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It is important to note that many of the studies that examined the efficacy of lipoic acid in the treatment of diabetic neuropathy have been primarily conducted by one German research group and funded by the manufacturer of lipoic acid in Germany (82)
At 5 mg/mL concentration, every 10 units on a U-100 insulin syringe equals 0.5 mg of tirzepatide
But the additive benefit of combining them remains theoretical
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