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Supplements/Amino Acid

ALCAR (Pre-Drinking)

aka Acetyl-L-Carnitine

Mitochondrial cofactor that may reduce acetaldehyde-induced oxidative stress.

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Overview

Mitochondrial cofactor that may reduce acetaldehyde-induced oxidative stress.

Natural sources
  • Dietary protein from animal sources (meat, fish, eggs, dairy) and plant sources (soy, legumes, grains)
  • Free-form amino acid powders and capsules
  • Targeted pre-workout, recovery, or sleep formulations
Common forms
  • Free-form crystalline powder
  • Capsules or tablets
  • Pre-mixed recovery or hydration beverages
  • Time-release formulations

Mechanism of action

Shuttles fatty acids into mitochondria; supports redox balance during ethanol oxidation.

Pathways
  • · Shuttles fatty acids into mitochondria
  • · supports redox balance during ethanol oxidation

Effects on the body

Supports
hepatic function markers in alcoholic liver disease

Organ system effects

Liver

ALCAR (Pre-Drinking) supports hepatocyte antioxidant defenses (glutathione, Nrf2) and phase-I/II detoxification.

Evidence-based benefits

Improves hepatic function markers in alcoholic liver disease

Limited evidence

Potential side effects

Common
  • · Fishy odor (high dose)
Rare
    Serious

      Drug interactions

      Prescription medications (general)
      Always disclose ALCAR (Pre-Drinking) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
      minor

      Safety & non-supplemental interactions

      Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.

      Other notes
      • ·Discuss with a clinician if you have active liver disease or take hepatotoxic medications.

      Supplement interactions

      Pairs well with
      • Milk thistle (silymarin)
        Complementary hepatoprotective antioxidant pathways.
      • NAC
        Restores hepatic glutathione.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      500–1000 mg pre-drinking
      Best form
      Most evidence is based on the free-form crystalline powder form.
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      Optional

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence8Show studies
      Systematic reviewRev Recent Clin Trials · 2014

      Acetyl-L-carnitine for alcoholic liver disease

      Martínez-Sámano J, et al.

      Review of ALCAR in alcohol-related liver injury.

      Key findings

      Reduced transaminases and improved cognition.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — Improves hepatic function markers in alcoholic liver disease

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) Improves hepatic function markers in alcoholic liver disease" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "Improves hepatic function markers in alcoholic liver disease". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — randomized controlled trial

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — meta-analysis

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — pharmacokinetics

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — safety adverse events

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: ALCAR (Pre-Drinking) — dose response

      Live PubMed search

      Live results for "ALCAR (Pre-Drinking) dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching ALCAR (Pre-Drinking) and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: ALCAR (Pre-Drinking) — clinical evidence

      Live Scholar search

      Cross-database citation index for ALCAR (Pre-Drinking) as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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