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This is consistent with previous findings that -cell plasticity occurs in common forms of -cell dysfunction, and is caused by the downregulation of FoxO1 that follows hyperglycemia-induced oxidative stress 26

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Progesterone provides the necessary counterbalance, protecting the uterine lining while estrogen exerts its broader systemic effects

132,133,134 Canonical Wnt signalling acts indirectly on -catenin to enhance its stability, allowing it to translocate from the cell surface to the nucleus, thereby linking extracellular signalling to nuclear gene expression regulation through downstream transcriptional machinery (Fig

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