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A double-blind, placebo-controlled trial in 90 HIV-positive patients with symptomatic distal symmetrical polyneuropathy found no benefit of intramuscular injection with 1 g/day of ALCAR for two weeks in the intention-to-treat analysis, but there was some pain relief in the group of 66 patients who completed the trial (84)

DOI: 10.1210/en.2004-1611 Teichman SL et al

- Prioritize protein and whole foods

Also, adding a very low-calorie diet to the treatment with semaglutide produced more weight loss than semaglutide alone

Re-using a needle for both bac water draw and peptide vial entry can carry microbial load from the peptide vial back into the bac water bottle