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While nephrotoxins such as herbal medicines and analgesics were initially suspected, the presence of elevated levels of cadmium and arsenic, selenium deficiency, and genetic susceptibility are now recognized as significant risk factors for CKDu pathogenesis [45]

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The gossip in the hallways of the University was that a new drug was in the pipeline, called Virginiamycin, which was an antibiotic used to treat these cases