Discover Pacientes Com Risco De Comorbidades Em Vários Níveis De Função Renal: Um Estudo Prospectivo Observacional (Portuguese Edition) by Sreenu Thalla.
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Overview: As fases iniciais da insuficiência renal são assintomáticas e, na sua maioria, desconhecidas. Pode ser identificado através da verificação dos níveis de creatinina sérica e da taxa de filtração glomerular com base na idade e outras condições clínicas. O 5º estágio da insuficiência renal também é conhecido como doença renal terminal (DRGE), na qual a taxa de filtração glomerular é <15 ml/min e o paciente deve ser tratado com Terapia de Substituição Renal e Diálise. A taxa de TFG pode ser calculada usando várias fórmulas que consideram os níveis séricos de creatinina, peso corporal, idade; são elas a fórmula Cock croft-gault, Modification of Diet in Renal Disease formula (MDRD), CKD-EPI formula e Mayo Quadratic formula. Este estudo é baseado para avaliar as condições comórbidas da diabetes, hipertensão e outros eventos cardiovasculares associados a vários níveis de função renal.
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After spending years working in the corporate world, Sreenu Thalla finally decided to pursue a lifelong passion for writing. They currently reside in a quiet suburb where they spend most of their time outlining new stories, reading extensively, and occasionally attempting to bake.
Honestly one of the better books I've read lately. I loved how the story unfolded. It kept me guessing without being too confusing. Would probably read it again at some point.
Joseph FloresJune 10, 2025
Finished it in a couple of days. I loved how the story unfolded. It kept me guessing without being too confusing. Would probably read it again at some point.
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David SmithMarch 30, 2025
Pretty good overall. I liked the main character, though some of the side plots were just okay. Not bad at all.
Joseph ClarkSeptember 25, 2024
A very satisfying read. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Glad I picked this up.
Sarah WalkerMay 09, 2024
Glad someone recommended this to me. I got really invested in the main character's journey. Everything just clicked for me. Would probably read it again at some point.
Charles CampbellApril 09, 2024
A solid read. The middle dragged a tiny bit, but the ending totally made up for it. Still a good book.
Dorothy NelsonJuly 05, 2025
Really enjoyed this one. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Glad I picked this up.
Michael MartinezFebruary 11, 2024
Really enjoyed this one. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Definitely recommend it if you like this genre.
Ryan CollinsNovember 26, 2024
An average read for me. It felt a bit repetitive in the middle. Could have been shorter. Might work better for someone else, just wasn't completely for me.
Lisa LopezDecember 11, 2024
Pretty good overall. It held my attention, even if a few things were a little predictable. A solid 4 stars from me.
Amanda GreenOctober 21, 2025
Took me a few chapters to get into it, but it was worth it. I liked the main character, though some of the side plots were just okay. Not bad at all.
Kevin JohnsonJuly 20, 2024
Good, but not quite perfect. I liked the main character, though some of the side plots were just okay. A solid 4 stars from me.
Joseph JacksonJuly 15, 2025
I was pleasantly surprised. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. A solid 5/5 for me.
Michael GomezJune 27, 2024
Pretty good overall. Interesting premise and executed fairly well. Just a few slow chapters here and there. I'd probably recommend it to a friend.
Steven RobertsSeptember 18, 2024
Pretty good overall. It held my attention, even if a few things were a little predictable. Enjoyable weekend read.
Michael WilsonMay 31, 2024
I liked it for the most part. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. A solid 4 stars from me.
Michelle YoungFebruary 13, 2024
Not bad, but not my favorite. Some parts were interesting, while others were a bit of a slog to get through. A generous 3 stars.
Nicholas LewisJuly 03, 2025
Pretty good overall. Interesting premise and executed fairly well. Just a few slow chapters here and there. Enjoyable weekend read.
Sharon BakerDecember 17, 2024
Finished it in a couple of days. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Definitely recommend it if you like this genre.
Betty AndersonDecember 23, 2024
Honestly one of the better books I've read lately. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Would probably read it again at some point.
Kenneth HallNovember 08, 2024
A solid read. It held my attention, even if a few things were a little predictable. A solid 4 stars from me.
William MartinNovember 06, 2024
Really enjoyed this one. I got really invested in the main character's journey. Everything just clicked for me. Glad I picked this up.
