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27 Another study compared a combination oral supplement that included 600 mg/d ALA along with gamma-linolenic acid to a vitamin supplement containing vitamins B1, B6, and B12 over 3 months in 112 patients with moderate to severe CTS.28 Researchers found similar results, with significant pain reduction and improved function in the ALA treatment group with only slightly improved pain reduction in the vitamin B group but with worsened function

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However, their reliance on non-renewable carbon sources, energy-intensive thermal activation of charcoal, and high costs have prompted the scientific community to seek cost-effective and sustainable alternatives

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