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Medha N. Munshi, M.D., M.B.,B.S.

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Research
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  1. DP3DK112214 (MUNSHI, MEDHA N) Sep 30, 2016 - Jun 30, 2021
    NIH/NIDDK
    Use of Continuous Glucose Monitoring with Automated Clinical Decision Support to Reduce Hypoglycemia in Older Adults with Type 1 Diabetes
    Role: Principal Investigator
  2. M01RR001032 (SUKHATME, VIKAS P) Dec 1, 1977 - Nov 30, 2004
    NIH/NCRR
    General Clinical Research Center
    Role: Co-Principal Investigator

Bibliographic
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
  1. Munshi MN, Meneilly GS, Rodríguez-Mañas L, Close KL, Conlin PR, Cukierman-Yaffe T, Forbes A, Ganda OP, Kahn CR, Huang E, Laffel LM, Lee CG, Lee S, Nathan DM, Pandya N, Pratley R, Gabbay R, Sinclair AJ. Diabetes in ageing: pathways for developing the evidence base for clinical guidance. Lancet Diabetes Endocrinol. 2020 10; 8(10):855-867. PMID: 32946822.
    Citations:    Fields:    Translation:Humans
  2. Sy SL, Munshi MN. Caring for Older Adults With Diabetes During the COVID-19 Pandemic. JAMA Intern Med. 2020 09 01; 180(9):1147-1148. PMID: 32658279.
    Citations:    Fields:    
  3. Munshi MN, Sy S, Lekarcyk J, Sullivan E. A Successful Diabetes Management Model of Care in Long-Term Care Facilities. J Am Med Dir Assoc. 2020 Aug 02. PMID: 32753320.
    Citations:    Fields:    
  4. Munshi MN. Management of Diabetes Across the Life Spectrum: Preface. Diabetes Spectr. 2020 Aug; 33(3):215. PMID: 32848341.
    Citations:    
  5. Munshi MN, Sy SL. Management of diabetes in patients with COVID-19. Lancet Diabetes Endocrinol. 2020 08; 8(8):667-668. PMID: 32707110.
    Citations:    Fields:    Translation:HumansCellsPHPublic Health
  6. Toschi E, Slyne C, Sifre K, O'Donnell R, Greenberg J, Atakov-Castillo A, Carl S, Munshi M. The Relationship Between CGM-Derived Metrics, A1C, and Risk of Hypoglycemia in Older Adults With Type 1 Diabetes. Diabetes Care. 2020 Oct; 43(10):2349-2354. PMID: 32461211.
    Citations:    Fields:    
  7. Zheng Y, Weinger K, Greenberg J, Burke LE, Sereika SM, Patience N, Gregas MC, Li Z, Qi C, Yamasaki J, Munshi MN. Actual Use of Multiple Health Monitors Among Older Adults With Diabetes: Pilot Study. JMIR Aging. 2020 Mar 23; 3(1):e15995. PMID: 32202506.
    Citations:    
  8. Munshi M, Neumiller JJ. Liberalisation, deintensification, and simplification in diabetes management: words matter. Lancet Diabetes Endocrinol. 2020 02; 8(2):95-97. PMID: 31780376.
    Citations:    Fields:    Translation:Humans
  9. Toschi E, Munshi MN. Benefits and Challenges of Diabetes Technology Use in Older Adults. Endocrinol Metab Clin North Am. 2020 03; 49(1):57-67. PMID: 31980121.
    Citations:    Fields:    
  10. Toschi E, Slyne C, Greenberg JM, Greaves T, Atakov-Castillo A, Carl S, Dufour AB, Munshi M. Examining the Relationship Between Pre- and Postprandial Glucose Levels and Insulin Bolus Timing Using Bluetooth-Enabled Insulin Pen Cap Technology and Continuous Glucose Monitoring. Diabetes Technol Ther. 2020 01; 22(1):19-24. PMID: 31483167.