Eric JonesSeptember 03, 2025
Really enjoyed this one. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Will be looking for more from this author.
Jacob JonesMarch 25, 2025
I was pleasantly surprised. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Definitely recommend it if you like this genre.
Robert HernandezOctober 15, 2024
A very satisfying read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. A solid 5/5 for me.
Michelle GomezFebruary 27, 2024
I was pleasantly surprised. I got really invested in the main character's journey. Everything just clicked for me. Worth the time and money.
Kevin GomezNovember 05, 2025
I have mixed feelings about this one. The writing was fine, but I didn't feel very connected to the characters. They felt a bit flat. Just right down the middle.
Eric CampbellMay 03, 2024
Really enjoyed this one. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Will be looking for more from this author.
Joseph JacksonMarch 16, 2025
Such a great read. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Definitely recommend it if you like this genre.
Mark LopezFebruary 09, 2024
A very satisfying read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Will be looking for more from this author.
Kevin JohnsonFebruary 23, 2024
Took me a few chapters to get into it, but it was worth it. Interesting premise and executed fairly well. Just a few slow chapters here and there. Enjoyable weekend read.
Nicholas BakerSeptember 17, 2025
Not bad, but not my favorite. The writing was fine, but I didn't feel very connected to the characters. They felt a bit flat. Just right down the middle.
Jennifer LeeJune 07, 2024
A very satisfying read. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Glad I picked this up.
Barbara MillerMarch 15, 2024
I was pleasantly surprised. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Definitely recommend it if you like this genre.
George TaylorNovember 21, 2024
Finished it in a couple of days. I loved how the story unfolded. It kept me guessing without being too confusing. Would probably read it again at some point.
Eric SmithMay 29, 2024
I was pleasantly surprised. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Definitely recommend it if you like this genre.
Nicholas NelsonAugust 19, 2025
A solid read. The middle dragged a tiny bit, but the ending totally made up for it. Still a good book.
Patricia GomezMarch 28, 2024
I liked it for the most part. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. Not bad at all.
Dorothy RodriguezSeptember 16, 2025
Pretty good overall. Interesting premise and executed fairly well. Just a few slow chapters here and there. Not bad at all.
Stephanie MartinDecember 15, 2024
Pretty good overall. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. Enjoyable weekend read.
Nicholas AdamsJuly 29, 2024
Took me a few chapters to get into it, but it was worth it. It held my attention, even if a few things were a little predictable. Still a good book.
Paul GarciaDecember 28, 2024
Took me a few chapters to get into it, but it was worth it. Interesting premise and executed fairly well. Just a few slow chapters here and there. A solid 4 stars from me.
Ryan CollinsFebruary 22, 2025
A solid read. It held my attention, even if a few things were a little predictable. I'd probably recommend it to a friend.
Michelle WhiteNovember 11, 2024
Good, but not quite perfect. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. Not bad at all.
Sarah TorresJune 27, 2024
A solid read. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. I'd probably recommend it to a friend.
Michelle NelsonApril 29, 2025
Really enjoyed this one. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Will be looking for more from this author.
Robert MitchellMay 21, 2025
Glad someone recommended this to me. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. A solid 5/5 for me.
Sarah TorresMay 29, 2025
A solid read. Interesting premise and executed fairly well. Just a few slow chapters here and there. A solid 4 stars from me.
Kenneth KingDecember 14, 2025
Finished it in a couple of days. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Will be looking for more from this author.
Kenneth HallAugust 25, 2024
It was okay. The writing was fine, but I didn't feel very connected to the characters. They felt a bit flat. Probably won't read it again, but it was an okay way to pass the time.
Amanda FloresApril 15, 2025
Glad someone recommended this to me. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
David HernandezFebruary 12, 2024
It was just alright. It had some good moments, but the overall plot felt a bit disjointed in the second half. Probably won't read it again, but it was an okay way to pass the time.
Carol LewisNovember 07, 2025
I was pleasantly surprised. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Worth the time and money.
Amanda RamirezJune 04, 2024
A solid read. I liked the main character, though some of the side plots were just okay. A solid 4 stars from me.
Brian AllenJune 22, 2024
Glad someone recommended this to me. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Will be looking for more from this author.
