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doi: 10.1093/eurheartj/ehv044 34 McNabFMayer-BarberKSherAWackAOGarraA

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Supra-physiological concentrations of estradiol induce a decrease in the expression of insulin receptors, thereby contributing to the development of insulin resistance (172, 173)

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for diabetes as well as certain toxicological and pathological conditions of the liver

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[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

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