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Avapro

Avapro is used alone or in combination with other medications to treat high blood pressure. Avapro is in a class of medications called angiotensin II receptor antagonists. It is also used to treat kidney disease caused by diabetes in patients with type 2 diabetes and high blood pressure. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently.

Other names for this medication:
Aprovel, Irbecard, Irbesartan, Irbesartana, Irbesartanum, Irbest, Irovel

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Also known as: Irbesartan

Description

Avapro (irbesartan) is an angiotensin II receptor blocker (sometimes called an ARB). Irbesartan keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.

Avapro is used to treat high blood pressure (hypertension) in adults and children at least 6 years old. Lowering blood pressure may lower your risk of a stroke or heart attack.

Avapro is also used to treat kidney problems caused by type 2 diabetes.

Dosage

Usual Adult Dose for Hypertension:

Initial dose: 150 mg orally once a day Maximum dose: 300 mg orally once a day

Usual Adult Dose for Diabetic Nephropathy:

Target maintenance dose: 300 mg orally once a day

Use: Treatment of diabetic nephropathy with an elevated serum creatinine and proteinuria (greater than 300 mg/day) in patients with type 2 diabetes and hypertension.

Detailed Avapro dosage information

Overdose

If you overdose Avapro and you don't feel good you should visit your doctor or health care provider immediately.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture, light and heat. Keep container tightly closed. Throw away any unused medicine after the expiration date. Keep out of the reach of children in a container that small children cannot open.

Side effects

The most common side effects associated with Avapro are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

You should not use Avapro if you are allergic to irbesartan.

If you have diabetes, do not take Avapro with any medication that contains aliskiren (a blood pressure medicine).

You may also need to avoid taking Avapro with aliskiren if you have kidney disease.

To make sure Avapro is safe for you, tell your doctor if you have:

a heart condition other than one being treated with irbesartan; kidney disease (or if you are on dialysis); or if you are on a low-salt diet.

Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Irbesartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

If you plan to get pregnant, ask your doctor for a safer medicine to use before and during pregnancy. Having high blood pressure during pregnancy may cause complications in the mother and the baby.

You should not breastfeed while using this medicine.

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Five hundred consecutive patients (311 females and 189 males) aged 60 years and above were interviewed using a structured questionnaire based on the World Organization of Family Doctors (Wonca) format between September 2004 and April 2005. This study aims to assess whether the Heart Failure Survival Score (HFSS), which risk stratifies patients for heart transplantation, predicts outcomes in adults with moderate or complex CHD. Fifty-four patients with recent subcapital fractures of the femur underwent a Flynn reduction manoeuvre and are compared with 68 patients who were treated by a different method of reduction. Other maneuvers, such as pressure support ventilation and positive end-expiratory pressure, are also cuff-dependent. The selected studies showed low consistency in the results and important methodological limitations that prevented comparisons between studies or the extraction of relevant conclusions. Endometrial carcinoma has high expression of c-myb and Bax, and the expression status of both c-myb and Bax may be related to the malignant degree and prognosis of endometrial carcinoma. Endurance training of the trunk extensor muscles in people with subacute low back pain. This paper focuses on the self-localization needs of blind or visually impaired travelers, who are faced with the challenge of negotiating street intersections. The clinical presentation and laboratory results for this patient resemble those of Miller Fisher syndrome, except for the lack of ophthalmoplegia. General cognitive ability and specific deficits in visuospatial skills or phoneme deletion at 6 years were predictive of mathematics and reading attainment at 11 years in both extremely preterm and term children.

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During biosynthesis of the Acilius steroids from cholesterol, introduction of the delta4 and delta6 bonds involves elimination of the 4beta and 7beta hydrogens, respectively. The cytokine erythropoietin protects the heart from ischaemic injury, in part by preventing apoptosis. Several studies have demonstrated the efficacy of an aspiration device before percutaneous coronary intervention in patients with acute myocardial infarction. The adenoma detection rate (ADR) and caecal intubation rate (CIR) were assessed for the whole population and the individual endoscopists. Rhinomanometric results following operative procedures on the nose.