Richard ReyesApril 01, 2024
Honestly one of the better books I've read lately. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Glad I picked this up.
Edward WilsonMay 26, 2025
Took me a few chapters to get into it, but it was worth it. It held my attention, even if a few things were a little predictable. A solid 4 stars from me.
Edward ThompsonJuly 10, 2024
Pretty good overall. It held my attention, even if a few things were a little predictable. Still a good book.
Thomas ScottDecember 18, 2024
A very satisfying read. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Worth the time and money.
Michael RamirezApril 02, 2024
A solid read. The middle dragged a tiny bit, but the ending totally made up for it. Not bad at all.
Jessica LopezAugust 15, 2025
I was pleasantly surprised. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Would probably read it again at some point.
Sharon ScottNovember 24, 2025
I liked it for the most part. Interesting premise and executed fairly well. Just a few slow chapters here and there. A solid 4 stars from me.
Stephanie AllenDecember 24, 2025
Such a great read. I got really invested in the main character's journey. Everything just clicked for me. Would probably read it again at some point.
Donna PerezNovember 22, 2025
Good, but not quite perfect. Interesting premise and executed fairly well. Just a few slow chapters here and there. Enjoyable weekend read.
Matthew MartinezDecember 06, 2025
Good, but not quite perfect. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. A solid 4 stars from me.
William SanchezApril 17, 2024
I was pleasantly surprised. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Glad I picked this up.
Steven JohnsonJuly 29, 2025
An average read for me. Some parts were interesting, while others were a bit of a slog to get through. Probably won't read it again, but it was an okay way to pass the time.
Ryan JohnsonJanuary 08, 2024
I liked it for the most part. It held my attention, even if a few things were a little predictable. Still a good book.
Karen MillerJuly 31, 2024
Such a great read. I got really invested in the main character's journey. Everything just clicked for me. Glad I picked this up.
Mary JohnsonMarch 03, 2025
Pretty good overall. I liked the main character, though some of the side plots were just okay. I'd probably recommend it to a friend.
Rebecca MitchellJuly 19, 2025
I was pleasantly surprised. I loved how the story unfolded. It kept me guessing without being too confusing. Worth the time and money.
David GarciaJanuary 06, 2025
Glad someone recommended this to me. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Would probably read it again at some point.
Jacob AdamsOctober 02, 2025
An average read for me. It felt a bit repetitive in the middle. Could have been shorter. Just right down the middle.
Kenneth SanchezMay 29, 2025
It was okay. Some parts were interesting, while others were a bit of a slog to get through. A generous 3 stars.
Nicholas LewisJuly 20, 2024
Really enjoyed this one. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Would probably read it again at some point.
Lisa WhiteJuly 22, 2024
It was okay. The pacing was a bit slow and I found myself skimming a few pages. It wasn't terrible, just okay. Just right down the middle.
John EdwardsOctober 15, 2024
Good, but not quite perfect. Writing is good, just wish there was a bit more depth in certain parts. Still kept my attention though. Still a good book.
Karen GomezApril 10, 2025
I liked it for the most part. The middle dragged a tiny bit, but the ending totally made up for it. Not bad at all.
Dorothy ClarkAugust 17, 2025
Took me a few chapters to get into it, but it was worth it. Interesting premise and executed fairly well. Just a few slow chapters here and there. Still a good book.
Melissa YoungAugust 28, 2024
I liked it for the most part. I liked the main character, though some of the side plots were just okay. A solid 4 stars from me.
Ryan WrightNovember 04, 2025
Finished it in a couple of days. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Definitely recommend it if you like this genre.
John RobertsJanuary 18, 2024
I liked it for the most part. Interesting premise and executed fairly well. Just a few slow chapters here and there. Not bad at all.
Gary ReyesApril 01, 2024
I was pleasantly surprised. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Carol CampbellSeptember 28, 2025
Honestly one of the better books I've read lately. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Definitely recommend it if you like this genre.
Charles MitchellAugust 18, 2024
Honestly one of the better books I've read lately. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Will be looking for more from this author.
John PerezFebruary 12, 2025
Honestly one of the better books I've read lately. I got really invested in the main character's journey. Everything just clicked for me. A solid 5/5 for me.
