Phase II trials showed reduced injury markers during surgery (Orhan et al., 2006) and, notably, a significant reduction in infarct size and improved myocardial salvage when combined with nitrates in acute STEMI patients undergoing primary PCI [NACIAM trial (Pasupathy et al., 2017)], suggesting potential utility in the acute setting, possibly by enhancing endogenous defenses
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The most common dosages 31 used in studies 32 range from 2000-4000 mg of myo-inositol and 50-100 mg of d-chiro-inositol a day to match the physiological ratio that exists in the body (40 to 1 of MI to DCI 33 )