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Two tests were performed for both events for each of 56 university Reserve Officer Training Corps male cadets: with (loaded) and without backpack (unloaded). A Prospective Comparison of Informant-based and Performance-based Dementia Screening Tools to Predict In-Hospital Delirium. The other group was treated with indomethacin (50 mg four times daily). One in 9 infants undergoing heart transplantation dies before hospital discharge. Seventeen eyes of 15 consecutive patients diagnosed with PCV based on typical clinical and angiographic findings were imaged with macular SD-OCT including line scans passing through the polyps. Baseline tonic activity (during E-phase) was unaffected by INS in most tonic I-neurons. The DNA binding with One Finger (Dof) protein is a plant specific transcription factor involved in the regulation of wide range of processes. Evidence-based reproductive health care in Cameroon: population-based study of awareness, use and barriers. Perspective, a nationwide inpatient database developed to measure utilization and quality, was used to examine women with endometrial cancer who underwent laparoscopic hysterectomy with or without lymphadenectomy from 2000 to 2010.

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In parallel, a mechanistic model describing aroma release while eating a liquid food was developed. An optimized collection will minimize false positives while maximizing hit rates of compounds that are amenable to lead generation and optimization. The localized components predominantly model regions affected by OA, contrary to shape variations found with PCA. These stimuli-responsive hydrogels will have potential applications in biomedical areas, such as tissue engineering and drug delivery. To induce hypothyroidism, Zucker lean control and Zucker diabetic fatty rats at 7 weeks of age orally received the vehicle or methimazole, an anti-thyroid drug, treatment for 5 weeks and were sacrificed at 12 weeks of age in all groups for blood chemistry and immunohistochemical staining. We concentrate in this review on the effect and putative mechanism of action of glucans harvested from fungi on inflammatory bowel disease (IBD) and colitis associated cancer.

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The specificity of dephosphorylation was further confirmed by molecular modeling. Hyperlipidemia is associated with a higher pulmonary artery systolic pressure in patients after pulmonary embolism. Sonographic detection of acute parenchymal injury in an experimental porcine model of renal hemorrhage: gray-scale imaging using a sonographic contrast agent. The Peltier driven frequency domain approach in thermal analysis. The tissue distribution of 241Pu was determined by light microscope autoradiography.

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The author tested the hypothesis that a major depressive disorder contributes to a decline in social support by studying data from 331 subjects 65 years of age and older who had been selected at random from a larger community group and screened for a major depressive disorder and the availability of social supports. To demonstrate the effectiveness of medical-grade stainless steel Water Works Douching Device for treating abnormal vaginal odor in comparison with a commercially available over-the-counter plastic douching device. Theoretical aspects of the experiment dealing with measurements of fluorescence polarization degrees in stained myelinated nerve fibres are considered. The results of the blood routine and serum biochemical parameters, combined with the histological examinations of vital organs, demonstrating that the targeting DDS had negligible in vivo toxicity. In addition, we surveyed the general medical, cardiology, cardiothoracic surgery, general surgery, vascular surgery, and neurology literature to determine the risk of thromboembolic complications when AC is stopped in specific patient groups. Finally, the increase in endogenous H2S resulted in the enhancement of glutathione (GSH) in Se(IV)-treated roots, which may share the similar molecular mechanism for the dominant role of H2S in removing ROS by activating GSH biosynthesis in mammals. The low-affinity antagonists ibogaine (K(i) approximately 1 microM) and ADCI (K(i) approximately 11 microM) protected against convulsions at doses that produced significant dizocilpine-like discriminative stimulus effects, ataxia and decreases in locomotor activity. Here, we show that loss of the interaction between beta2-integrins and kindlin-3 abolishes the actin-linkage of integrins and the GM-CSF receptor in dendritic cells. Because many factors contribute to that likelihood, such as cranial molding, head position and attitude, and the bony architecture and capacity of the pelvis, graphic labor patterns should never be used in isolation.

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A technique of a one-stage repair of soft tissues in severe bilateral cleft lip without presurgical orthodontics or lip adhesion. Seventy male Wistar-albino rats were randomized into five groups. Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. Currently, the mechanisms underlying the conversion of soluble nuclear U1 small nuclear ribonucleoproteins into insoluble cytoplasmic aggregates remain elusive. The mutants with the enhanced efficiency of plasmid transformation, obtained by the authors, were not connected with lesions in the main proteins of the outer membrane: OmpF, OmpC and OmpA. Further development and validation of measurement scales to address these issues is needed. The patient underwent strabismus surgery and resolution of the strabismus was obtained. Alcohol dependence syndrome and its related co morbidities can be minimized to a great extent if the educational and socio-economic standards are improved in countries like India where there is increase in alcohol consumption as a life style choice. These changes were sufficient to satisfy the proposed criteria for the diagnosis of human sarcopenia based upon muscle mass and contractile function. Antioxidant and anti-apoptotic effects of onion (Allium cepa) extract on doxorubicin-induced cardiotoxicity in rats.

