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As an adjunct to fluid and electrolyte replacement therapy and the use of other drugs and procedures in the treatment of hypovolemic and septic shock, low cardiac output (hypoperfusion) states, congestive heart failure, and cardiogenic shock

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Under Section 503A of the Federal Food, Drug, and Cosmetic Act, compounding pharmacies can legally prepare individualized medications for patients with valid prescriptions provided the bulk drug substance they use meets one of three criteria: it appears on the FDA's Category 1 list of approved bulk substances, it has a USP/NF monograph, or it is a component of an FDA-approved drug

Among these, 600mg of racemic ALA taken once daily is the most common and well-tolerated therapeutic dose, particularly for conditions like diabetic neuropathy