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doi:10.1002/ajmg.10121

So follow the missed pill guidance in your pills instructions or use backup contraception to be safe (9,10)

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In renal failure, perturbed intestinal microorganisms produce several metabolic products that can have an influence on the kidneys, including indoxyl sulfate, trimethylamine N-oxide, phenylacetylglutamine, and p-cresyl sulfate