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Dhananjayan K, Gunawardena D, Hearn N, Sonntag T, Moran C, Gyengesi E, Srikanth V, Mnch G (2017) Activation of macrophages and microglia by interferon-gamma and lipopolysaccharide increases methylglyoxal production: a new mechanism in the development of vascular complications and cognitive decline in type 2 diabetes mellitus

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The result can be inconsistent potency, impurities, or degradation that patients have no way to detect on their own

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