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Alpha-lipoic acid (ALA, thioctic acid) is a naturally occurring vitamin-like nutrient that has been intensely investigated as a beneficial agent for a variety of bodily functions involving the nervous, cardiovascular, immune, and detoxification systems. It exists as two enantiomers or stereoisomers: R-(+)-lipoic acid (RLA) and S-(-)-lipoic acid (SLA). It is produced in small amounts in the liver and other body tissues, where it is needed by enzymes to catalyze numerous essential chemical reactions in the body. For instance, ALA is essential inside the mitochondria of cells, where it is needed to metabolize glucose and direct calories into energy production. ALA is considered to be a multimodal supplement because, aside from its enzymatic role in energy production, it acts by multiple mechanisms and displays diverse health-enhancing and antioxidant properties. Recently discovered is ALA’s ability to regulate several genes linked to cell survival and oxidative stress. Therefore, in addition to its enzymatic role, ALA is a powerful antioxidant and performs a number of other vital functions related to its ability to modify the expression of various genes. Supplementing with ALA is, therefore, not so much a direct benefit to cells, but rather an indirect aid that effectively "kick starts" declining function, helping cells recover functionality that came more easily and naturally in youth.
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