What is the changes in TZDs (specifically pioglitazone) structure that has direct impact in clinical application? with deep explanation please.

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Organometallic Compounds of s- and p- block elements

Organometallic compounds have a minimum of one bond between a metal compound and a carbon atom. Metalloid elements such as silicon, tin, and boron form organometallic compounds which can be utilized in a few commercial chemical reactions.