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    Although biomarkers, such as IL 18 or kidney injury molecule 1 KIM 1, are available and most of them have a very good predictive value, limitations exist, including poor predictive performance when the timing of the kidney insult is unknown; hence, they are implemented only inconsistently in clinical practice 107, 108, 109 where can i buy cheap cytotec online Hence, it is hypothesized that ethanol may promote prolactinomas by controlling the cell regulatory processes in the lactotropes and or by enhancing the action of estrogen on the lactotropes 125

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