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Neuropsychobiology 1997;35:16-23

180,181 Motor symptoms include progressive weakness and atrophy of proximal lower-limb muscles, leading to difficulty rising from a seated position or climbing stairs, accompanied by muscle fasciculations and hyporeflexia

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One review study has stated that acetyl-L-carnitine (ALC) had a moderate effect on reducing pain, but the One study found that ALC is as effective as a conventional treatment, methylcobalamin (MC), in treating diabetic peripheral neuropathy