@dmcatoe I take na-R-ALA 1200 mg daily along with some other supplements to hopefully slow or possibly stop the progression of my neuropathy (my pros). My cons are the cost but I wasted money on much worse things. There is another discussion on the topic in case you haven't seen it.
-- Does any neurologist prescribe Alpha Lipoic Acid?: https://connect.mayoclinic.org/discussion/does-any-neurologist-prescribe-alpha-lipoic-acid/

Here's a search of Connect listing related discussions and comments from members who have posted about R-Lipoic Acid - https://connect.mayoclinic.org/search/.

I don't have pain with my neuropathy, only the numbness and some tingling but if you have pain and it helps that might be another pro. Here's some research:
-- Efficacy of alpha-lipoic acid in mitigating neuropathic pain: mechanistic insights and therapeutic implications: https://link.springer.com/article/10.1007/s10787-026-02159-9

If you want to dig a little deeper into more research, Google Scholar has a lot of research on the supplement - https://scholar.google.com/scholar