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The G6PD deficiency has an extensive and adverse impact on the inflammatory response [74, 75], cell adhesion mechanisms [76, 77], and fibrogenesis [78], both in vitro and ex vivo (Figure 3)

Diabetic Ketoacidosis Associated With Adrenocorticotropic Hormone-Producing Pituitary Adenoma

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However, when combined with insulin or sulfonylureas, the risk increases significantly, and dose adjustments of these medications may be necessary

However, oral medications may need timing adjustments with Rybelsus due to delayed gastric emptying