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L-Serine

Neuroprotection · ALS · Sleep
Tier 3 — Trending

What it is

A non-essential amino acid that plays a critical role in brain phospholipid synthesis and nerve cell function. A Dartmouth safety/tolerability trial (Levine et al., JAMA Neurology 2017) showed 30 g/day was tolerated in ALS patients, with preliminary hints of slowed ALSFRS-R decline versus historical controls — no controlled efficacy trial has replicated this, so treat as experimental. Also a precursor to glycine and D-serine, both important for sleep and NMDA receptor function. Clinical evidence remains early-stage with only small trials. Very safe even at high doses.

Efficacy
2/5
Safety
4/5
Research
2/5
Onset
2/5
Cost
3/5
Drug-int.
5/5

Dose

15–30 g/day in ALS trials (high dose); 3–5 g/day for general neuroprotection; very early-stage evidence

Time of day & tips

Dissolve powder in water or juice. Can be taken with or without food. Evening may suit better as it supports sleep-related glycine and D-serine pathways.

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