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As increased fall risk may be a contributor to the fracture risk in diabetes ( In order to rule out differential mortality as a source of bias in our study, we estimated HRs of death in the two groups and found a negligible difference, although this became significant in the fully adjusted model

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ALCAR has been shown to exert beneficial effects in disorders where the oxidative stress acts as a promoting factor [17, 20, 23,24,25,26], such as diabetes, Alzheimers [26, 27]