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Numerous proteolytic enzymes are involved in the GLP-1 peptide degradation pathways 34 and eliminating all possible cleavage sites via amino acid mutation, without dramatically impacting on GLP-1R activity, would be particularly challenging, or indeed may not be possible

J., van den Meiracker, A

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However, another randomized, double-blind, placebo-controlled trial in 181 patients with diabetic neuropathy found that oral supplementation with either 600 mg/day, 1,200 mg/day, or 1,800 mg/day of lipoic acid for five weeks significantly improved neuropathic symptoms (77)