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43 Additional reviews corroborate the superior efficacy of ALC in DPN than in other causes of neuropathy

"Efficacy and tolerability of tirzepatide, a dual glucose-dependent insulinotropic peptide and glucagon-like peptide-1 receptor agonist in patients with type 2 diabetes: A 12-week, randomized, double-blind, placebo-controlled study to evaluate different dose-escalation regimens"

This is a direct response to the peptide blend stimulating a significant growth hormone pulse, which is a process naturally associated with deep sleep