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Summary: Alpha-lipoic acid does not appear to be beneficial for progressive multiple sclerosis based on the most rigorous clinical trial available, and it was associated with more adverse effects including kidney-related concerns

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Regulates Inflammation Lowers excess inflammatory responses , preventing chronic tissue damage

Tachi J, Amino N, Miyai K: Massage therapy on neck: a contributing factor for destructive thyrotoxicosis

Every comparison you will read including this one is indirect , assembled from separate trials run in different populations, at different times, with different endpoints