Clinical and animal studies have demonstrated the efficacy of benfotiamine in the treatment of diabetes-related neuropathy, kidney disease, peripheral vascular disease, and retinopathy (Stirban 2006
Early data shows improvements in cardiovascular risk markers (cholesterol, blood pressure, inflammation), but these are surrogate endpoints, not proven event reduction
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However, two of the five named pharmacy partners have active FDA enforcement and state-board action, including warning letters, recalls, and pharmacist-license probation tied to counterfeit Ozempic
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Still, any new or unusual chest pain should be checked by a doctor to be safe