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Oral, Intravenous, or Sequential Alpha-Lipoic Acid for Diabetic Peripheral Neuropathy? A Bayesian Network Meta-Analysis of Randomized Controlled Trials

Source: Frontiers - Health • Published: 13 Jul 2026, 00:00

Oral, Intravenous, or Sequential Alpha-Lipoic Acid for Diabetic Peripheral Neuropathy? A Bayesian Network Meta-Analysis of Randomized Controlled Trials

Assessment of administration routes and sequencing for a common antioxidant therapy in diabetic neuropathy, using a Bayesian network meta-analysis.

Key Takeaways
  • Intravenous ALA ranked best for rapid symptom and overall objective improvement
  • Oral ALA uniquely showed robust evidence for distal structural repair with I2=0%
  • Sequential therapy's apparent superiority disappeared after bias sensitivity analyses
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