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They were excluded if they would not agree to birth control or had a serious medical condition. The head was free of sharp or rough edges and was suitable for direct contact with delicate tissues. Disease origin and progression in amyotrophic lateral sclerosis: an immunology perspective. Endoscopic sinus surgery has evolved to become the standard surgical approach to address paranasal sinus disease. Thus sweat-associated human volatiles are probably the primary determinant factor in the host preference of anthropophilic mosquitoes. After selecting a system, we performed a pilot study to develop a user-configurable LIMS for our laboratory in support of our pre-clinical and clinical cell-production activities. Records of all autopsies done on females during the period were reviewed.

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The flavonol quercetin is the most widely consumed flavonoid in the human diet. In this study, we generated DCP1-green fluorescent protein (GFP) and DCP2-GFP transgenic plants that complemented dcp1 and dcp2 mutants, respectively, to see whether localization of DCP2 is identical to that of DCP1. About half of the biotypes described in this paper are similar to those defined by Stanier, Palleroni and Doudoroff (1966) and by Doudoroff and Palleroni (1974a), confirming the wide-spread occurrence of well-definable biotypes of fluorescent pseudomonads. Plant extracellular ATP signalling: new insight from proteomics. Although multiple factors have prevented the development of vaccines for hepatitis C, both hepatitis A and hepatitis B can be prevented by immunization. Therefore, the structural characterization of PpcD is a fundamental step to understand the mechanisms underlying EET.

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The presence of MT may enhance morphological and functional development of the gut. Deuterated phospholipids as nonperturbing components for Raman studies of biomembranes. A cogradient pattern was found within Sweden, with populations from the north developing more slowly, and there was no clear latitudinal trend within the United Kingdom. Majority of tracheobronchial foreign body aspirations occur in paediatric age group and may constitute a life hazard. falciparum provide novel insights into previously unknown molecular mechanisms underlying the antimalarial activity of artemisinin derivatives and may help in the design of next-generation antimalarial drugs against the most virulent Plasmodium species.

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The spatial distribution patterns in the two planes were not identical. Thalassemia erythrocytes are exposed to oxidative stress especially to hydrogen peroxide, which is regulated with the enzyme catalase. Sonocatalytic degradation of various organic dyes (Congo Red, Reactive Blue 4, Methyl Orange, Rhodamine B and Methylene Blue) catalyzed by powder and nanotubes TiO(2) was studied. The reduced endothelial-dependent vasodilation in untreated patients with OSA acutely improves by the free radical scavenger vitamin C. Acute pancreatitis associated with IPMNs could predict malignant intestinal-type tumor.

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Formal meta-analysis was not undertaken because of study heterogeneity. CpG/c stimulation also resulted in decreased CLL cell LEF-1 expression and increased Blimp-1 expression, which is crucial for plasma cell differentiation. In the tail suspension test, hph mice of both sexes displayed increased depression-like behaviours compared to wild-type counterparts, whereas the forced swim test showed a trend towards increased depression-like behaviours in male hph mice, but significant decrease in depression-like behaviours in female mice. Depressant and anti-convulsant properties of some 2,2,2-trichloroethyl esters. Production of superoxide from Photosystem II in a rice (Oryza sativa L.) mutant lacking PsbS. Models of autobiographical memory propose two routes to retrieval depending on cue specificity. Although SPECT and PET imaging of myocardial metabolism and autonomic innervation are already embedded in clinical practice, various additional targets, probes, and techniques are under development. Cellular levels of REGgamma expression affect estrogen-receptor target-gene expression and cell growth as a result of its ability to promote degradation of the SRC-3 protein. The immunological effects of PDT make the therapy more effective also when used for treatment of bacterial infections, due to an augmented infiltration of neutrophils into the infected regions that seems to potentiate the outcome of the treatment. Microfluidic resonant cavities enable acoustophoresis on a disposable superstrate.

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We also confirm that R1 in solution binds to AMA1 with 1:1 stoichiometry and adopts a secondary structure consistent with the major form of R1 observed in the crystal structure of the complex. Antibodies were also detected for bactrim ear infection dose some putative proteins, noticeably the C-termini of SARS3a and SARS6. The role of PEPCK in the stimulation of NH3 production by acute acidosis was examined by perfusing isolated rat kidneys in the presence of the PEPCK inhibitor, MPA (0.15 mM). Perinatal outcomes of Southeast Asians with pregnancies complicated by gestational diabetes mellitus or preeclampsia. As a result, diffusion tensors estimated by different linear and non-linear least squares methods in absence of a proper noise correction tend to be substantially corrupted.

