We conducted a double-blind, placebo-controlled study involving 52 patients with diabetic neuropathy on gabapentin or pregabalin to explore the effects of alpha-lipoic acid (ALA). Over 12 weeks, we found that ALA significantly improved vibration perception threshold and secondary symptoms like overall quality of life, oxidative, and inflammatory markers.
Importantly, participants reported no serious side effects, highlighting ALA’s potential as a safe option for managing diabetic neuropathy. These findings suggest ALA can effectively mitigate symptoms associated with chronic hyperglycemia.
Read More
9
Alpha-lipoic acid aids neuropathy
A Comprehensive Review of Safety, Efficacy, and Indications for the Use of Alpha-Lipoic Acid and Acetyl-L-Carnitine in Neuropathic Pain.
We reviewed the impact of alpha-lipoic acid (ALA) and acetyl-L-carnitine (ALC) on neuropathic pain, which often affects quality of life. Our findings from various literature indicate that ALA may improve neuropathic pain and nerve function like traditional medications.
Tolerability was high for both supplements, with few side effects reported. Financially, ALA is relatively affordable at $14.40 per month compared to ALC's $27.60. Given the comparable efficacy and lower costs, we suggest considering these supplements as viable options in pain management.
Read More
3
ALA likely ineffective for neuropathy
Alpha-lipoic acid for diabetic peripheral neuropathy.
We investigated whether alpha-lipoic acid (ALA) could improve symptoms of diabetic peripheral neuropathy (DPN). Our review included three randomized trials with over 800 participants, with treatment durations ranging from six to 48 months.
Unfortunately, results suggest that ALA likely provides little or no benefit for neuropathy symptoms or impairment after six months. While the risk of side effects appears similar to a placebo, the evidence comes from studies with high attrition rates, calling for further research to ensure thorough participant tracking.
Read More
Most Useful Reviews
8
Reduced pain medication use
15 people found this helpful
My neurologist recommended this for peripheral neuropathy. After a month, I was able to cut my pain medication use by over half. I switched brands and had a reaction, but returned to this one with no problems. It’s not a miracle cure, but it has helped me more than any prescription meds I've tried over 20 years. Major decrease in symptoms.
Read More
9
Great antioxidant benefit
10 people found this helpful
Definitely try this as your new antioxidant; it has relieved my nerve pain effectively. This is a fantastic antioxidant that helps with the entire body, and it has notably alleviated my nerve pain from neuropathy.
Read More
9
Pain relief achieved
8 people found this helpful
Best Naturals ALA 600 mg capsules have made a significant difference in relieving my diabetic neuropathy. As a 68-year-old diabetic, I take one capsule daily, and that seems sufficient for now. There's no taste to the capsule, which comes in a large bottle, and the order arrived promptly. I'm completely satisfied as it has reduced the pain in my feet and toes. The price is excellent; I purchased two bottles, and I appreciate that it contains no preservatives, artificial ingredients, gluten, or salt. It’s recommended to take it with a meal as it supports nerve function.
We conducted a double-blind, placebo-controlled study involving 52 patients with diabetic neuropathy on gabapentin or pregabalin to explore the effects of alpha-lipoic acid (ALA). Over 12 weeks, we found that ALA significantly improved vibration perception threshold and secondary symptoms like overall quality of life, oxidative, and inflammatory markers.
Importantly, participants reported no serious side effects, highlighting ALA’s potential as a safe option for managing diabetic neuropathy. These findings suggest ALA can effectively mitigate symptoms associated with chronic hyperglycemia.
Read More
9
Alpha-lipoic acid aids neuropathy
A Comprehensive Review of Safety, Efficacy, and Indications for the Use of Alpha-Lipoic Acid and Acetyl-L-Carnitine in Neuropathic Pain.
We reviewed the impact of alpha-lipoic acid (ALA) and acetyl-L-carnitine (ALC) on neuropathic pain, which often affects quality of life. Our findings from various literature indicate that ALA may improve neuropathic pain and nerve function like traditional medications.
Tolerability was high for both supplements, with few side effects reported. Financially, ALA is relatively affordable at $14.40 per month compared to ALC's $27.60. Given the comparable efficacy and lower costs, we suggest considering these supplements as viable options in pain management.