    Citations:    Fields:    
  11. Ritzel R, Harris SB, Baron H, Florez H, Roussel R, Espinasse M, Muehlen-Bartmer I, Zhang N, Bertolini M, Brulle-Wohlhueter C, Munshi M, Bolli GB. Erratum. A Randomized Controlled Trial Comparing Efficacy and Safety of Insulin Glargine 300 Units/mL Versus 100 Units/mL in Older People With Type 2 Diabetes: Results From the SENIOR Study. Diabetes Care 2018;41:1672-1680. Diabetes Care. 2019 Aug; 42(8):1604. PMID: 31227584.
    Citations: 1     Fields:    
  12. Munshi MN, Slyne C, Greenberg JM, Greaves T, Lee A, Carl S, Atakov-Castillo A, Toschi E. Nonadherence to Insulin Therapy Detected by Bluetooth-Enabled Pen Cap Is Associated With Poor Glycemic Control. Diabetes Care. 2019 06; 42(6):1129-1131. PMID: 30862650.
    Citations: 1     Fields:    Translation:Humans
  13. Sinclair AJ, Abdelhafiz AH, Forbes A, Munshi M. Evidence-based diabetes care for older people with Type 2 diabetes: a critical review. Diabet Med. 2019 04; 36(4):399-413. PMID: 30411402.
    Citations: 4     Fields:    Translation:Humans
  14. Leung E, Wongrakpanich S, Munshi MN. Diabetes Management in the Elderly. Diabetes Spectr. 2018 Aug; 31(3):245-253. PMID: 30140140.
    Citations:    
  15. Ritzel R, Harris SB, Baron H, Florez H, Roussel R, Espinasse M, Muehlen-Bartmer I, Zhang N, Bertolini M, Brulle-Wohlhueter C, Munshi M, Bolli GB. A Randomized Controlled Trial Comparing Efficacy and Safety of Insulin Glargine 300 Units/mL Versus 100 Units/mL in Older People With Type 2 Diabetes: Results From the SENIOR Study. Diabetes Care. 2018 08; 41(8):1672-1680. PMID: 29895556.
    Citations: 10     Fields:    Translation:HumansCTClinical Trials
  16. Munshi M, Blair E, Ganda OP, Gabbay RA. CHAPTER 4. Guideline for the care of the older adult with diabetes. Am J Manag Care. 2018 06; 24(7 Spec No.):SP240-SP252. PMID: 29938997.
    Citations:    Fields:    Translation:Humans
  17. Sinclair AJ, Abdelhafiz A, Dunning T, Izquierdo M, Rodriguez Manas L, Bourdel-Marchasson I, Morley JE, Munshi M, Woo J, Vellas B. An International Position Statement on the Management of Frailty in Diabetes Mellitus: Summary of Recommendations 2017. J Frailty Aging. 2018; 7(1):10-20. PMID: 29412437.
    Citations: 14     Fields:    Translation:Humans
  18. Munshi MN, Gill J, Chao J, Nikonova EV, Patel M. INSULIN GLARGINE 300 U/ML IS ASSOCIATED WITH LESS WEIGHT GAIN WHILE MAINTAINING GLYCEMIC CONTROL AND LOW RISK OF HYPOGLYCEMIA COMPARED WITH INSULIN GLARGINE 100 U/ML IN AN AGING POPULATION WITH TYPE 2 DIABETES. Endocr Pract. 2018 Feb; 24(2):143-149. PMID: 29106816.
    Citations: 5     Fields:    Translation:HumansCTClinical Trials
  19. Munshi MN, Gabbay RA. Glycemic Control and Functionality in Nursing Homes-More Than HbA1c. JAMA Intern Med. 2017 06 01; 177(6):893-894. PMID: 28586804.
    Citations:    Fields:    Translation:Humans
  20. Munshi MN. Cognitive Dysfunction in Older Adults With Diabetes: What a Clinician Needs to Know. Diabetes Care. 2017 Apr; 40(4):461-467. PMID: 28325796.
    Citations: 20     Fields:    Translation:Humans
  21. Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Liberating A1C goals in older adults may not protect against the risk of hypoglycemia. J Diabetes Complications. 2017 Jul; 31(7):1197-1199. PMID: 28343792.
    Citations: 7     Fields:    Translation:Humans
  22. Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Simplification of Insulin Regimen in Older Adults and Risk of Hypoglycemia. JAMA Intern Med. 2016 07 01; 176(7):1023-5. PMID: 27273335.
