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Nevertheless, three RCTs, one in 2017 and two in 2018, on overweight or obese diabetic patients showed reduced glycosylated hemoglobin levels, reduced insulin levels, and increased antioxidant enzyme activities [116,117,118]

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For example, in vitro bilirubin damages the Raf/ERK/MAPK pathway activation and intracellular levels of Raf and cyclin D1, leading to hypophosphorylation of amino acids S608 and S780 by retinoblastoma proteins, which prevents the release of Yin Yang 1(YY1) into the nucleus and hinders the capability of YY1 to regulate gene expression and support cell proliferation

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