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4.4 A proposed screening and diagnostic algorithm Clinical history and examination are the mainstays of clinical diagnosis, and when medical history and basic neurological examination (simple semi-quantitative bedside instruments and inspection of feet) reveals the corresponding neuropathic symptoms and/or signs in the absence of other potential causes of distal symmetric peripheral neuropathy, this supports the diagnosis of DPN (74)

10.1016/j.ijbiomac.2022.03.077 Int J Biol Macromol

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The mechanism behind oral efficacy is attributed to systemic absorption and downstream peptide signaling rather than localized delivery, though the exact bioavailability percentage in humans remains unquantified