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The primary treatment-emergent adverse events reported with its use include serious cardiovascular events and potential nephrotoxicity

Its probable mechanism includes activation of renal AGE-RAGE signaling pathways, decreasing levels of monocyte chemotactic protein-1 (MCP-1) and PKC-A, which consequently reduces the production of slit diaphragm proteins such as nephrin and podocin, thereby mitigating the impact of AGE-mediated DN pathogenesis (Muthenna et al., 2014)

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That single difference determines whether the vial supports repeated entries