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Front Oncol (2023) 13:1165326

Serious adverse effects are rare when taken as prescribed under medical supervision

There are two versions of this compound often found in supplements: the less potent version is simply called Alpha Lipoic Acid, while a version known as R Alpha Lipoic Acid is approximately twice the strength because it only contains the R isomer as opposed to a 50/50 ratio of the active R form and the relatively inactive S form

Enlargement of the ring system of 23 , by oxidatative cyclization of Hcy 1 /Hcy 3 side chains rather than the Hcy 1 /Cys 3 side chains of 23 resulted in a compound comprising a 14-membered macrocycle but with a somewhat lower affinity to IRAP (Ki = 5.1 nM), vide infra