Secondary NS arises as a consequence of other systemic pathologies (e.g., infections, neoplasms, systemic lupus erythematosus, diabetes) or the improper use of nephrotoxic substances (e.g., medications) ( If a patient is unresponsive to steroid treatment, the current guidelines recommend escalating therapy by combining immunosuppressive drugs such as calcineurin inhibitors (Cyclosporin, Tacrolimus), mycophenolate mofetil, anti-CD20 monoclonal antibodies (Rituximab, Ofatumumab), and CTLA- 4 (Abatacept, Belatacept)
Injectable protocols are not FDA-approved for cosmetic use, and long-term data from controlled trials is limited
At levels below toxicity, B vitamins have traditionally been known to promote gains in body fat
Vitamin B12 is an essential nutrient that plays a vital role in nerve function, red blood cell production, and energy metabolism
Maybe months