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Because ACV itself can moderately lower post-meal glucose, adding ALA to the mix could increase the risk of blood sugar levels dipping too low, especially in individuals who take diabetes medication

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Liraglutide treatment improves postprandial lipid metabolism and cardiometabolic risk factors in humans with adequately controlled type 2 diabetes: a single-centre randomized controlled study

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USA 110 , 52115216 (2013)

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