serious renal failure, which may in some cases need hemodialysis, are noted, ordinarily in association with nausea, vomiting, diarrhea, or dehydration. Use caution when initiating or escalating doses of Saxenda® in clients with renal impairmentKeep an eye on Closely (one)etonogestrel decreas