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Supplementing with ALA in higher doses especially at doses studied in clinical trials may help reduce nerve pain, support insulin sensitivity, and counter oxidative stress.1 2 3 However, as with most supplements, not every ALA product on the market is equally effective or trustworthy

Patients with significant gastrointestinal side effects, those in dose-escalation phases, or those with gastroparesis may be advised to withhold Rybelsus temporarily

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