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However, some secondary measures of nerve impairment did improve, especially in participants with higher cardiovascular risk and moderate BMI.7 Shorter-term trials have shown that 600mg/day of oral racemic ALA reduced neuropathy symptoms like burning, tingling, and numbness in as little as 35 weeks.4 20 A 2010 meta-analysis concluded that oral ALA can improve symptoms of diabetic neuropathy, but noted variability in effect sizes across trials and better results with intravenous administration.1 Despite promising results from some trials, a recent systematic review evaluating eight randomized controlled trials indicates that findings on ALA's effectiveness in treating diabetic neuropathy symptoms are inconsistent.23 While ALA proved safe and tolerable across these studies, the review concluded that definitive evidence supporting significant benefits is limited

doi:10.1016/j.jep.2017.08.035 Gu L, Liu X, Wu S, Chu K, Bao JJ

There is no diclofenac accumulation if the intervals between intakes are respected

Those studies support the broader repair mechanism

Have certain x-ray tests with injectable dyes or contrast agents

Another observation from research is that blood sugar levels appear to be unaffected