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Additionally, the metabolic changes associated with significant weight loss and improved glycemic control may temporarily affect energy levels as the body adapts to a new physiological state

Each pot with a single seedling was irrigated day by day with 350 mL of strength Hoagland solution and 350 mL of distilled water, respectively

A helpful clinical stance comes from the American Gastroenterological Associations guidance

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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

I think it at least needs to be brought up in our patient population, so we can be part of the conversation at least