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In contrast, pharmacovigilance studies have found a higher rate of arthralgia and myalgia (including rare reports of rhabdomyolysis in conjunction with statin medications) in users of DPP4 inhibitors [149]

PMID: 16412534

It is used in some NHS services and is also available privately

Comparison of R(+)--lipoic acid exposure after R(+)--lipoic acid 200 mg and 300 mg and thioctic acid 600 mg in healthy Korean male subjects

They reduce inflammation by suppressing markers like CRP and TNF-, promote weight loss, lower blood pressure, improve lipid profiles, and enhance endothelial function