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DL-alpha lipoic acid, often referred to simply as alpha lipoic acid (ALA), is a mixture of two forms of lipoic acid: the natural R-alpha lipoic acid (R-ALA) and the synthetic S-alpha lipoic acid (S-ALA).This 50/50 racemic mixture combines the biologically active R-ALA, which is naturally found in the body and in some foods, with the synthetic S-ALA, which does not naturally occur in nature and is less effective

And sermorelin reconstitution carries an identical risk profile

J Exp Biol 217:651662

[DOI] [PubMed] [Google Scholar] 136.Siervo M., Hussin A.M., Calella P., Ashor A., Shannon O.M., Mendes I., Stephan B.C., Zheng D., Hill T., Mathers J.C

Its just their habit, and they do it to most people they encounter