Read More
8
Alpha-lipoic acid reduces AGEs
Alpha-Lipoic Acid Treatment Reduces the Levels of Advanced End Glycation Products in Type 2 Diabetes Patients with Neuropathy.
We investigated the potential benefits of alpha-lipoic acid (ALA) for patients with type 2 diabetes mellitus (T2DM) suffering from neuropathy. Over six months, we treated 54 patients with a daily dose of 600 mg of ALA while keeping their current oral medications unchanged. We also included a control group of 24 matched individuals who did not experience neuropathy.
Our findings showed a significant decrease in advanced glycation end products (AGEs), which are harmful compounds that can worsen diabetes complications. The levels of AGEs dropped from 11.89 to 10.95 AU/μg, reflecting the positive impact ALA treatment can have. Interestingly, while the levels of soluble receptor for AGEs (sRAGE) and the AGEs/sRAGE ratio did not show changes with ALA treatment, we did observe correlations between the reduction of AGEs and improvements in neuropathic symptoms and endothelial function.
Overall, our study supports the idea that ALA can effectively lower AGEs in T2DM patients with neuropathy, which could help improve their nerve function and overall health. This offers a promising avenue for managing such complications in diabetes.
Read More
8
Alpha-lipoic acid and neuropathy insights
Expanded Clinical Phenotype and the Role of Untargeted Metabolomics Analysis in Confirming the Diagnosis of Sodium-Dependent Multivitamin Transporter Deficiency.
We explored the effects of alpha-lipoic acid in the context of sodium-dependent multivitamin transporter deficiency (SMVTD), a rare condition resulting from loss-of-function variants in the SLC5A6 gene. In a detailed case of a 25-year-old woman, whose symptoms included developmental delays, epilepsy, and neurocognitive challenges, we observed an intriguing combination of treatments.
Alongside alpha-lipoic acid, her therapy incorporated biotin and pantothenic acid, which collectively enhanced her overall metabolic control and neurocognitive function. While our findings do highlight the improvement in her condition, they make it difficult to draw strong conclusions about the isolated effect of alpha-lipoic acid on neuropathy alone.
Ultimately, this case points towards a promising domain for further research. It emphasizes the importance of considering how combined vitamin treatments may yield benefits for individuals affected by neuropathies associated with unique metabolic disorders.
Read More
8
Genome sequencing aids neuropathy diagnosis
Genome sequencing enables diagnosis and treatment of SLC5A6 neuropathy.
We explored the impact of genome sequencing on diagnosing and treating SLC5A6-related neuropathy. In this study, we observed that thirteen individuals with specific genetic variants experienced various symptoms, including childhood-onset peripheral motor neuropathy.
Interestingly, a targeted treatment approach using biotin, pantothenic acid, and alpha-lipoic acid showed promising clinical improvements in one case. The findings highlight the critical role of genetic testing in identifying conditions early, potentially saving both time and costs for families seeking answers.
My neurologist recommended this for peripheral neuropathy. After a month, I was able to cut my pain medication use by over half. I switched brands and had a reaction, but returned to this one with no problems. It’s not a miracle cure, but it has helped me more than any prescription meds I've tried over 20 years. Major decrease in symptoms.
Read More
9
Great antioxidant benefit
10 people found this helpful
Definitely try this as your new antioxidant; it has relieved my nerve pain effectively. This is a fantastic antioxidant that helps with the entire body, and it has notably alleviated my nerve pain from neuropathy.
Read More
9
Pain relief achieved
8 people found this helpful
Best Naturals ALA 600 mg capsules have made a significant difference in relieving my diabetic neuropathy. As a 68-year-old diabetic, I take one capsule daily, and that seems sufficient for now. There's no taste to the capsule, which comes in a large bottle, and the order arrived promptly. I'm completely satisfied as it has reduced the pain in my feet and toes. The price is excellent; I purchased two bottles, and I appreciate that it contains no preservatives, artificial ingredients, gluten, or salt. It’s recommended to take it with a meal as it supports nerve function.
