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The most frequently reported side effects of oral lipoic acid supplementation are allergic reactions affecting the skin, including rashes, hives, and itching
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Alpha-lipoic acid has been linked to a variety of other health benefits
The key structural innovation is the side-chain lactam bridge connecting the Asp carboxyl group to the Lys amine, forming a 23-membered macrocycle (Al-Obeidi 1989, PMID 2555512)
In particular, the degradation of hemoglobin from lysed red blood cells releases toxic substancessuch as ironthat contribute to oxidative stress, neuroinflammation, and bloodbrain barrier disruption (182)
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