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Conversely, DKD in type 2 diabetes mellitus shows greater pathological heterogeneity, with some people developing classical glomerular lesions, while others present with atypical features such as prominent tubulointerstitial damage, vascular abnormalities, or coexisting non-DKD pathology [21,22]

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For instance, manufacturers advise caution with other herbal supplements that are known to lower blood sugar, such as gymnema, prickly pear, bitter melon, fenugreek, banaba, white mulberry, chromium, and alpha-lipoic acid

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