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Finally, a four-year, multicenter, clinical trial in 421 diabetic patients with distal symmetric sensorimotor polyneuropathy found no difference between oral administration of 600 mg/day of lipoic and placebo on the primary endpoint, a composite score that assessed neuropathic impairment of the lower limbs and nerve conduction (78)

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5,7 Sleep and circadian rhythm Adequate sleep is essential for effective weight management, as it regulates appetite-related hormones, supports metabolic function, and promotes energy utilization

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When food intake drops, due to reduced appetite, nutritional quality becomes more important than ever