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They will also likely look at underlying (and common thyroid) issues, such as nutrient depletion and absorption issues that a conventional medicine doctor might not look at, and whether you have the MTHFR gene variation (which can impair thyroid hormone levels and energy metabolism)

41 Indications Diabetic peripheral neuropathy (DPN) A Cochrane meta-analysis in 2019 evaluating the use of ALC in patients with DPN demonstrated moderate reduction (approximately a 15-point decrease on a 100-point visual analog pain scale) in neuropathic pain amongst patients taking 2000-3000 mg/d of ALC orally

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Aquaculture 249 , 439447 (2005)