Factors That Make Side Effects Last Longer Or Become More Severe Faster dose escalation increases early GI symptoms
First, in the absence of Albumax and drug, PS exposure of erythrocytes slowly increased over time, both in Ringer solution (24-fold increase after 48 h, p =0.0011) and in iRPMI (6.4-fold increase after 48 h, p =0.0068)
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Interestingly, there is cross-talk between sulfonylurea and incretin signaling involving the activation of the exchange protein activated by cyclic-AMP 2A (Epac2A)-Ras-like small GTPase 1 (RAP1) pathway, which may augment insulin secretion from pancreatic -cells upon exposure to the combination of both drugs [45,46]
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