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Its mechanism of action has not been fully clarified, especially the metabolic pathways and targets in humans remain unclear
Tips For Taking Spiriva Respimat Safely Always follow the prescribed dose and schedule
Drug interactions In theory, because lipoic acid supplementation may improve insulin-mediated glucose utilization (see Diabetes mellitus), there is a potential risk of hypoglycemia in diabetic patients using insulin or oral anti-diabetic agents (118)
However, for many patients the convenience, compliance, and consistent daily use of nasal spray produces equivalent results in practice
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