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routinely for decision-making, and 42% use it sometimes. 57% reported not having yet determined a risk threshold for acceptable post-donation risk above which candidates are excluded. Contemporary practice variation underscores the need for better evidence to guide the donor selection process. This article is protected by copyright. All rights reserved.AIM To evaluate the effect of metformin on cardiovascular risk factors in middle-aged Thai women with metabolic syndrome that are in menopausal transition. METHODS This study