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A similar effect is observed when combining the drug with hormonal contraceptives

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Phosphorylated IRS proteins then recruit the p85 regulatory subunit of PI3K via their phosphorylated tyrosine residues, positioning the p110 catalytic subunit near phosphatidylinositol 4,5-bisphosphate (PIP 2 ) on the cell membrane to catalyze its phosphorylation at the D3 site, generating the second messenger phosphatidylinositol 3,4,5-trisphosphate (PIP 3 ) (7476)

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