SYS ONLINE
Supplements/Compound

ALA (R-isomer)

Natural enantiomer of α-lipoic acid with better bioavailability.

Buy

Overview

Natural enantiomer of α-lipoic acid with better bioavailability.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Forms & variants of Alpha-Lipoic Acid

Different chemical forms of Alpha-Lipoic Acid behave differently. Browse each form's mechanism, bioavailability, and best-use context.

Mechanism of action

Mitochondrial cofactor; recycles vitamin C/E and glutathione.

Pathways
  • · Mitochondrial cofactor
  • · recycles vitamin C/E
  • · glutathione

Effects on the body

Supports
diabetic neuropathy symptoms

Organ system effects

Brain & CNS

ALA (R-isomer) acts on hallmarks of aging including oxidative stress, mitochondrial dysfunction, and senescence signaling.

Evidence-based benefits

Improves diabetic neuropathy symptoms

Strong evidence

Potential side effects

Common
  • · GI upset
Rare
  • · Hypoglycemia
Serious
  • · Insulin autoimmune syndrome (rare)

Drug interactions

Prescription medications (general)
Always disclose ALA (R-isomer) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
minor

Supplement interactions

Pairs well with
  • NAD+ precursor (NMN or NR)
    Complementary mitochondrial and sirtuin support.
  • Omega-3
    Lowers inflammation and supports membrane integrity.
  • Omega-3 (EPA/DHA)
    Membrane fluidity and neuronal signaling support.
Avoid combining with

No specific avoidances listed.

Dosing & bioavailability

Typical dose
300–600 mg R-ALA
Best form
Most evidence is based on the capsule or softgel form.
Timing
Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
With food?
Empty stomach

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
RCTDiabetes Care · 2006

ALA in diabetic neuropathy (SYDNEY 2)

Ziegler D, et al.

5-week DB-RCT in 181 T2DM patients.

Key findings

600 mg/day reduced total symptom score vs placebo.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — Improves diabetic neuropathy symptoms

Live PubMed search

Live results for "ALA (R-isomer) Improves diabetic neuropathy symptoms" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching ALA (R-isomer) and "Improves diabetic neuropathy symptoms". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — randomized controlled trial

Live PubMed search

Live results for "ALA (R-isomer) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — meta-analysis

Live PubMed search

Live results for "ALA (R-isomer) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — pharmacokinetics

Live PubMed search

Live results for "ALA (R-isomer) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — safety adverse events

Live PubMed search

Live results for "ALA (R-isomer) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: ALA (R-isomer) — dose response

Live PubMed search

Live results for "ALA (R-isomer) dose response" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewGoogle Scholar · 1970

Google Scholar: ALA (R-isomer) — clinical evidence

Live Scholar search

Cross-database citation index for ALA (R-isomer) 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.

Community discussion

(0 threads)

Share your experience or read what others have tried. Anecdotes are not medical advice.

Sign in or create a free account to post or reply.
Loading discussion…