ALPHA LIPOIC ACID
Naturally occurring organosulfur antioxidant and mitochondrial cofactor used for diabetic neuropathy and metabolic support.
ALA is clinically approved in several countries (notably Germany) for intravenous treatment of diabetic polyneuropathy, with moderate evidence for reducing neuropathic pain and paresthesia. Systematic reviews suggest benefits for metabolic syndrome components including insulin resistance, dyslipidemia, and obesity, though high-quality RCTs remain limited. A meta-analysis found possible adjunctive benefit in schizophrenia, but evidence is preliminary. Preclinical studies in ALS models showed slowed motor decline, but no human trials have been published. An observational study suggested ALA combined with CoQ10 may reduce chronic COVID fatigue, but this requires confirmation via RCT. Overall, evidence is strongest for diabetic neuropathy and weakest for neurodegenerative and psychiatric applications.