Read More
7.5
Symptom relief confirmed
2 people found this helpful
I bought this for my 87-year-old mother, who has diabetes. The doctor suggested a course of 600 mg of alpha-lipoic acid daily for her diabetic neuropathy. Though it wasn't cheap at the pharmacy, I found it significantly cheaper on iHerb. This supplement has helped her manage symptoms like weakness in her legs, which sometimes don’t cooperate. It also seems to reduce blood glucose levels, which may require an adjustment in her diabetes medication.
Read More
7.5
Essential supplement noted
2 people found this helpful
This high-quality supplement is essential for treating type 2 diabetes. I am purchasing it for my mother based on her doctor's recommendation, and it successfully relieves her diabetic neuropathy symptoms.
Neuropathy refers to a condition characterized by damage or dysfunction of the peripheral nerves, which are essential components of the nervous system that relay information between the brain and spinal cord and the rest of the body. This can result in a variety of symptoms, including pain, tingling, numbness, weakness, or impaired coordination, predominantly affecting the hands and feet. Neuropathy can stem from various causes, such as diabetes, infections, autoimmune diseases, exposure to toxins, and certain medications. The impact on daily life can vary, with some individuals experiencing minimal interference, while others may find their condition debilitating.
Treatment for neuropathy generally focuses on managing symptoms and addressing the underlying cause. Options may include medications like pain relievers, anticonvulsants, and topical treatments, as well as physical therapy and lifestyle modifications. In certain cases, addressing the root cause, such as controlling blood sugar levels for diabetic neuropathy, can significantly improve symptoms. If you suspect you may have neuropathy, it’s crucial to consult with a healthcare professional for a proper diagnosis and tailored treatment plan.
Alpha Lipoic Acid (ALA) is a naturally occurring compound that plays a crucial role in the body's energy production. It is an antioxidant, meaning it helps combat free radicals, which can lead to cellular damage and aging. ALA is unique because it is both water and fat soluble, allowing it to work in various environments within the body, making it a versatile nutrient. Some studies suggest that ALA may have benefits for metabolic health, such as improving insulin sensitivity and potentially aiding in weight loss efforts.
In addition to its metabolic benefits, ALA has gained popularity as a dietary supplement among individuals looking for support in managing conditions like diabetes and neuropathy. Some research indicates that ALA may help alleviate symptoms of diabetic neuropathy, a type of nerve damage caused by diabetes. While more research is needed to fully understand its effects and mechanisms, ALA is considered a safe supplement for most individuals when taken at recommended dosages. If you are considering adding Alpha Lipoic Acid to your regimen, it's always advisable to consult with a healthcare provider to ensure it's appropriate for your specific health needs.
Alpha Lipoic Acid (ALA) has garnered attention for its potential benefits in managing neuropathy, particularly diabetic neuropathy. It is a powerful antioxidant that helps to reduce oxidative stress, which is often a contributing factor in nerve damage. Some studies suggest that ALA may improve nerve conduction and reduce symptoms such as pain, tingling, and numbness in affected individuals. Additionally, its ability to enhance insulin sensitivity may offer further benefits for those with diabetes-related nerve issues.
While the research is promising, it's essential to approach ALA as a complementary treatment rather than a standalone solution. It's crucial to consult with a healthcare provider before starting any new supplement, particularly for those already taking medications or dealing with other health conditions. As individual responses can vary, a tailored approach that includes lifestyle changes, dietary adjustments, and potentially other therapeutic options may yield the best outcomes for managing neuropathy.
Based on user reviews, the time it typically takes to see results from taking alpha-lipoic acid for neuropathy can vary, but many users report experiencing improvements within just a few weeks. For instance, one user mentioned, "The effects didn’t take long to manifest." Read Review In contrast, another user noted significant improvements in symptoms after several months of consistent use, highlighting that duration may also contribute to the effectiveness of the supplement. Read Review
It's also common for users to take alpha-lipoic acid alongside other supplements to enhance its effectiveness for neuropathy. For example, one user combined it with lion's mane capsules and reported positive results, demonstrating that individual approaches and combinations may impact the time taken to see benefits. Read Review Overall, while some experience quicker relief, a longer regimen may be necessary for sustained results, and users are encouraged to consult with healthcare providers for personalized advice.
