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S-ALA: The two forms of alpha-lipoic acid Alpha-lipoic acid exists as two molecular mirror images, or isomers: R-ALA and S-ALA

Prog Neuropsychopharmacol Biol Psychiatry 31(7):14931499

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In both these instances, conditions tend to improve due to body weight dropping making it important to recognise which benefits are due to weight loss rather than any specific pharmacological action