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Applying this formula led to the highest average eGFR's values in comparison to formulas based on cystatin C and creatinine concentration. However, our results of eGFR calculated according to Larsson's equation had the largest dispersion among all formulas (44�C188 ml/min). Lack of comparison of eGFR based on serum creatinine and serum cystatin C concentrations to GFR obtained from exogenous clearance is the limitation of our study. However, such comparison was made by authors of all mentioned formulas and our aim was to evaluate variation between eGFR calculated on the basis of data easily available in everyday practice �C creatinine and cystatin C serum concentrations. In the present study, we clearly demonstrated that applying different formulas to evaluate eGFR in morbidly obese patients buy Obeticholic Acid results in substantial variation of renal function estimates. Those values may vary even by up to 29%. Equations based on creatinine concentration may lead to underestimation of renal disease incidence in morbidly obese subjects. Applying formulas based on cystatin C concentration, especially selleck chemical Hoek's formula, led to the recognition of 5 times more cases of 2nd and 3rd stage of chronic renal disease (GFR FARP1 kidney, liver, spleen, bone marrow), acts as a decoy receptor which binds RANKL and therefore prevents its interaction with RANK [6]. Animal studies proved that OPG protects large vessels from medial calcification [7] and also limits calcification of atherosclerotic plaques [8]. Interestingly, human studies showed positive correlation between high serum OPG levels and the presence of cardiovascular disease [5, 9, 10, 11, 12?and?13]. It remains uncertain whether OPG is just a marker of endothelial damage, mediates progression of vascular disease or it is a kind of protective mechanism aimed to limit vascular injury.