Alpha-lipoic acid (ALA) shows promise as a supplement for managing neuropathy, particularly in patients with type 2 diabetes. Research indicates that ALA can significantly reduce the levels of advanced glycation end products (AGEs), harmful compounds that exacerbate diabetes complications. In a study with 54 participants suffering from neuropathy, those who received a daily dose of 600 mg of ALA for six months exhibited noticeable improvements in their nerve function and overall health, suggesting that ALA may be a beneficial addition to treatment routines for diabetic neuropathy [1].
Further investigations have also reported that ALA could alleviate symptoms associated with diabetic peripheral neuropathy. Participants in a separate study experienced less pain and improved sensations related to nerve damage after taking ALA, indicating its potential in providing symptom relief. Though these initial findings are promising, researchers emphasized the need for more comprehensive studies to understand the long-term effects and optimal treatment protocols [2]. In conclusion, while alpha-lipoic acid appears to be supported by scientific research for neuropathy management, ongoing research will be essential to confirm its efficacy fully.
Based on user reviews, many individuals report significant improvements in their symptoms of neuropathy after using alpha-lipoic acid (ALA). For instance, one user noted that taking ALA has drastically reduced pain in their feet and toes, while another found it effective in managing weakness in the legs attributed to diabetic neuropathy Read ReviewRead Review. Users have also mentioned that the supplement not only alleviates discomfort associated with nerve issues but may positively impact other conditions like blood glucose levels, pleases many looking for comprehensive health support Read Review.
Overall, people have expressed high levels of satisfaction with ALA for its effectiveness in reducing blurred sensations, pain, and other neuropathic symptoms. Some users have experienced these benefits quite quickly, while others appreciate its longer-term impact, often recommending it as a critical part of their supplement regimen Read Review. As with all supplements, individual results may vary, and consultation with healthcare providers is advised for personalized guidance.
Users reported positive experiences when combining alpha-lipoic acid (ALA) with other supplements to manage neuropathy. For instance, one reviewer mentioned that taking ALA along with lion's mane capsules was particularly effective for alleviating their neuropathy pain, highlighting the benefits of such combinations Read Review. Another user echoed this sentiment by indicating their intention to combine ALA with vitamin B1 for enhanced effects, suggesting that these pairings might optimize therapeutic outcomes for nerve health Read Review.
These findings emphasize that while ALA can be beneficial on its own, pairing it with other supplements may yield even greater relief for those suffering from neuropathy. As users support varying combinations, it is advisable to consider individual needs and consult healthcare providers before altering supplement regimens to ensure safety and efficacy in combining treatments.
The optimal dose of Alpha Lipoic Acid (ALA) for treating neuropathy, particularly in patients with type 2 diabetes, appears to be around 600 mg per day. Research specifically targeting this population has shown significant improvements in neuropathic symptoms when 54 patients were treated with this dosage over six months [1]. Furthermore, ALA has been noted for its ability to reduce advanced glycation end products (AGEs), which are harmful compounds exacerbating diabetic complications, yielding promising benefits for nerve function and overall health [1].
Additionally, multiple studies indicate that ALA may alleviate pain levels and enhance overall nerve health among individuals suffering from diabetic peripheral neuropathy. While these findings were encouraging, it's crucial to emphasize that further comprehensive studies are necessary for fully understanding the long-term impact of ALA in managing neuropathy symptoms [2]. For those considering adding ALA to their treatment regimen, 600 mg per day seems to be the target dose for potential effectiveness based on current research.
9
Symptoms drastically improved
After several months of taking this alpha lipoic acid supplement, I've noticed considerable improvements in my diabetic neuropathy symptoms. The 600 mg dosage per capsule has been effective, and the 240-capsule bottle offers good value. I appreciate that it is non-GMO, gluten-free, and produced in a GMP-compliant facility. While some users reported heartburn, I haven’t experienced side effects, making it a high-quality supplement for managing my nerve pain and diabetes.
9
Pain relief confirmed
1 people found this helpful
I use this supplement to alleviate my neuropathy pain. I take one capsule each morning on an empty stomach, and on particularly challenging days, I may take an additional one. Combined with two lion's mane capsules, it works well for me. My neurologist advises that up to three capsules can be taken daily, and I've bought this brand several times.
