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Clinical studies and meta-analyses suggest that ALA supplementation can lead to small but meaningful improvements in fasting glucose and insulin sensitivity, particularly in people with type 2 diabetes or metabolic syndrome.2 24 That said, these effects are generally modest and ALA should never be viewed as a substitute for prescribed diabetes medications

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However, the Trump administration recently announced a deal with pharmaceutical companies that could lower the cost for people who pay out of pocket or have Medicare or Medicaid.