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In extreme cases, thiamine deficiency can cause neuronal death due to lack of cellular energy from impaired ATP production

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Conversely, in a randomized controlled trial involving adults with T2DM, administration of liraglutide for 26 weeks in addition to standard therapy with insulin, although significantly decreased body weight and levels of glycated hemoglobin HbA1c in patients, but at the same time failed to reduce Becks Depression Inventory (BDI) scores (de Witt 2014)