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doi: 10.1371/journal.pone.0193312

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DL-alpha lipoic acid, often referred to simply as alpha lipoic acid (ALA), is a mixture of two forms of lipoic acid: the natural R-alpha lipoic acid (R-ALA) and the synthetic S-alpha lipoic acid (S-ALA).This 50/50 racemic mixture combines the biologically active R-ALA, which is naturally found in the body and in some foods, with the synthetic S-ALA, which does not naturally occur in nature and is less effective