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Table 1 Summary of the studies with stimulation tests for central adrenal insufficiency in PWS

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It is also contraindicated in acute metabolic acidosis, severe hepatic impairment, or conditions predisposing to tissue hypoxia (such as decompensated heart failure, acute myocardial infarction, or severe respiratory disease)

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Patients who had either mild or moderate NPDR with DME at baseline were the most likely to experience worsening: 13 patients with mild NPDR and DME, and 16 patients with moderate NPDR and DME went on to develop PDR

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