Overview
Natural enantiomer of α-lipoic acid with better bioavailability.
- Endogenously produced or biosynthesized molecule
- Standardized pharmaceutical- or food-grade supplement
- Combined with cofactors that improve absorption or activity
- 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.
- · Mitochondrial cofactor
- · recycles vitamin C/E
- · glutathione
Effects on the body
Organ system effects
ALA (R-isomer) acts on hallmarks of aging including oxidative stress, mitochondrial dysfunction, and senescence signaling.
Evidence-based benefits
Improves diabetic neuropathy symptoms
Strong evidencePotential side effects
- · GI upset
- · Hypoglycemia
- · Insulin autoimmune syndrome (rare)
Drug interactions
Supplement interactions
- NAD+ precursor (NMN or NR)Complementary mitochondrial and sirtuin support.
- Omega-3Lowers inflammation and supports membrane integrity.
- Omega-3 (EPA/DHA)Membrane fluidity and neuronal signaling support.
No specific avoidances listed.
Dosing & bioavailability
Where to buy
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Scientific evidence8Show studiesHide studies
ALA in diabetic neuropathy (SYDNEY 2)
Ziegler D, et al.
5-week DB-RCT in 181 T2DM patients.
600 mg/day reduced total symptom score vs placebo.
PubMed: ALA (R-isomer) — Improves diabetic neuropathy symptoms
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PubMed: ALA (R-isomer) — randomized controlled trial
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PubMed: ALA (R-isomer) — meta-analysis
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PubMed: ALA (R-isomer) — pharmacokinetics
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PubMed: ALA (R-isomer) — safety adverse events
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PubMed: ALA (R-isomer) — dose response
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Google Scholar: ALA (R-isomer) — clinical evidence
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Cross-database citation index for ALA (R-isomer) as it relates to "clinical evidence".
Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.