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Introduction Diabetic kidney disease (DKD) is a global concern because it causes end stage renal disease (ESRD) and affects mortality in diabetic patients

An imbalance between the prooxidant and antioxidant links of this system leads to hyperproduction of oxygen radicals and damage to cells and tissues [6]

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Once produced, GH binds to specific receptors

However, while teens accounted for 0.3% of prescriptions in 2018 and 0.4% in 2021, this dropped to 0.3% in the first five months of 2023