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2.2.2 Mechanisms linking increased Hcy levels to MetS Elevated Hcy levels exert inhibitory effects on the insulin signaling pathway, primarily by inducing IR through the cysteine-homocysteinylation of the pro-insulin receptor

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It acts pleiotropically , the technical term for the fact that it activates multiple signaling pathways in the cell at once

When the operative report documents a dilation and curettage (D&C) for products of conception but the discharge summary does not specify complete vs

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