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Step 4 Reduce Inflammation Through Nutrition: An anti-inflammatory, low-mold dietary framework is a meaningful part of recovery

At very low doses, smaller vials (if available) or pre-mixed formulations may be more cost-effective

Patients with active malignancy, uncontrolled metabolic disease, or a history of endocrine tumors are not appropriate candidates

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Drug interactions In theory, because lipoic acid supplementation may improve insulin-mediated glucose utilization (see Diabetes mellitus), there is a potential risk of hypoglycemia in diabetic patients using insulin or oral anti-diabetic agents (118)