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In addition, acute euglycemic hyperinsulinemia decreased fractional UA excretion by 26 % (from 6.1 0.8 % to 4.5 0.6 %) in healthy subjects, indicating that insulin inhibits renal UA excretion [29] and that high UA levels causes insulin resistance by affecting the insulin signaling pathways [22]

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TABLE 1 Critical appraisal of preclinical and clinical studies evaluating Arthrospira platensis in smooth muscle-related disorders