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The boring back-office work is going to become the moat here

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Comparison with pregabalin: A study in Canada among 44 people with nerve pain due to various conditions compared alpha-lipoic acid directly to pregabalin (Lyrica), a first-line prescription drug for neuropathic pain

Conversely, if side effects worsen unexpectedly or life circumstances (illness, stress, medication changes) alter your tolerance, a brief dose reduction may restore comfort without sacrificing results