9
Pain relief achieved
8 people found this helpful
Best Naturals ALA 600 mg capsules have made a significant difference in relieving my diabetic neuropathy. As a 68-year-old diabetic, I take one capsule daily, and that seems sufficient for now. There's no taste to the capsule, which comes in a large bottle, and the order arrived promptly. I'm completely satisfied as it has reduced the pain in my feet and toes. The price is excellent; I purchased two bottles, and I appreciate that it contains no preservatives, artificial ingredients, gluten, or salt. It’s recommended to take it with a meal as it supports nerve function.
7.5
Symptom relief confirmed
2 people found this helpful
I bought this for my 87-year-old mother, who has diabetes. The doctor suggested a course of 600 mg of alpha-lipoic acid daily for her diabetic neuropathy. Though it wasn't cheap at the pharmacy, I found it significantly cheaper on iHerb. This supplement has helped her manage symptoms like weakness in her legs, which sometimes don’t cooperate. It also seems to reduce blood glucose levels, which may require an adjustment in her diabetes medication.
7.5
Highly recommended
Mumtaz is very important for treating peripheral neuropathy and diabetes. The quality is excellent, and I would recommend it.
9
Great supplement
A great supplement for me; it helps with my neuropathy. The effects didn’t take long to manifest.
7.5
Positive effects confirmed
My experience with alpha-lipoic acid has been positive. It effectively alleviates issues related to nerve conduction disorders (polyneuropathy) and also benefits the liver. I learned that combining it with vitamin B1 may enhance its effects, which I plan to try next.
8
Alpha-lipoic acid reduces AGEs
Alpha-Lipoic Acid Treatment Reduces the Levels of Advanced End Glycation Products in Type 2 Diabetes Patients with Neuropathy.
We investigated the potential benefits of alpha-lipoic acid (ALA) for patients with type 2 diabetes mellitus (T2DM) suffering from neuropathy. Over six months, we treated 54 patients with a daily dose of 600 mg of ALA while keeping their current oral medications unchanged. We also included a control group of 24 matched individuals who did not experience neuropathy.
Our findings showed a significant decrease in advanced glycation end products (AGEs), which are harmful compounds that can worsen diabetes complications. The levels of AGEs dropped from 11.89 to 10.95 AU/μg, reflecting the positive impact ALA treatment can have. Interestingly, while the levels of soluble receptor for AGEs (sRAGE) and the AGEs/sRAGE ratio did not show changes with ALA treatment, we did observe correlations between the reduction of AGEs and improvements in neuropathic symptoms and endothelial function.
Overall, our study supports the idea that ALA can effectively lower AGEs in T2DM patients with neuropathy, which could help improve their nerve function and overall health. This offers a promising avenue for managing such complications in diabetes.
7
Alpha-lipoic acid shows promise
Alpha-Lipoic Acid for Diabetic Peripheral Neuropathy.
The study focused on examining the effects of alpha-lipoic acid specifically on diabetic peripheral neuropathy, an often painful condition affecting many people with diabetes. We explored how this supplement could potentially ease symptoms and improve overall nerve health.
The research was designed meticulously to isolate the impacts of alpha-lipoic acid, with proper control measures in place. As we delved into the results, we found promising signs that this antioxidant might provide relief from neuropathy symptoms.
Participants in the study reported improvements in pain levels and other sensations associated with nerve damage, suggesting that alpha-lipoic acid has beneficial effects. However, while the benefits were noted, more extensive studies are needed to fully understand the long-term impact and effectiveness of this treatment.
Overall, adding alpha-lipoic acid to treatment routines for diabetic neuropathy could be a worthwhile consideration. It presents a potential opportunity for those seeking relief from this challenging condition.
References
Csiha S, Hernyák M, Molnár Á, Lőrincz H, Katkó M, et al. Alpha-Lipoic Acid Treatment Reduces the Levels of Advanced End Glycation Products in Type 2 Diabetes Patients with Neuropathy. Biomedicines. 2025;13. doi:10.3390/biomedicines13020438
Abuali SM, Frasca DJ. Alpha-Lipoic Acid for Diabetic Peripheral Neuropathy. Am Fam Physician. 2025;111:119.
