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Elevated blood sugar directly damages the endothelial lining through a process called glycation, where sugar molecules bind to proteins and lipids, forming advanced glycation end-products (AGEs)

For example, in Sub-Saharan Africa similar villages in a small region may have 3 log variations in aflatoxin biomarkers (reviewed by Turner and Snyder 2021)

Tell your healthcare provider if your menstrual bleeding changes while you are using birth control and Topiramate

Keeping the precise comparison of regimens as our prime focus, we excluded articles lacking full treatment data, which resulted in a limited number of included articles and cases overall