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Because part of the pancreas is removed during surgery, the part that remains after surgery may not be able to produce enough enzymes to properly aid with the digestion of food, and patients may not be able to digest or absorb the fat from the food they eat

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And the foundational paper was retracted

[17] [18] Women of childbearing potential should inform their healthcare provider if they are taking ALA or planning to start it, and pregnant patients should only use alpha-lipoic acid if it is prescribed by a physician who has judged that the expected benefits outweigh the possible risks

Role of endoplasmic reticulum stress response in regulation of adipose tissue metabolism