From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 1, 2026
CautionModerate evidence
What is happening. Alpha-lipoic acid may improve insulin sensitivity and lower glucose, which can add to tirzepatide's glucose-lowering effects.
Mechanism. Alpha-lipoic acid can affect insulin signaling and glucose uptake. Tirzepatide improves glucose-dependent insulin secretion and lowers glucagon through incretin receptor activation.
Recommendation. Use caution when combining alpha-lipoic acid with tirzepatide. Monitor blood glucose more often when starting or changing alpha-lipoic acid, especially if also taking insulin or sulfonylureas.
Stack Score
How it moves the number.
Effect on the composite score
If both Alpha-Lipoic Acid and Tirzepatide are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
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