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Patients should be monitored more closely with changes to insulin dosage, coadministration of other glucoselowering medications, meal pattern, physical activity and in patients with renal impairment or hepatic impairment or hypoglycemia unawareness.

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The key factor is transmission of oral strains of the cancerlinked human papillomavirus HPV, which can be passed through oral sex.

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As a result, the intracellular calcium concentration decreases, causing a decrease in the activity of protein kinase a, which in turn leads to stimulation of glucose metabolism.

In addition, the emergence of resistance to available products and the development of new products, many without proof of efficacy or safety, call for increased physician involvement in the diagnosis and treatment of head lice.

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In 1 study, examination of carpets on 118 classroom floors found no lice despite more than 14000 live lice found on the heads of 466 children using these classrooms.

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However, infestations resulting in loss of corals' color, polyp expansion, or general malaise should be taken seriously and followed with a regimented treatment protocol.

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It is neither intended nor implied to be a substitute for professional medical advice.

It may be decades before researchers can actually prove a causeandeffect relationship between the two, however.

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