    Citations: 16     Fields:    Translation:HumansCTClinical Trials
  23. Munshi MN, Florez H, Huang ES, Kalyani RR, Mupanomunda M, Pandya N, Swift CS, Taveira TH, Haas LB. Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association. Diabetes Care. 2016 Feb; 39(2):308-18. PMID: 26798150.
    Citations: 27     Fields:    Translation:Humans
  24. Sircar M, Bhatia A, Munshi M. Review of Hypoglycemia in the Older Adult: Clinical Implications and Management. Can J Diabetes. 2016 Feb; 40(1):66-72. PMID: 26752195.
    Citations: 10     Fields:    Translation:Humans
  25. Weinstock RS, DuBose SN, Bergenstal RM, Chaytor NS, Peterson C, Olson BA, Munshi MN, Perrin AJ, Miller KM, Beck RW, Liljenquist DR, Aleppo G, Buse JB, Kruger D, Bhargava A, Goland RS, Edelen RC, Pratley RE, Peters AL, Rodriguez H, Ahmann AJ, Lock JP, Garg SK, Rickels MR, Hirsch IB. Risk Factors Associated With Severe Hypoglycemia in Older Adults With Type 1 Diabetes. Diabetes Care. 2016 Apr; 39(4):603-10. PMID: 26681721.
    Citations: 37     Fields:    Translation:Humans
  26. Munshi MN, Segal AR, Slyne C, Samur AA, Brooks KM, Horton ES. Shortfalls of the use of HbA1C-derived eAG in older adults with diabetes. Diabetes Res Clin Pract. 2015 Oct; 110(1):60-65. PMID: 26272739.
    Citations: 7     Fields:    Translation:Humans
  27. Costa MD, Henriques T, Munshi MN, Segal AR, Goldberger AL. Dynamical glucometry: use of multiscale entropy analysis in diabetes. Chaos. 2014 Sep; 24(3):033139. PMID: 25273219.
    Citations: 16     Fields:    Translation:HumansCTClinical Trials
  28. Henriques T, Munshi MN, Segal AR, Costa MD, Goldberger AL. "Glucose-at-a-Glance": New Method to Visualize the Dynamics of Continuous Glucose Monitoring Data. J Diabetes Sci Technol. 2014 Mar; 8(2):299-306. PMID: 24876582.
    Citations: 5     Fields:    
  29. Singhal A, Segal AR, Munshi MN. Diabetes in long-term care facilities. Curr Diab Rep. 2014 Mar; 14(3):464. PMID: 24464338.
    Citations: 3     Fields:    Translation:Humans
  30. Novak V, Milberg W, Hao Y, Munshi M, Novak P, Galica A, Manor B, Roberson P, Craft S, Abduljalil A. Enhancement of vasoreactivity and cognition by intranasal insulin in type 2 diabetes. Diabetes Care. 2014; 37(3):751-9. PMID: 24101698.
    Citations: 43     Fields:    Translation:Humans
  31. Beverly EA, Fitzgerald SM, Brooks KM, Hultgren BA, Ganda OP, Munshi M, Weinger K. Impact of reinforcement of diabetes self-care on poorly controlled diabetes: a randomized controlled trial. Diabetes Educ. 2013 Jul-Aug; 39(4):504-14. PMID: 23640303.
    Citations: 7     Fields:    Translation:Humans
  32. Munshi MN, Pandya N, Umpierrez GE, DiGenio A, Zhou R, Riddle MC. Contributions of basal and prandial hyperglycemia to total hyperglycemia in older and younger adults with type 2 diabetes mellitus. J Am Geriatr Soc. 2013 Apr; 61(4):535-41. PMID: 23581911.
    Citations: 11     Fields:    Translation:HumansCTClinical Trials
  33. Munshi MN, Segal AR, Suhl E, Ryan C, Sternthal A, Giusti J, Lee Y, Fitzgerald S, Staum E, Bonsignor P, DesRochers L, McCartney R, Weinger K. Assessment of barriers to improve diabetes management in older adults: a randomized controlled study. Diabetes Care. 2013 Mar; 36(3):543-9. PMID: 23193208.
