13803
CONCLUSIONS : In our reported case , a local hyperproduction of TNF - alpha from macrophages that was induced by the injected insulin could explain the dedifferentiation of the adipocytes of the subcutaneous tissue and the reversion that was induced by the local injection of dexamethasone .
 adverse effect: dedifferentiation of the adipocytes, insulin; adverse effect: hyperproduction of TNF - alpha, insulin
Given a phrase that describes the relationship between two words, extract the words and the lexical relationship between them. The output format should be "relation1: word1, word2; relation2: word3, word4". 
Option: adverse effect 
Text: {0} 
Answer:
 adverse effect: dedifferentiation of the adipocytes, insulin; adverse effect: hyperproduction of TNF - alpha, insulin