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It should be avoided in these patients

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cAMP Dosedependently prevents palmitateinduced apoptosis by both protein kinase A and cAMPguanine nucleotide exchange factordependent pathways in betacells

Bezin, J., Gouverneur, A., Pnichon, M., Mathieu, C., Garrel, R., Hillaire-Buys, D., Pariente, A., & Faillie, J