    Citations: 18     Fields:    Translation:Humans
  34. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, Huang ES, Korytkowski MT, Munshi MN, Odegard PS, Pratley RE, Swift CS. Diabetes in older adults. Diabetes Care. 2012 Dec; 35(12):2650-64. PMID: 23100048.
    Citations: 260     Fields:    Translation:Humans
  35. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, Huang ES, Korytkowski MT, Munshi MN, Odegard PS, Pratley RE, Swift CS. Diabetes in older adults: a consensus report. J Am Geriatr Soc. 2012 Dec; 60(12):2342-56. PMID: 23106132.
    Citations: 133     Fields:    Translation:Humans
  36. Munshi MN, Hayes M, Iwata I, Lee Y, Weinger K. Which aspects of executive dysfunction influence ability to manage diabetes in older adults? Diabet Med. 2012 Sep; 29(9):1171-7. PMID: 22340082.
    Citations: 8     Fields:    Translation:Humans
  37. Munshi MN, Maguchi M, Segal AR. Treatment of type 2 diabetes in the elderly. Curr Diab Rep. 2012 Jun; 12(3):239-45. PMID: 22484911.
    Citations: 3     Fields:    Translation:Humans
  38. Novak V, Zhao P, Manor B, Sejdic E, Alsop D, Abduljalil A, Roberson PK, Munshi M, Novak P. Adhesion molecules, altered vasoreactivity, and brain atrophy in type 2 diabetes. Diabetes Care. 2011 Nov; 34(11):2438-41. PMID: 21926285.
    Citations: 37     Fields:    Translation:Humans
  39. Munshi MN, Segal AR, Suhl E, Staum E, Desrochers L, Sternthal A, Giusti J, McCartney R, Lee Y, Bonsignore P, Weinger K. Frequent hypoglycemia among elderly patients with poor glycemic control. Arch Intern Med. 2011 Feb 28; 171(4):362-4. PMID: 21357814.
    Citations: 40     Fields:    Translation:Humans
  40. Munshi MN, Hayes M, Sternthal A, Ayres D. Use of serum c-peptide level to simplify diabetes treatment regimens in older adults. Am J Med. 2009 Apr; 122(4):395-7. PMID: 19332236.
    Citations: 3     Fields:    Translation:Humans
  41. Iwata I, Munshi MN. Cognitive and psychosocial aspects of caring for elderly patients with diabetes. Curr Diab Rep. 2009 Apr; 9(2):140-6. PMID: 19323959.
    Citations: 2     Fields:    Translation:Humans
  42. Elbert S Huang, Priya John, Medha N Munshi. Multidisciplinary approach for the treatment of diabetes in the elderly. Aging Health. 2009; 5(2):207-216.
  43. Novak V, Haertle M, Zhao P, Hu K, Munshi M, Novak P, Abduljalil A, Alsop D. White matter hyperintensities and dynamics of postural control. Magn Reson Imaging. 2009 Jul; 27(6):752-9. PMID: 19250785.
    Citations: 17     Fields:    Translation:HumansCells
  44. Angela Botts, MD and Medha Munshi, MD. Diabetes Education in Geriatric Populations. Educating Your Patient with Diabetes, Editors: Katie Weinger, EdD,RN, Catherine Carver, MS, APRN-BC, CDE. 2008.
  45. Angela Botts and Medha Munshi. Diabetes In the Elderly. Current Cardiovascular Risk Reports. 2008; 2(5):382-389.
  46. Alissa R. Segal, PharmD, CDE, Medha N. Munshi, MD. Insulin Therapy for Older Adults with Diabetes. Geriatrics and Aging. 2008; 11(6):357-362.
  47. Munshi M. Managing the "geriatric syndrome" in patients with type 2 diabetes. Consult Pharm. 2008 Apr; 23 Suppl B:12-6. PMID: 18540788.
    Citations: 9     Fields:    Translation:Humans
  48. "Geriatric Diabetes" Textbook Editors:Medha Munshi, Lewis Lipsitz. 2007.