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Health services must give attention to the gendered nature and consequences of HIV disclosure such as enskilling women on how to determine and respond to the risks associated with disclosure. The caudal part of the acetabulum was subject to a greater loss in BMD at 12 months in the group with cemented stem fixation. A novel yeast two-hybrid approach to identify CDPK substrates: characterization of the interaction between AtCPK11 and AtDi19, a nuclear zinc finger protein. Effect of CRF, AVP and NE on cAMP in cultured rat anterior pituitary cells during hypoxia. In the present report, we describe a 43-year-old female who presented with a history of abdominal pain, fever, loss of weight and loss of appetite. It is necessary to scientifically conceptualise this measure for further investigations and practice. A case of blastic plasmacytoid dendritic cell neoplasm initially mimicking cutaneous lupus erythematosus.

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Diagnosis of thyroid diseases using radionuclides--indication and significance. Is variety a spice of (an active) life?: perceived variety, exercise behavior, and the mediating role of autonomous motivation. Fungal diversity was assessed by morphological and molecular methods in L. Computed tomography is the diagnostic modality of choice to obtain information rulide drug on anatomical changes within the post-pneumonectomy space. Physicians perform a greater number of procedures at accident scenes without increasing scene time. This study indicates that increased hemodynamic instability during anesthetic induction is not obligatory in patients with coronary artery disease and autonomic dysfunction.

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Ventilator Liberation for High-Risk-for-Failure Patients: Improving Value of the Spontaneous Breathing Trial. Lithium pamelor dosage was specifically effective in reducing OF hyperactivity and stereotypy but did not reverse (EPM) or had a nonspecific effect (LDB) on anxiety/risk-taking measures. Transport of other proteins from the ER was not affected by lst1Delta, nor was Pma1p transport found to be particularly sensitive to other COPII defects. Race effect on nerve conduction studies: a comparison between 50 blacks and 50 whites. When treated with lymphokines the cells are more responsive, especially to zymosan. Effects of unprocessed or extrusion-cooked mixtures of grain and urea, biuret, or dicyanodiamide and liquid supplements on rumen and blood changes associated with toxicity. Direct-writing of PbS nanoparticles inside transparent porous silica monoliths using pulsed femtosecond laser irradiation. in 2010, no species-specific studies on epidemiology and antifungal susceptibility patterns (AFSP) have so far been published. Therefore, we conclude that the presence of gingival inflammation was the main risk factor for the occurrence of nifedipine-induced GO.

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To study the severity of different types of toxicities seen in patients on FAC and AC-P regimens, to grade the toxicity according to the World Health Organization (WHO) toxicity grading, and to compare the same. Isolation of an epoxide metabolite from fat tissues of dogs fed heptachlor. The actuarial survival rates were 71 per cent, 60 per cent, and 44 per cent for one, three, and five years, respectively. Research on preventing obstetrical and gynecological pathology in women agricultural workers. flavovirens, but probably represent an unspecific response requiring individual sensitivity and a significant amount of ingested mushroom to manifest itself. It is thought that estrogen exerts its cellular effects by regulating the expression of specific target genes. Trimethoprim/sulfamethoxazole (TMP/SMX), also known as Septra, is a commonly encountered and prescribed antibiotic in emergency department patients.

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Multicellular organisms have evolved signaling networks and fast responses to stimuli that can be discovered and monitored by the use of advanced proteomics techniques in combination with traditional functional analysis. Longitudinal analysis of serum cytokine concentrations in systemic sclerosis: association of interleukin 12 elevation with spontaneous regression of skin sclerosis. Outcome of extensive surgery for TNM stage IV carcinoma of the gallbladder. Their importance as forms of carbon storage, messengers of information, or regulators of cycad metabolism have not been determined to date. Subsequent (6-24 hr) changes in metallothionein-bound Zn parallel those of metallothionein-bound Au and Cu.

