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In contrast, triterpenes are predominantly found as tetracyclic and pentacyclic derivatives (Figure 4D) [52,53,54]
While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control
PMID: 17515897
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