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Discard the vial if any visual changes are present (cloudiness, particulates, discoloration)

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S., et al., Lipoic Acid Exacerbates Oxidative Stress and Lipid Accumulation in the Liver of Wistar Rats Fed a Hypercaloric Choline-Deficient Diet

AST and ALT are key biomarkers of liver injury, these enzymes are normally present in the liver cells involved in amino acid metabolism and released into the bloodstream upon hepatocyte damage and membrane leakage (9)

Also, learn whether C15:0 fatty acid is "essential," as some claim