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Still, some early clinical findings hint at potential uses in more specific contexts: Perioperative brain protection: A randomized controlled trial involving 155 liver surgery patients found that ALA reduced oxidative brain injury from anesthesia (sevoflurane) and improved cognitive recovery scores after surgery.31 Neurodegenerative conditions: In a small trial, ALA appeared to slow brain atrophy in patients with secondary progressive multiple sclerosis over a two-year period.32 While promising, this outcome still needs further confirmation

This sanitizes the surface and prevents contaminants being introduced when piercing the vial

Rotate the site every time, because injecting the same spot repeatedly can cause a fatty lump (lipohypertrophy) that slows absorption, a point the NHS is clear about when it advises you to rotate sites daily