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Digestive and hydration concerns Nausea, vomiting, constipation, diarrhea, reflux, and reduced appetite are common themes with many incretin-based and appetite-modifying medicines

Additionally, ALA has been shown to decrease vascular endothelial damage by lowering levels of AGEs and inflammatory cytokines, both of which contribute to vascular stiffness and impaired perfusion in diabetes [82,97,122]