Hi @fenn47, I've been taking R-ALA since 2016 as part of my supplements for neuropathy but I don't have pain with my neuropathy. I haven't noticed any hair loss but it's not getting any thicker at 81 🙃. The Foundation for Peripheral Neuropathy has a list of supplements that have shown to help neuropathy symptoms in their Complementary and Alternative Treatments document here - https://www.foundationforpn.org/vitamins-and-supplements-for-nerve-health/.

There have been other Connect members who have posted about different side effects. Here's a link that lists the comments if you want to scan through them - https://connect.mayoclinic.org/search/.