  49. Medha Munshi, M.D.(Chairperson); Katie Weinger, EdD, RN; Patty Bonsignore, MS, RN, CDE; Emmy Suhl, MS, RD, CDE; Roberta Capelson, MS, ANP. The Joslin Guideline for the Care of the Older Adults with Diabetes. 2007.
  50. Medha Munshi. Depression and Cognitive Dysfunction. American College of Physicians - Diabetes Self-assessment Program Editors: Martin Abrahamson, Mark Aronson. 2007.
  51. Medha Munshi. Special Population. American College of Physicians - Diabetes Self-assessment Program. Editors: Martin Abrahamson, Mark Aronson. 2007.
  52. Medha Munshi. Screening and Diagnosis. American College of Physicians - Diabetes Self-assessment Program. Editors: Martin Abrahamson, Mark Aronson. 2007.
  53. Seema Parikh, Medha Munshi. Screening and Diagnosis. "Geriatric Diabetes" Editors: Medha Munshi, Lewis Lipsitz. 2007.
  54. Medha Munshi, M.D. Growing Older and Staying Healthy with Diabetes. TIME magazine November issue. 2006.
  55. Medha Munshi. Preface: Diabetes in Older Adults. Diabetes Spectrum Guest editor: Medha Munshi. 2006.
  56. Munshi M, Grande L, Hayes M, Ayres D, Suhl E, Capelson R, Lin S, Milberg W, Weinger K. Cognitive dysfunction is associated with poor diabetes control in older adults. Diabetes Care. 2006 Aug; 29(8):1794-9. PMID: 16873782.
    Citations: 88     Fields:    Translation:Humans
  57. Ayers D, Hayes M, Suhl E, Capelson R, Munshi M. Education of Elderly with diabetes- Looking beyond traditional barriers. 2006.
  58. Mellody R. Hayes, Darlene Ayres, Roberta Capelson, Emmy Suhl, Medha Munshi. The importance of domestic support in the elderly with diabetes. Diabetes. 2006; 55(suppl 1):A212.
  59. Darlene Ayres, Mellody Hayes, Emmy suhl, Roberta Capelson, Medha Munshi. Using serum C-peptide levels to simplify diabetes management in the elderly. Diabetes. 2006; 55(suppl 1):A478.
  60. Roberta Capelson, Andrew Principe, Gary Trey, Mellody Hayes, Emmy suhl, Darlene Ayres, Medha Munshi. Does increased monitoring of blood glucose (HMBG) improve glycemic control in patients over 75?. Diabetes. 2006; 55(suppl 1):A453.
  61. Joslin Diabetes Center. Staying Healthy with Diabetes - A guide for Older Adults. 2006.
  62. Munshi M, Grande L, Ayres D, Suhl E, Capelson R,Milberg W,Weinger K. Depression and undiagnosed executive dysfunction are improtant barriers to optimal diabetes care in older adults. Diabetes. 2005; 54(suppl 1):A40.
  63. Munshi M, Ayers D, Suhl E, Capelson R, Weinger K. Identifying barriers to diabetes education and self-care in older adults. Diabetes. 2005; 54(suppl 1):A230.
  64. Munshi M, Grande L, Ayres D, Suhl E, Capelson R,Milberg W,Weinger K. Subtle executive dysfunction is an important barriers to successful diabetes management in older adults. Journal of the American Geriatric Society. 2005; 55(4):S213.
  65. McCulloch D, Munshi M. Treatment of diabetes mellitus in the elderly. UpToDate. 2005.
  66. Munshi M, Grande L, Ayres D, Suhl E, Capelson R, Milberg W, Weinger K. Subtle executive dysfunction is an important barrier to successful diabetes management in older adults. Journal of American Geriatric Society. 2005; S213.
  67. Munshi Medha, Riggs Ann T, Phillips Olive, Hartz Hope, Evans William. High prevalence of vitamin D deficiency in elderly population in Arkansas: Rational for routin vitamin D supplementation. Journal of American Geriatric Society. 2002; 50(4):180.
