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Ocular, dental, neurologic, gastrointestinal, pulmonary, and skeletal abnormalities have also been described in conjunction with this disease, but clinical expressivity is variable.[186] Developmental delay may also be present in variants of dyskeratosis congenita, such as Hoyeraal-Hreidarsson syndrome (HHS) and Revesz syndrome

Compared with less-intensive glucose control, more intensive glucose control was indeed found to reduce the risk of major adverse cardiovascular events (MACEs) by 9% (HR 0.91 [95% CI 0.84, 0.99]) in previous trials largely based on metformin, sulfonylureas and insulin therapy [3]

Perhaps the best way to tell if your own liver is holding up is to ask your doctor to run a liver function test

J Allergy Clin Immunol, 82: 527-534

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