The cardioprotective effect of metformin in patients with type 2 diabetes is not only attributable to its glucose-lowering effects but also to its significant antihypertensive properties [33]
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This is all kind of speculation
Plasma homocysteine, methionine and S-adenosylhomocysteine levels following high-dose methotrexate treatment in pediatric patients with acute lymphoblastic leukemia or Burkitt lymphoma: association with hepatotoxicity