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Methods A three-arm 16-week, double-blind, randomised, placebo-controlled trial, adjunctive to usual treatment, was conducted

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Natural CoQ10 levels in the heart may decline with agefrom 100% at age 20 to approximately 43% by age 80. PQQ (Pyrroloquinoline Quinone) at 20mg works synergistically with CoQ10 to help modulate cellular signaling pathways and promote antioxidant protection

However, the mechanism of this diabetes-related hearing loss (DRHL) remains unclear and there is no effective clinical treatment

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