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Como terapia adicional a insulina (con o sin metformina) cuando la dieta y el ejercicio ms una dosis estable de insulina no proporcionen un control glucmico adecuado

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ALA directly or indirectly reduces oxidative stress in mitochondrial oxidative metabolism through its interaction with coenzymes such as triphenyl nitrate and nicotinamide adenine dinucleotide (106)

So all of our clinical wisdom and our lived experience wisdom is as important as a part of the conversation as the new evidence thats coming out, which is also extremely important