Alpha-Lipoic Acid

Alpha-lipoic acid (ALA) is an endogenous antioxidant involved in mitochondrial energy metabolism. Notable: Most evidence is C-grade or D-grade despite popularity. Best evidence is for diabetic neuropathy (IV administration - prescription in Germany), blood flow improvement, and inflammation reduction in RA. Often combined with L-carnitine. R-ALA is the biologically active form; supplements often contain racemic (R+S) mixture. Effects are short-lived due to rapid metabolism. May cause mild hypoglycemia.

Quick Answer

What it is

Alpha-lipoic acid (ALA) is an endogenous antioxidant involved in mitochondrial energy metabolism. Notable: Most evidence is C-grade or D-grade despite popularity.

Key findings

  • Grade C: Blood glucose (Type 2 Diabetes)
  • Grade C: Blood Flow
  • Grade C: Inflammation (Rheumatoid Arthritis (RA))

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

ℹ️ Quick Facts: Alpha-Lipoic Acid

Quick Facts: Alpha-Lipoic Acid

  • Best Evidence:Grade C
  • Conditions Studied:20
  • Research Outcomes:40
  • Key Effect:Sickle Cell Disease
Outcomes by grade:
A0
B0
C4
D10
20 conditions · 40 outcomes

Detailed Outcomes

Grade:
Effect:
Size:
Sort:
|
C
Blood glucose
Small improvement in fasting blood glucose
1 study
smallImproves
D
Glycemic Control
No effect on overall glycemic control
none
?
HbA1c
Worsens
?
Oxidative Stress Biomarkers
Worsens
C
Blood Flow
Small increase in blood flow
smallImproves
C
Inflammation
Small decrease in inflammation markers
smallImproves
?
Rheumatoid Arthritis Symptoms
1 study
Worsens
C
Oxidative Stress Biomarkers
Small Decrease
smallImproves
D
Anti-Oxidant Enzyme Profile
No effect
none
D
Seminal Motility
No effect on sperm motility
2 studies
none
?
Sperm Count
0
Improves
?
Sperm Quality
2 studies0
Improves
D
Migraine Duration
No effect on migraine duration
2 studies
none
?
Migraine Frequency
Worsens
?
Migraine Severity
2 studies
Worsens
D
Blood Pressure
No effect on blood pressure
none
?
Weight
Worsens
?
Glycemic Control
Improves
?
LDL Oxidation
Worsens
?
Oxidative Stress Biomarkers
Worsens
D
Blood Pressure
No effect on blood pressure
none
D
Blood Pressure
No effect on blood pressure
none
?
Diabetic Neuropathy Symptoms
Worsens
?
HbA1c
Worsens
?
Weight
Worsens
D
C-Reactive Protein (CRP)
No effect
none
?
Intermittent Claudication Symptoms
1 study
Worsens
D
Blood Pressure
No effect
none
?
Inflammation
Worsens
D
C-Reactive Protein (CRP)
No effect
none
?
Oxidative Stress Biomarkers
Worsens
?
Dementia Symptoms
Worsens
?
Nerve Repair
Improves
?
Oxidative Stress Biomarkers
Worsens
?
Dementia Symptoms
Worsens
?
Blood Flow
Improves
?
Oxidative Stress Biomarkers
Worsens
?
Muscle Creatine Content
Improves
?
Motion Sickness Symptoms
Worsens
?
Oxidative Stress Biomarkers
Worsens

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