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[12] Lastly, ALA may have mild anticoagulant effects (by enhancing blood flow and endothelial function), so combining it with anticoagulant or antiplatelet drugs could very slightly increase bleeding tendency

A weight reduction of 5% or more is typically needed to improve or prevent some of the complications of obesity, such as type 2 diabetes, dyslipidaemia, hypertension, steatohepatitis, obstructive sleep apnoea and osteoarthritis

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There should be a leaflet that came with the pens: find it, read it, make sure you understand it