It also significantly improves blood sugar levels, often more than semaglutide, especially in those with insulin resistance or higher baseline A1C
These neuropathic symptoms can sometimes be misinterpreted as joint pain, particularly when affecting the hands, wrists, knees, or ankles
In a study that compared the effects of carbamazepine, venlafaxine, and pregabalin in 257 patients with clinically definite DPN, carbamazepine significantly decreased the VAS score (from 74.5 to 39.6, P =0.0001) and showed similar effects as venlafaxine and pregabalin in improving scores for sleep, mood, and work interference [51]
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