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Zhang X., Hou A., Cao J., et al., Association of Diabetes Mellitus With Postoperative Complications and Mortality After NonCardiac Surgery: A MetaAnalysis and Systematic Review, Frontiers in Endocrinology 13 (2022): 841256, 10.3389/fendo.2022.841256

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The downside of giving it to a dog who didn't need it: zero