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10.1196/annals.1320.003

A multicenter study involving 567 subjects with symptomatic DPN who received intravenous Actovegin for 20 days (2000 mg/day), followed by three Actovegin tablets daily (1800 mg/day) or placebo for 140 days, demonstrated efficacy in improving neuropathic symptoms and VPT, with a safety profile similar to that of placebo [78]

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10.3390/jcm14020558 95 WoodwardA

While some brands remain stable at room temperature, storing it in the fridge can help extend its shelf life