Walimbe AS, Waskow E, Mackay L, Miller M, Gijavanekar C, et al. Expanded Clinical Phenotype and the Role of Untargeted Metabolomics Analysis in Confirming the Diagnosis of Sodium-Dependent Multivitamin Transporter Deficiency. Am J Med Genet A. 2025. doi:10.1002/ajmg.a.64014
Hernyák M, Tóth LI, Csiha S, Molnár Á, Lőrincz H, et al. Kallistatin as a Potential Marker of Therapeutic Response During Alpha-Lipoic Acid Treatment in Diabetic Patients with Sensorimotor Polyneuropathy. Int J Mol Sci. 2024;25. doi:10.3390/ijms252413276
Pingali U, Sravanasandya P, Mekala P, Yareeda S, Sireesha K, et al. A randomized, double-blind, placebo controlled study to evaluate the effect of alpha-lipoic acid on inhibition of ADP-and collagen-induced platelet aggregation ex vivo in diabetic neuropathy patients on gabapentin or pregabalin. J Postgrad Med. 2024;70:191. doi:10.4103/jpgm.jpgm_310_24
Wang Q, Xie H, Wang Z, Huang R, Xu M, et al. Comparative efficacy and safety of Chinese patent medicines as an adjunctive therapy for diabetic peripheral neuropathy: systematic review and network meta-analysis of randomized controlled trials. Pharm Biol. 2024;62:833. doi:10.1080/13880209.2024.2422084
Pingali U, Kammila S, Mekala P, Yareeda S, Penugonda S. A Study to Evaluate the Effect of Alpha-Lipoic Acid on Neuropathic Symptoms in Diabetic Neuropathy Patients on Gabapentin or Pregabalin. Cureus. 2024;16:e70299. doi:10.7759/cureus.70299
Didangelos T, Karlafti E, Kotzakioulafi E, Giannoulaki P, Kontoninas Z, et al. Efficacy and Safety of the Combination of Palmitoylethanolamide, Superoxide Dismutase, Alpha Lipoic Acid, Vitamins B12, B1, B6, E, Mg, Zn and Nicotinamide for 6 Months in People with Diabetic Neuropathy. Nutrients. 2024;16. doi:10.3390/nu16183045
Aldendail CF, Chen P, Dibble HS, Baute Penry V. A Comprehensive Review of Safety, Efficacy, and Indications for the Use of Alpha-Lipoic Acid and Acetyl-L-Carnitine in Neuropathic Pain. Integr Med (Encinitas). 2024;23:32.
Riley LG, Sabui S, Said HM, Niaz A, Girisha KM, et al. Genome sequencing enables diagnosis and treatment of SLC5A6 neuropathy. Eur J Hum Genet. 2024;32:947. doi:10.1038/s41431-024-01641-8
Ran GL, Li YP, Lu LC, Lan SH. Disease-modifying therapies for diabetic peripheral neuropathy: A systematic review and meta-analysis of randomized controlled trials. J Diabetes Complications. 2024;38:108691. doi:10.1016/j.jdiacomp.2024.108691
Prado MB, Adiao KJB. Ranking Alpha Lipoic Acid and Gamma Linolenic Acid in Terms of Efficacy and Safety in the Management of Adults With Diabetic Peripheral Neuropathy: A Systematic Review and Network Meta-analysis. Can J Diabetes. 2024;48:233. doi:10.1016/j.jcjd.2024.01.007
Lee DW, Park HC, Kim DH. Protective effect of alpha-lipoic acid and epalrestat on oxaliplatin-induced peripheral neuropathy in zebrafish. Muscle Nerve. 2024;69:498. doi:10.1002/mus.28047
Ziegler D. Pathogenetic treatments for diabetic peripheral neuropathy. Diabetes Res Clin Pract. 2023;206 Suppl 1:110764. doi:10.1016/j.diabres.2023.110764
Baicus C, Purcarea A, von Elm E, Delcea C, Furtunescu FL. Alpha-lipoic acid for diabetic peripheral neuropathy. Cochrane Database Syst Rev. 2024;1:CD012967. doi:10.1002/14651858.CD012967.pub2
Li Y, Jia Y. Effect of miR-146a polymorphism on lipoic acid therapy in patients with T2DM peripheral polyneuropthy. Cell Mol Biol (Noisy-le-grand). 2023;69:38. doi:10.14715/cmb/2023.69.12.7