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Adjusting the dosage under medical supervision is recommended

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10.1007/s10815-023-02847-3 44 LaganaA

Although physical exercise improves insulin resistance, it may not be appropriate for patients with active liver disease, while restrictive diets may aggravate the protein-calorie malnutrition often found in these patients.4 Studies are needed to determine what changes in lifestyle could benefit these patients

It's useful for relieving symptoms including tingling and numbness in the extremities, as well as anemia and exhaustion