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R-ALA (R-form): This is the biologically active version that your body produces naturally

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The most common side effects reported by patients include: Nausea Dizziness Hot flashes Blood pressure fluctuations Liver and kidney complications To reduce the risk of an adverse side effect, make sure you advise your doctor about all medical conditions you might be experiencing and any drugs you are taking to treat them

I stopped scribbling exchanges in a little white booklet and getting weighed in by a group leader during lunch hour at my first job