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Bridging Guidelines and Real-World Practice in IgA Nephropathy

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The KDIGO 2025 guidelines for IgA nephropathy broaden diagnostic and treatment strategies by promoting earlier kidney biopsy consideration and setting stricter proteinuria targets while advocating a dual-focused therapeutic approach that simultaneously limits pathogenic IgA immune complex formation and addresses nephron loss with both traditional supportive care and newer agents such as targeted-release budesonide, sparsentan, and SGLT2 inhibitors.

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