Cynthia CruzMay 11, 2025
Finished it in a couple of days. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Definitely recommend it if you like this genre.
Andrew GonzalezMarch 23, 2024
Finished it in a couple of days. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Glad I picked this up.
Dorothy LeeJanuary 02, 2024
A very satisfying read. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Will be looking for more from this author.
Melissa YoungMay 02, 2025
Such a great read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Will be looking for more from this author.
Kimberly LeeMarch 12, 2024
I was pleasantly surprised. The author did a great job wrapping everything up at the end. No weird plot holes left behind. A solid 5/5 for me.
Steven MooreAugust 08, 2025
Such a great read. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Worth the time and money.
Kevin GomezSeptember 08, 2024
Really enjoyed this one. I loved how the story unfolded. It kept me guessing without being too confusing. Would probably read it again at some point.
Sarah CarterDecember 02, 2025
Honestly one of the better books I've read lately. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Definitely recommend it if you like this genre.
Betty DavisJanuary 09, 2024
Not bad, but not my favorite. It had some good moments, but the overall plot felt a bit disjointed in the second half. A generous 3 stars.
Steven EvansDecember 14, 2025
A very satisfying read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Worth the time and money.
Robert ThomasAugust 11, 2025
A very satisfying read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Worth the time and money.
Kenneth RobertsMarch 22, 2025
I was pleasantly surprised. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Will be looking for more from this author.
Susan WilsonApril 28, 2024
Took me a few chapters to get into it, but it was worth it. It held my attention, even if a few things were a little predictable. I'd probably recommend it to a friend.
David AllenJanuary 16, 2024
Pretty good overall. Interesting premise and executed fairly well. Just a few slow chapters here and there. Still a good book.
Daniel JonesFebruary 25, 2025
I liked it for the most part. Interesting premise and executed fairly well. Just a few slow chapters here and there. A solid 4 stars from me.
Lisa RodriguezJune 19, 2025
Honestly one of the better books I've read lately. I got really invested in the main character's journey. Everything just clicked for me. Definitely recommend it if you like this genre.
David HernandezFebruary 19, 2025
Finished it in a couple of days. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. A solid 5/5 for me.
Andrew JonesAugust 02, 2024
An average read for me. The pacing was a bit slow and I found myself skimming a few pages. It wasn't terrible, just okay. A generous 3 stars.
Mary CollinsApril 18, 2024
Good, but not quite perfect. The middle dragged a tiny bit, but the ending totally made up for it. I'd probably recommend it to a friend.
David GarciaSeptember 06, 2024
Took me a few chapters to get into it, but it was worth it. The middle dragged a tiny bit, but the ending totally made up for it. Enjoyable weekend read.
Susan AndersonFebruary 11, 2025
Really enjoyed this one. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Worth the time and money.
George GomezMarch 30, 2024
I was pleasantly surprised. I got really invested in the main character's journey. Everything just clicked for me. Would probably read it again at some point.
Dorothy ClarkJuly 13, 2025
Such a great read. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Thomas SanchezSeptember 12, 2025
A solid read. It held my attention, even if a few things were a little predictable. Not bad at all.
George HillOctober 07, 2025
An average read for me. The pacing was a bit slow and I found myself skimming a few pages. It wasn't terrible, just okay. A generous 3 stars.
Deborah JohnsonAugust 22, 2024
Really enjoyed this one. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Glad I picked this up.
Michael GomezAugust 25, 2025
Good, but not quite perfect. It held my attention, even if a few things were a little predictable. A solid 4 stars from me.
Anthony HernandezJanuary 05, 2025
Honestly one of the better books I've read lately. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Glad I picked this up.
Richard ParkerAugust 12, 2025
I was pleasantly surprised. I got really invested in the main character's journey. Everything just clicked for me. Definitely recommend it if you like this genre.
Thomas TaylorMay 08, 2024
Not bad, but not my favorite. It felt a bit repetitive in the middle. Could have been shorter. Probably won't read it again, but it was an okay way to pass the time.
Thomas EvansSeptember 11, 2025
A very satisfying read. I loved how the story unfolded. It kept me guessing without being too confusing. A solid 5/5 for me.
Donald ScottJanuary 18, 2024
Honestly one of the better books I've read lately. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Definitely recommend it if you like this genre.
