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It is not the same as Alpha Lipoic Acid (ALA) or N-Acetyl L-Cysteine (NAC).

Preliminary data suggest that -Hydroxy--methylbutyrate may attenuate lean mass loss during caloric restriction [54]

Biotin-enhanced formulas Some ALA supplements include added biotin as a precaution, based on limited evidence primarily from animal studies suggesting high doses of ALA might interfere with biotin metabolism.57 While the real-world significance in humans remains unclear, manufacturers include biotin to help prevent any potential deficiency

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