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J Basic Clin Physiol Pharmacol 30:219232 Han CY, Zheng QM, Sun ZT (2016) Gene expression and activities of antioxidant enzymes in liver of hybrid tilapia, Oreochromis niloticus Oreochromis aureus , under acute pH stress

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Since chromium can enhance insulin sensitivity and lower blood sugar levels, taking it alongside diabetes medications could increase the risk of hypoglycemia (low blood sugar), she says