Alpha-Lipoic Acid (racemic)

Antioxidantmitochondrial cofactorStrong dose evidence

Also known as: ALA, thioctic acid, lipoic acid, R/S-lipoic acid, DL-alpha-lipoic acid

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Alpha-lipoic acid is a sulfur-containing compound that serves as a mitochondrial enzyme cofactor and a water- and fat-soluble antioxidant. The supplement form is usually a 50:50 racemic mix of R and S isomers. A meta-analysis of 24 RCTs in people with metabolic conditions found improvements in fasting glucose, insulin resistance, and lipid markers. It is widely used in blood-sugar, nerve-comfort, and antioxidant formulas at 300–600 mg per day.

Research summary

Recycles glutathione and vitamins C and E, chelates metals, and supports glucose uptake via AMPK and insulin signaling.

Dosage

Daily amounts, of compound.

Lowest studiedTypical rangeHighest studiedUpper limit
300 mg300–600 mg

Most trials used 300–600 mg daily, sometimes divided. Absorption is best on an empty stomach; food reduces bioavailability. Some people report mild GI upset or skin rash at higher doses. The racemic form requires roughly twice the dose of R-ALA for similar exposure.

Standardization: ≥99% alpha-lipoic acid

Source material: synthetic

Forms of Alpha-Lipoic Acid

FormTypical doseElement %FormatsPrice
Alpha-Lipoic Acid (racemic)300–600 mgCapsule, Tablet, Powderlow
R-Alpha-Lipoic Acid (Na-R-ALA)100–300 mgCapsule, Tablet, Powderhigh

Format suitability

  • Capsule
  • Powder
  • Tablet
  • Softgel
  • Gummy
  • Liquid

Low melting point (about 60 °C) and sulfur odor; avoid heat during tableting. Not suited to gummies or liquids.

Formulation notes

May add to the glucose-lowering effect of diabetes medications and other blood-sugar botanicals; may affect thyroid hormone conversion in theory.

  • Notable drug interactions

Sources

  1. The effects of alpha-lipoic acid supplementation on glucose control and lipid profiles among patients with metabolic diseases: A systematic review and meta-analysis of randomized controlled trials. (Akbari, 2018)PubMed
  2. Examine — Alpha-Lipoic AcidExamine

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