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Therefore, its best to avoid it while pregnant, trying to get pregnant, or breastfeeding

503,504 Antioxidants ALA is a potent antioxidant that mitigates oxidative stress, a key contributor to DN, inhibits lipid peroxidation, improves endoneurial blood flow, and enhances nerve glucose uptake and energy metabolism

If a physician can clearly communicate an individuals risk, explain the evidence & recommend the appropriate intervention, adoption becomes less about selling a drug & more about practicing good medicine

This might be due to reduced or interrupted insulin doses, gastrointestinal AEs (e.g., vomiting, dehydration), and decreased appetite leading to reduced food intake 27

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