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[11] In summary, while alpha-lipoic acid is generally compatible with many medications, it can amplify blood sugar-lowering drugs and alter thyroid hormone activity, among other interactions, so proactive monitoring and consultation with healthcare professionals are essential

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Additionally, the roles of ROS and mitophagy in RA are complex and diverse, with ROS inducing mitochondrial autophagic behavior and enhancing mitochondrial autophagic activity, possibly contributing to the survival of FLSs and increasing the inflammatory response, and inhibition of autophagy inducing apoptosis of FLSs (303)

75% for Brunt grade