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Additionally, pancreatic cancer can itself cause diabetes (reverse causality), making it difficult to determine whether any observed increase in cancer incidence is attributable to the medication or the underlying metabolic condition

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Heldmann, M., et al

Herz-Kreislauferkrankungen, Lebererkrankungen, Niereninsuffizienz, Krebs, Diabetes mellitus, Infektionserkrankungen und Enzymdefekte der mitochondrialen Atmungskette und -Oxidation