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Genzyme s partnership with akf dates back to 2001, when the two organizations launched the renagel patient assistance programsm rpap , which provides access to renagel and hectorol doxercalciferol for those not otherwise able to access these products.

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Because these reactions are reported voluntarily from a population of uncertain sizeit is not always possible to estimate their frequency or to establish a causal relationship to drug exposure.

The safety and efficacy of this product have not been established in predialysis patients.

Acid or sour stomach belching bloating constipation diarrhea excess air or gas in the stomach or intestines full feeling passing gas stomach discomfort or upset.

Closer monitoring of patients with hypothyroidism co-administered with sevelamer hydrochloride and levothyroxine is recommendedsee section 4.5

For patients previously on phosphate bindersRenagel should be given on a gram for gram basis with monitoring of serum phosphorus levels to ensure optimal daily doses.

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