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Change history 26 February 2026 A Correction to this paper has been published: Abbreviations HF: Heart Failure RAASi: Renin-angiotensin-aldosterone system inhibitors MRA: Mineralocorticoid receptor antagonist sMRA: Steroidal mineralocorticoid receptor antagonists nsMRA: Non-steroidal mineralocorticoid receptor antagonist CKD: Chronic kidney disease SGLT2: Sodium-glucose cotransporter 2 GDMT: Guideline-directed medical therapy eGFR: Estimated glomerular filtration rate ACEi: Angiotensin-converting enzyme inhibitor ARB: Angiotensin II receptor blocker SCZ: Sodium zirconium cyclosilicate K: Potassium CHF: Congestive heart failure AA: Aldosterone antagonist b.i.d.: Twice daily (bis in die) SE: Standard error RALES: Randomized aldactone evaluation study EMPHASIS-HF: Eplerenone in mild patients hospitalization and survival study in heart failure DCT: Distal convoluted tubule EHR: Electronic health record ENaC: Epithelial sodium channel GLP-1RA: Glucagon-like peptide-1 receptor agonist HFmrEF: Heart failure with mildly reduced ejection fraction HFpEF: Heart failure with preserved ejection fraction HFrEF: Heart failure with reduced ejection fraction HR: Hazard ratio KDIGO: Kidney disease: improving global outcomes LVEF: Left ventricular ejection fraction Maxi-K: High-conductance calcium-activated potassium channel NCC: NaCl cotransporter Na-K ATPase: Sodiumpotassium adenosine triphosphatase NKCC2: Na-K-2Cl cotransporter ROMK: Renal outer medullary potassium channel SZC: Sodium zirconium cyclosilicate T2D: Type 2 diabetes UACR: Urine albumin-to-creatinine ratio ARNI: Angiotensin receptorneprilysin inhibitor References Palmer BF (2015) Regulation of potassium homeostasis

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Youll see Pendulum Metabolic Daily recommended a lot for this strain, and a budget-friendly favorite is Vitamatic Clostridium Butyricum