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P = 0.007 for superiority) in T2DM patients with a history of cardiovascular disease or current kidney disease in a recently completed trial (AMPLITUDE-O) [63]
Taken together, the evidence supports using racemic ALA which is why it forms the basis of our top recommendation
10.1016/j.lfs.2018.05.048 8 AliN.RashidS.NafeesS.HasanS
Real-world rates may be higher, since many people do not mention burping to their provider
