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Bile salt malabsorption, small intestinal bacterial overgrowth (SIBO), and lactose intolerance may also occur (Stacey 2014)
[DOI] [PubMed] [Google Scholar] 39.Derosa G., Maffioli P., Ferrari I., DAngelo A., Fogari E., Palumbo I., Randazzo S., Cicero A.F

The 125mg dose is ideal for gradual titration across meals, which may help minimize the gastrointestinal side effects sometimes associated with ALA like nausea or reflux.18 43 Taking three capsules daily (375mg R-ALA) equates to just above the 600mg dose of racemic ALA used in many clinical trials.17 Pricing and shipping A single 60-count bottle costs $24.99, but shipping adds about $10 unless you buy in bulk
10.1016/j.jphys.2019.07.003 127 Roche Fachportal (2023)
