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doi: 10.4093/dmj.2012.36.3.190

Supplement alternatives to ALA If youre exploring options beyond alpha-lipoic acid for nerve health or oxidative stress, two of the most studied and promising alternatives are vitamin B12 and acetyl-L-carnitine (ALCAR).56 Each plays a unique role in nerve protection and repair, particularly in the context of diabetic neuropathy

When administered under medical supervision, B12 injections are well-tolerated, safe, and have minimal risk of side effects

Most manufacturers, including us, state that unopened vials can be safely stored at controlled room temperature (around 20C to 25C or 68F to 77F)