Alpha GPC

Alpha-GPC (L-Alpha Glycerylphosphorylcholine) is a highly bioavailable choline compound that readily crosses the blood-brain barrier to deliver choline directly to the brain, where it serves as a precursor to acetylcholine, a neurotransmitter essential for memory, learning, and overall cognitive function, while also supporting neuronal membrane integrity through phospholipid synthesis, providing neuroprotection against age-related cognitive decline, enhancing athletic performance through increased growth hormone secretion, and showing therapeutic potential in conditions like Alzheimer’s disease, stroke recovery, and mild cognitive impairment.

Alternative Names: L-Alpha Glycerylphosphorylcholine, Choline Alfoscerate, Glycerophosphocholine, α-GPC, GPC

Categories: Cholinergic, Nootropic, Phospholipid Derivative, Cognitive Enhancer

Primary Longevity Benefits


  • Cognitive function
  • Brain health
  • Neuroprotection
  • Memory enhancement

Secondary Benefits


  • Athletic performance
  • Growth hormone secretion
  • Muscle strength
  • Post-stroke recovery
  • Mood improvement

Mechanism of Action


Alpha-GPC (L-alpha glycerylphosphorylcholine) exerts its biological effects primarily through its role as a precursor to acetylcholine, a critical neurotransmitter involved in cognitive function, memory, and muscle control. Upon oral administration, Alpha-GPC is absorbed in the intestine and crosses the blood-brain barrier efficiently due to its high bioavailability and amphiphilic structure. Once in the brain, Alpha-GPC is hydrolyzed to provide choline, which serves as a direct precursor for acetylcholine synthesis. This process occurs in cholinergic neurons, where choline acetyltransferase (ChAT) catalyzes the reaction between choline and acetyl-CoA to form acetylcholine.

The increased availability of acetylcholine enhances cholinergic neurotransmission, which is essential for cognitive processes including memory formation, learning, attention, and executive function. Beyond its role in acetylcholine synthesis, Alpha-GPC contributes to phospholipid synthesis in neuronal membranes. As a source of glycerophosphocholine, it provides building blocks for phosphatidylcholine, a major component of cell membranes. This may support membrane fluidity, integrity, and function, particularly in aging or damaged neurons.

Alpha-GPC has demonstrated neuroprotective properties in preclinical models, potentially through multiple mechanisms including antioxidant effects, reduction of excitotoxicity, and modulation of inflammatory responses in the central nervous system. It may enhance cerebral blood flow, potentially improving the delivery of oxygen and nutrients to brain tissues. This vasodilatory effect could contribute to its cognitive benefits, particularly in conditions characterized by reduced cerebral perfusion. Alpha-GPC has been shown to increase growth hormone secretion, particularly when combined with exercise.

This effect may contribute to its potential benefits for athletic performance and muscle strength. In the context of neurological recovery, Alpha-GPC may support neuroplasticity and neurogenesis, potentially aiding recovery from stroke, traumatic brain injury, or neurodegenerative processes. It may enhance the expression of neurotrophic factors such as brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF), which support neuronal survival, differentiation, and growth. Alpha-GPC may also modulate various neurotransmitter systems beyond the cholinergic system, including dopaminergic, glutamatergic, and GABAergic pathways, contributing to its broad effects on cognitive function and mood.

In muscle tissue, Alpha-GPC may enhance neuromuscular transmission through increased acetylcholine availability at the neuromuscular junction, potentially improving muscle contraction efficiency and power output.

Optimal Dosage


Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.

The standard dosage range for Alpha-GPC is 300-1,200 mg per day, typically divided into 2-3 doses. For cognitive enhancement and brain health in healthy adults, 300-600 mg daily is commonly used. For therapeutic purposes in cognitive disorders, higher doses of 600-1,200 mg daily are often employed in clinical settings. Alpha-GPC is generally well-tolerated, with minimal side effects reported even at higher doses within this range.

By Condition

Condition Dosage Notes
Age-related cognitive decline 300-600 mg daily, divided into 2-3 doses Lower doses may be effective for prevention, while higher doses within this range may be more appropriate for noticeable cognitive decline. Effects may take 4-6 weeks to become noticeable, with optimal benefits often seen after 8-12 weeks of consistent supplementation.
Alzheimer’s disease and dementia 1,000-1,200 mg daily, divided into 3 doses This higher therapeutic dosage is typically used in clinical settings and should be administered under medical supervision. In some studies, this dosage has shown improvements in cognitive function and activities of daily living in patients with Alzheimer’s disease.
Post-stroke recovery 1,000-1,200 mg daily, divided into 3 doses Higher doses are typically used in rehabilitation settings following stroke. Treatment is often initiated in the acute phase and continued for at least 3-6 months. Medical supervision is essential.
Athletic performance enhancement 300-600 mg, taken 30-60 minutes before exercise Studies showing benefits for power output and growth hormone secretion typically used a single dose in this range prior to exercise. May be most effective when used periodically rather than daily.
General cognitive enhancement (healthy adults) 300-600 mg daily, divided into 1-2 doses Lower doses may be sufficient for healthy adults seeking cognitive support. Some individuals report benefits with as little as 150-300 mg daily.

By Age Group

Age Group Dosage Notes
Children (<18 years) Not recommended unless prescribed by a healthcare provider Safety and efficacy not well-established in pediatric populations. Some clinical use in specific neurological conditions under medical supervision.
Young adults (18-35 years) 300-600 mg daily Lower doses may be sufficient for cognitive enhancement and athletic performance in this age group. Often used as needed rather than continuously.
Middle-aged adults (36-65 years) 300-600 mg daily May be beneficial for maintaining cognitive function and preventing age-related decline. Consider starting at the lower end of the dosage range and adjusting based on response.
Older adults (>65 years) 300-1,200 mg daily, depending on cognitive status Higher doses may be more appropriate for those with existing cognitive impairment. Start at lower doses (300 mg) and gradually increase if needed and tolerated. Medical supervision recommended, particularly at higher doses.

