StackTerminal.Health

BETA

Alpha-Lipoic Acid (ALA)

Alpha-lipoic acid is a universal antioxidant active in both aqueous & lipid compartments that regenerates other antioxidants; it has strong evidence for reducing neuropathic symptoms in diabetic polyneuropathy & improving insulin sensitivity.

antioxidantmetabolicneuroprotectiveinsulin-sensitivityglucose
Evidence last reviewed: 04 Apr 2026
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Evidence
2 records
Neuropathic symptoms in diabetic sensorimotor polyneuropathy
Patients with type 1 or type 2 diabetes and symptomatic polyneuropathyRCT
PUBMEDHigh

The SYDNEY 2 trial (n=181, 5 weeks) found all three oral ALA doses (600, 1200, 1800 mg/day) significantly reduced the Total Symptom Score versus placebo (~50% vs 32% reduction); 600 mg/day provided the optimal risk-to-benefit ratio with fewer side effects than higher doses.

Dose: 600 mgDuration: 5 weeks
Neuropathic symptoms & deficits (intravenous ALA trials)
Diabetic patients with symptomatic polyneuropathymeta-analysis of RCTs
PUBMEDHigh

Meta-analysis of 4 RCTs (ALADIN I, ALADIN III, SYDNEY, NATHAN II; n=1,258) found IV ALA 600 mg/day for 3 weeks significantly improved Total Symptom Scores (24.1% relative difference vs placebo) & neuropathic deficits; responder rate 52.7% vs 36.9% for placebo.

Dose: 600 mgDuration: 3 weeks
Intravenous administration; oral bioavailability is lower. Oral 600 mg/day achieves similar clinical improvements over longer duration per SYDNEY 2.
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metabolicantioxidantlongevity

Alpha-lipoic acid & fisetin are combined to support metabolic health & provide antioxidant benefits. Alpha-lipoic acid improves insulin sensitivity & supports metabolic function, while fisetin offers anti-aging & antioxidant support.

Alpha-Lipoic Acid (ALA)
600mg
Fisetin
1000mg
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