Azotemia is characterized by abnormal levels of nitrogen-containing compounds such as urea, creatinine, various body waste compounds and other nitrogen-rich compounds in the blood secondary to kidney [renal] insufficiency. It is commonly caused by dehydration and associated with fluid restriction, purging through vomiting, use of laxatives and/or diuretics. It can also be caused by an excessive intake of nitrogen rich foods, in particular protein supplements used to "increase muscle" which is typically seen in Muscle Dysmorphia

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