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Head-to-head evidence comparison — which supplement is right for you?
Alpha Lipoic Acid wins 2 of 3 categories. Both are solid choices — the best pick depends on your specific goals.
Verdict
Likely helps
17 of 20 studies with measurable effects showed benefit.
Top outcomes
Verdict
Mostly mechanism / observational
1 of 1 studies with measurable effects showed benefit.
Top outcomes
Shared outcomes (1)
Outcomes where both Alpha Lipoic Acid and Pterostilbene have evidence — compare verdict strength side-by-side.
300-600mg
On empty stomach for best absorption, 30-60 minutes before meals
R-Alpha Lipoic Acid (R-ALA) — the natural form
50-100mg daily
Morning with breakfast, Can be divided into two doses
Pterostilbene capsules
4-12 weeks
4-8 weeks
2-4 weeks
4-8 weeks
6-12 weeks
4-8 weeks
Weeks
Effects of Oral Alpha-Lipoic Acid Treatment on Diabetic Polyneuropathy: A Meta-Analysis and Systematic Review
Nutrients (2023) · Meta analysis · n=1242
ALA treatment produced favorable results for TSS (a dose-related trend was observed), NDS, and the global satisfaction score.
Effects of selected dietary supplements on migraine prophylaxis: A systematic review and dose-response meta-analysis of randomized controlled trials
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2025) · Meta analysis
In adults, compared with placebo, these supplements did not significantly affect other outcomes, and omega-3 supplementation did not yield a statistically significant reduction in any of these outcomes.
The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis
Nutrients (2025) · Meta analysis · n=50
This study found no convincing evidence of an effect of any dietary supplements on male infertility.
Resveratrol and Its Analogues: Anti-ageing Effects and Underlying Mechanisms
Sub-cellular biochemistry (2024) · Systematic review
The anti-ageing mechanisms of resveratrol and its analogues are complex and multifactorial, involving suppressing oxidative stress, ameliorating inflammation, activating SIRT1 pathway, reducing DNA damage, etc.
Antiobesity pathways of pterostilbene and resveratrol: a comprehensive insight
Critical reviews in food science and nutrition (2024) · Systematic review
Stilbenes are products of the plant phenylpropanoid pathway.
Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions
The journals of gerontology. Series A, Biological sciences and medical sciences (2023) · Systematic review
Limitations are identified and future research directions are suggested to further our understanding of the potential efficacy of NAD+-boosting compounds for improving physiological function and extending human health span.© The Author(s) 2023.
Based on multiple meta-analyses showing dose-related trends for TSS improvement. 600mg/day most studied dose with significant benefit vs placebo in 73% of studies. Limited data on doses above 600mg.
Based on RCT with n=111 NAFLD patients showing reduced hepatic inflammation markers and ceramide 14:0 levels. Conservative estimate given single study and disease-specific population.
AI-estimated from published studies. Interpret as directional guidance.
Alpha Lipoic Acid has a higher evidence score (7/10 vs 4/10) and wins in 2 of 3 categories.
For metabolic health, Alpha Lipoic Acid has a higher relevance score (90 vs 70).
No known interactions between Alpha Lipoic Acid and Pterostilbene have been documented in our database. However, always consult a healthcare provider before combining supplements.