Margaret TaylorMay 30, 2025
Really enjoyed this one. I loved how the story unfolded. It kept me guessing without being too confusing. A solid 5/5 for me.
John LeeMay 23, 2025
Glad someone recommended this to me. I got really invested in the main character's journey. Everything just clicked for me. A solid 5/5 for me.
Ryan RiveraApril 12, 2024
Really enjoyed this one. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. A solid 5/5 for me.
Eric GarciaOctober 27, 2025
Good, but not quite perfect. Interesting premise and executed fairly well. Just a few slow chapters here and there. Not bad at all.
Mary EvansJune 17, 2024
Finished it in a couple of days. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Glad I picked this up.
Thomas SanchezMay 16, 2025
I was pleasantly surprised. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Matthew MartinezAugust 11, 2025
I was pleasantly surprised. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Glad I picked this up.
Paul HarrisFebruary 24, 2025
A solid read. I liked the main character, though some of the side plots were just okay. I'd probably recommend it to a friend.
George GomezSeptember 27, 2024
A very satisfying read. The author did a great job wrapping everything up at the end. No weird plot holes left behind. Glad I picked this up.
Nancy KingDecember 15, 2024
I was pleasantly surprised. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Will be looking for more from this author.
Eric JonesDecember 17, 2024
It was just alright. It felt a bit repetitive in the middle. Could have been shorter. It's fine if you have nothing else to read.
Patricia LeeMay 15, 2025
A very satisfying read. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Melissa AndersonMay 08, 2025
A very satisfying read. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Will be looking for more from this author.
James GonzalezJuly 16, 2024
I was pleasantly surprised. I loved how the story unfolded. It kept me guessing without being too confusing. Glad I picked this up.
Jacob RamirezFebruary 16, 2025
Finished it in a couple of days. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Glad I picked this up.
Brian CarterMarch 19, 2025
Such a great read. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Would probably read it again at some point.
Jacob JonesMay 30, 2024
It was just alright. The pacing was a bit slow and I found myself skimming a few pages. It wasn't terrible, just okay. Just right down the middle.
Carol LopezNovember 07, 2025
Took me a few chapters to get into it, but it was worth it. Interesting premise and executed fairly well. Just a few slow chapters here and there. A solid 4 stars from me.
Robert WrightAugust 13, 2024
I was pleasantly surprised. I loved how the story unfolded. It kept me guessing without being too confusing. Worth the time and money.
Sharon GreenMay 09, 2024
A very satisfying read. I loved how the story unfolded. It kept me guessing without being too confusing. A solid 5/5 for me.
James GonzalezNovember 16, 2024
Honestly one of the better books I've read lately. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Jessica HarrisAugust 29, 2024
Such a great read. I loved how the story unfolded. It kept me guessing without being too confusing. A solid 5/5 for me.
Michelle AllenDecember 14, 2025
I was pleasantly surprised. I got really invested in the main character's journey. Everything just clicked for me. Glad I picked this up.
George HillJuly 13, 2024
Finished it in a couple of days. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Lisa RodriguezNovember 21, 2025
Really enjoyed this one. The writing style is very engaging. It’s easy to follow but still has a lot of depth. Glad I picked this up.
Elizabeth MillerAugust 16, 2024
Such a great read. It has a good balance of dialogue and description. Everything felt like it moved at the right speed. Glad I picked this up.
Eric TurnerDecember 23, 2025
A solid read. I liked the main character, though some of the side plots were just okay. Still a good book.
Dorothy JacksonNovember 12, 2024
Glad someone recommended this to me. I got really invested in the main character's journey. Everything just clicked for me. Worth the time and money.
Melissa MillerMay 15, 2024
Pretty good overall. Interesting premise and executed fairly well. Just a few slow chapters here and there. I'd probably recommend it to a friend.
Cynthia KingJanuary 16, 2024
Not bad, but not my favorite. Some parts were interesting, while others were a bit of a slog to get through. Just right down the middle.
Susan RodriguezJuly 05, 2025
Honestly one of the better books I've read lately. The pacing was spot on and the characters felt real. I didn't find myself getting bored at any point. Worth the time and money.
Steven RodriguezDecember 11, 2025
A solid read. The middle dragged a tiny bit, but the ending totally made up for it. Still a good book.