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R-Lipoic Acid for neuropathy

Neuropathy | Last Active: Oct 14 10:22am | Replies (43)

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I am curious about differing results in effectiveness between R-Alpha Lipoic Acid (natural) and Alpha Lipoic Acid (artificially created, in a lab) — is there truly a difference? I have not started on any form yet. My peripheral neuropathy is from nerve inflammation brought about by my lupus (SLE.) I don’t think the source of the neuropathy makes a difference in this treatment, but I thought I would mention it in case any of you have related lupus insights to share. Thank you all in advance. (This is my first post on Mayo Connect!)

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Replies to "I am curious about differing results in effectiveness between R-Alpha Lipoic Acid (natural) and Alpha Lipoic..."

Welcome @johannamarie, Happy to see that you found Connect which is a great way to connect with other members sharing their experiences with neuropathy and other conditions. Here's some information on the differences between synthetic and natural Alpha Lipoic Acid:
"Supplements labeled as ALA usually contain a 50/50 mixture of R-ALA and S-ALA; while R-Lipoic Acid supplements specifically contain R-ALA only."
-- R-Lipoic Acid vs Alpha-Lipoic Acid: Which Is Better?
https://www.performancelab.com/blogs/energy/r-lipoic-acid-vs-alpha-lipoic-acid
Basically the synthetic version of ALA (S-ALA) has 40 to 50 percent less bioavailability -
http://lpi.oregonstate.edu/mic/dietary-factors/lipoic-acid
Since you mentioned your neuropathy is from nerve inflammation caused by Lupus (SLE), I thought you might like to connect with others who mentioned the neuropathy and SLE. Here's a search of Connect with posts by members with similar conditions - https://connect.mayoclinic.org/search/comments/.

Do you have pain with your neuropathy symptoms?

@johannamarie the S form of ALA cannot be used within the body’s system.