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The tomato (Solanum lycopersicum) AGC protein kinase Adi3 functions as a suppressor of cell death and was first identified as an interactor with the tomato resistance protein Pto and the Pseudomonas syringae effector protein AvrPto. Aromatic retinoid was especially effective in patients with psoriatic eruptions on palms, soles, face, and scalp. Medical management and adjuvant therapies in spinal metastatic disease. Nicotinic ACh receptors (nAChRs) have been implicated in a variety of brain functions, including neuronal development, learning and memory formation, and reward. We have identified a functional link between FOXC1 and PITX2 which we propose underpins the similar Axenfeld-Rieger phenotype caused by mutations of these genes. Meanwhile it was still unclear the presence of the asymmetry or sex differences in the human brain occurred whether as a normal development or as consequences of any pathological changes. Organotypic heart slices represent a multicellular model of the human myocardium and a novel platform for studies ranging from the investigation of molecular interactions to tissue engineering. In all the gastrectomized and control patients a serum level well above the MIC for M. The group receiving the combined treatment showed a better recovery in terms of MAS, wrist ROM, FIM and Brunnstrom motor staging compared to the group doing the stretching alone.

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Consequently, a continuous curve is obtained, with a peak occurring at the salt concentration that produces the maximum hemolysis rate. We also questioned individuals regarding fear of repercussions for reporting. Because somatostatin (SRIF) reduces exocrine pancreatic secretion, its effect on acute pancreatitis was investigated in rats. The present research describes how microphones could be used as proxies for traffic parameter measurements for the estimation of airborne pollutant emissions. Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia can present as frontotemporal dementia syndrome. It was found that more PSA-expressing SCs (PST/SCs) survived than GFP-expressing SCs (GFP/SCs) zetia dose strength after transplantation, although cell loss was still quite significant.

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Only a primordial nucleus of the diagonal band is identifiable within the gradually enlarging primordial septum at early stages. Bioinspired peptide nanotubes: deposition technology, basic physics and nanotechnology applications. rufipogon abscission layers have been shown not to degrade until after flowering has occurred. Age dependence of psychosocial factors and possible erroneous conclusions from case control studies in cancer research. Thus, the Fas and TNF receptors utilize distinct signal transduction pathways in T-cells to induce NF-kappaB and apoptosis. The results showed that the greatest magnitude of the normal stress, Tresca shear stress and normal strain at the medial compartment was for the varus aligned individual. Osteoarthritis and psoriatic arthritis: findings in three-dimensional biophotonics imaging. A novel, video-based paradigm using cross-phobic video stimulation was validated based on subjective and autonomic responses.

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Animal models that show vascular dysfunction demonstrate the protective role of endothelial NO dependent pathways. Effect of ferulic acid on proliferation and mechanism in human breast cancer cells. A case is presented of local recurrence of tuberculosis after successful hip arthrodesis, in a patient subsequently found to have active asymptomatic renal tuberculosis. Intravenous regional anesthesia is suitable for surgery of the limbs, but time of operation should not exceed 90 min, nor should hemostasis be a major problem to consider and the course of surgery should be predictable. A de-noising method for electrocardiogram (ECG) based on ensemble empirical mode decomposition (EEMD) and wavelet threshold de-noising theory is proposed in our school. Intravenous (i.v.) injections of 0.001-0.1 mg/kg of MPV-207 lowered mean arterial pressure (MAP) and heart rate (HR) in a dose-dependent manner. Time series analysis and mixed-effects models were used to study the growth of each tree and its detailed response to a severe drought event that occurred in 1986.

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After primary culture of GMC, in vitro culture was carried out in normal group, high glucose group and high glucose medium with ZHM of different concentrations, and the expressions of TGF-beta1 and Col IV in the GMC group and in ZHM group were detected at 24 and 48 h respectively. Benefits of preventing a death associated with child maltreatment: evidence from willingness-to-pay survey data. SMOCs: supramolecular organizing centres that control innate immunity. It is a reasonable option for failed shock wave lithotripsy, or in children with a known durile stone composition or contraindications to shock wave lithotripsy. Meticulous surgical technique and a comprehensive, multispecialty approach to preoperative and postoperative patient management are essential for successful outcomes. Clinical value of anti-live Leishmania (Viannia) braziliensis immunoglobulin G subclasses, detected by flow cytometry, for diagnosing active localized cutaneous leishmaniasis. This article proposes a model based on the original Daisyworld considering greenhouse gases emission and absorption what allergy medicine is safe to take with lexapro , allowing the description of the global warming phenomenon.

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Endogenous lectins act as effectors of cellular activities such as growth regulation, migration, and adhesion. By contrast, nucleotomy significantly decreased flexibility 12 weeks after surgery. The higher affinity site lies within a 95 residue fragment of region III. Hypothyroidism causing macrocytic anemia unresponsive to B12 and folate. PME significantly predicted child depressive symptoms and attention problems at age 10, after controlling for other significant covariates. On the other hand, somewhat delayed mammary tumor appearance was observed in mice treated prenatally with CB-154.

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