  68. Munshi Medha, Riggs Ann T, Phillips Olive, Hartz Hope, Evans William. High prevalence of vitamin D deficiecy in elderly population in Arkansas: Rational for routine vitamin D supplementation. Journal of American Geriatric Society. 2002; 180.
  69. Jilka RL, Takahashi K, Munshi M, Williams DC, Roberson PK, Manolagas SC. Loss of estrogen upregulates osteoblastogenesis in the murine bone marrow. Evidence for autonomy from factors released during bone resorption. J Clin Invest. 1998 May 01; 101(9):1942-50. PMID: 9576759.
    Citations: 60     Fields:    Translation:HumansAnimalsCells
  70. Fonseca VA, Stone A, Munshi M, Baliga BS, Aljada A, Thusu K, Fink L, Dandona P. Oxidative stress in diabetic macrovascular disease: does homocysteine play a role? South Med J. 1997 Sep; 90(9):903-6. PMID: 9305300.
    Citations: 1     Fields:    Translation:HumansCells
  71. Fonseca V, Munshi M, Merin LM, Bradford JD. Diabetic retinopathy: a review for the primary care physician. South Med J. 1996 Sep; 89(9):839-50. PMID: 8790305.
    Citations: 2     Fields:    Translation:Humans
  72. Munshi MN, Stone A, Fink L, Fonseca V. Hyperhomocysteinemia following a methionine load in patients with non-insulin-dependent diabetes mellitus and macrovascular disease. Metabolism. 1996 Jan; 45(1):133-5. PMID: 8544771.
    Citations: 17     Fields:    Translation:Humans
  73. Stolar MW. Clinical management of the NIDDM patient. Impact of the American Diabetes Association practice guidelines, 1985-1993. Endocrine Fellows Foundation Study Group. Diabetes Care. 1995 May; 18(5):701-7. PMID: 8586012.
    Citations: 9     Fields:    Translation:Humans
  74. Munshi M, Jilka RL, Manolagas SC. The Ovariectomy-induced upregulation of osteoclast and osteoblast progenitors in the murine bone marrow subsides with time. Journal of Bone and Mineral Research. 1995.
  75. Munshi m, Jilka RL, Manolagas SC. The ovariectomy-induced upregulation of osteoclast and osteoblast progenitors in the murine bone marrow subsides with time. Journal of bone and mineral research. 1995; 10(s443).
  76. Munshi MN, Martin RE, Fonseca VA. Hyperosmolar nonketotic diabetic syndrome following treatment of human immunodeficiency virus infection with didanosine. Diabetes Care. 1994 Apr; 17(4):316-7. PMID: 8026288.
    Citations: 1     Fields:    Translation:Humans
  77. Munshi M, Stone A, Fink L, Fonseca V. Hyperhomocysteinemia following a methionine load in patients with non-insulin-dependent diabetes mellitus and macrovascular diseases. Proceedings of International Diabetes Federation congress. 1994; 10A5PP0905.
  78. Jilka RL, Girasole G, Passeri G, Munshi M, Howe N and Manolagas SC . Estrogen deficiency induces sensitivity of the osteoclastogenic process to IL-6. Journal of Bone and Mineral Research. 1994; 9(s143).
  79. Jilka RL, Girasole G, Passeri G, Munshi M, Howe N and Manolagas SC . Estrogen sensitivity induces sensitivity of the osteoclastogenic process to IL-6. Journal of Bone and Mineral Research. 1994.
  80. Munshi M, Stone A, Fink L, Fonseca V. Hyperhomocysteinemia following a methionine load in patients with non-insulin-dependent diabetes mellitus and macrovascular diseases. Proceedings of International Diabetes Federaltion Congress. 1994; 10A5PP0905.
  81. Munshi, MN. Epidemiological report on Leprosy. 1984.
  82. Patel MS, Munshi MN, Zala PM, Shukla KP, Memon GN. Changes in constituents of the blood plasma of buffaloes treated with melengestrol acetate. Indian J Exp Biol. 1971 Jul; 9(3):392-4. PMID: 5169156.
    Citations:    Fields:    Translation:Animals
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Funded by the NIH National Center for Advancing Translational Sciences through its Clinical and Translational Science Awards Program, grant number UL1TR002541.