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Rare but serious side effects may include allergic reactions and infections

Abdullah KM, Sharma G, Takkar S, Kaushal JB, Pothuraju R, Chakravarti B et al (2024) -lipoic acid modulates prostate cancer cell growth and bone cell differentiation

And so this confers this characteristic aspect together with the fact that - also this is generally enough of the young - but it has a typical localization to the back of the hands and feet, an important element from the point of view of the clinical approach