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morning with several cups of strong black coffee for years. Friends believed this habit alone had damaged his kidneys. But after reviewing his medical history, physicians found multiple contributing factors that had gradually placed increasing stress on his kidneys over time.
The patient had long-standing high blood pressure that was not consistently controlled. He also had type 2 diabetes, occasionally skipped medical appointments, and rarely monitored his kidney function. In addition, he frequently relied on over-the-counter pain relievers for chronic joint pain, another habit that can affect kidney