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Across all neuropathy trials, ARA-290 consistently had these benefits:
1. Symptom relief - less burning, tingling, and pain.
2. Objective repair - actual regrowth of damaged small nerve fibers seen under the microscope
In patients with diabetes, ARA-290 also improved metabolic markers such as glucose and triglycerides, likely by reducing inflammation at the cellular level.
Based on the data, the people most likely to benefit from ARA-290 are:
Patients with sarcoidosis and small-fiber neuropathy, especially those with confirmed nerve fiber loss and significant pain.
People with type 2 diabetes and painful neuropathy, particularly in early stages when there is still nerve tissue left to repair.
Anyone with documented small-fiber damage on skin biopsy or corneal imaging and an inflammatory component to their condition.
Dosage: All human trials used subcutaneous injections. The effective dose was 4 mg once daily. Lower doses, like 1 or 2 mg saw minor improvement, and higher doses up to 8 mg did not improve results further than 4mg.
1.6 cc BAC in 16mg vial = 1mg per 10 units. Typical dose would then be 40 units daily, and the vial would last 4 days.