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Journal of Drug Assessment 9, 129144
doi: 10.1007/s11897-013-0133-0 20
Cymbalta (duloxetine), used for chemical balance in the brain, may be used to help with pain associated with DPN
Insulin resistance, persistent hyperglycemia, and the buildup of AGEs, which hinder muscle protein synthesis and encourage muscle atrophy, are some of the pathophysiological mechanisms linked to this increased risk (135)
