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Michael Glickman, M.D., a board-certified physician in obesity, family and lifestyle medicine, and the founder of Revolution Medicine, Health & Fitness in Washington, D.C

The most common side effects are gastrointestinal: nausea (28%), diarrhea (24%), constipation (21%), and vomiting (17%) at the 12mg dose

Likewise, for breastfeeding, there is no reliable information on the excretion of alpha-lipoic acid into breast milk or its effects on a nursing infant