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Driven by microvascular damage, inflammation, oxidative stress, and advanced glycation end products, DR progresses differently in T1DM (rapid onset) and T2DM (chronic inflammation)

She has recently started following with weight management for more sustained weight loss, working with a nutritionist

Preclinical studies suggest ALA may help defend neurons against oxidative stress, support synaptic function, and maintain healthy levels of glutathione, a critical antioxidant in brain cells.12 25 Importantly, ALA can cross the blood-brain barrier, making it a promising candidate for addressing conditions where oxidative stress or mitochondrial dysfunction play a role

Afternoon snack (300 calories, 30g protein): Protein shake with one scoop protein powder, one tablespoon peanut butter, one small banana, and water

It helps determine whether a patient is ready for a dose increase or if they should remain at their current level for a bit longer

This combination allows it to address multiple aspects of appetite and metabolism