Bioavailability


Absorption Rate

Alpha-GPC has excellent oral bioavailability, estimated at approximately 80-85%.

It is well-absorbed in the gastrointestinal tract due to its amphiphilic nature, containing both hydrophilic and lipophilic components. Following oral administration, Alpha-GPC appears in the bloodstream relatively quickly, with peak plasma concentrations typically reached within 1-2 hours. Unlike many choline sources, Alpha-GPC efficiently crosses the blood-brain barrier, allowing

it to deliver choline directly to the brain where

it can be utilized for acetylcholine synthesis and phospholipid formation.

Enhancement Methods

Consumption with a meal containing some fat may enhance absorption, though Alpha-GPC is already highly bioavailable even when taken on an empty stomach, Liposomal formulations may further enhance delivery to the brain and cellular uptake, Micronized forms may improve dissolution rate and potentially enhance absorption kinetics, Cyclodextrin complexation may improve stability and potentially enhance absorption, Sustained-release formulations may provide more consistent blood levels over time, Co-administration with compounds that enhance cerebral blood flow (e.g., vinpocetine, ginkgo biloba) may theoretically enhance delivery to brain tissues

Timing Recommendations

Alpha-GPC can be taken with or without food, though some users report reduced likelihood of digestive discomfort when taken with meals. For cognitive enhancement, dividing the daily dose into 2-3 administrations throughout the day may provide more consistent effects than a single large dose. When used for athletic performance, taking Alpha-GPC approximately 30-60 minutes before exercise appears optimal based on studies showing acute effects on power output and growth hormone secretion. For sleep quality and overnight memory consolidation, some users report benefits from taking a dose approximately 1-2 hours before bedtime, though this approach lacks robust clinical validation.

When used in combination with racetam nootropics (e.g., piracetam, oxiracetam), taking Alpha-GPC simultaneously or shortly before the racetam may help prevent potential ‘cholinergic depletion’ sometimes reported with racetam use. For general cognitive maintenance, consistent daily supplementation appears more effective than intermittent use, with benefits potentially accumulating over weeks to months. If gastrointestinal side effects occur, splitting the dose into smaller, more frequent administrations may help reduce their intensity.

Safety Profile


Safety Rating i

4High Safety

Side Effects

  • Headache (uncommon)
  • Gastrointestinal discomfort (uncommon)
  • Nausea (rare)
  • Diarrhea (rare)
  • Dizziness (rare)
  • Heartburn (rare)
  • Skin rash (very rare)
  • Insomnia or sleep disturbances (rare, particularly when taken late in the day)
  • Increased salivation (rare)
  • Fatigue (rare)

Contraindications

  • Individuals with known hypersensitivity to Alpha-GPC or any components of the formulation
  • Pregnancy and lactation (insufficient safety data, though no specific adverse effects have been reported)
  • Individuals with severe liver or kidney disease (limited research in these populations)
  • Individuals with a history of seizures (theoretical concern due to increased cholinergic activity)
  • Individuals with Parkinson’s disease (theoretical concern due to potential interaction with dopaminergic medications)
  • Individuals with hypotension (low blood pressure) may need to exercise caution

Drug Interactions

  • Acetylcholinesterase inhibitors (e.g., donepezil, rivastigmine, galantamine) – potential for additive effects on cholinergic activity
  • Anticholinergic medications (e.g., certain antihistamines, tricyclic antidepressants, antipsychotics) – may counteract the effects of Alpha-GPC
  • Scopolamine and other antimuscarinic drugs – Alpha-GPC may reduce their effects
  • Cholinergic agonists (e.g., bethanechol, carbachol) – potential for additive effects
  • Medications metabolized by the liver – theoretical concern for interaction, though specific significant interactions have not been well-documented
  • Blood pressure medications – theoretical concern for additive hypotensive effects, though clinical significance appears minimal

Upper Limit

No official upper limit has been established for Alpha-GPC. Clinical studies have used doses up to 1,200 mg daily without significant adverse effects, and this is generally considered the upper range for therapeutic use. Some athletic performance studies have used single doses of up to 600 mg without reported adverse effects. Doses above 1,200 mg daily have not been well-studied for safety and are not typically recommended without medical supervision.

The most common side effects (headache, gastrointestinal discomfort) appear to be dose-dependent and more likely to occur at higher doses. If side effects occur, reducing the dose or dividing it into smaller, more frequent administrations often resolves the issues. Long-term safety studies (beyond 6-12 months) are limited, though Alpha-GPC has been used clinically in some countries for decades without significant safety concerns emerging.

Regulatory Status


Fda Status

In the United States, Alpha-GPC is regulated as a dietary supplement under the Dietary Supplement Health and Education Act (DSHEA) of 1994. It is legally available without a prescription and can be sold as a dietary supplement as long as no claims are made about treating, diagnosing, preventing, or curing diseases. The FDA has not approved Alpha-GPC as a drug for any medical condition, nor has it established a specific recommended daily allowance (RDA) or upper limit for Alpha-GPC supplementation. As with other dietary supplements, the FDA does not review Alpha-GPC products for safety or efficacy before they are marketed.

Manufacturers are responsible for ensuring their products are safe and that any claims made are truthful and not misleading. The FDA can take action against adulterated or misbranded products after they reach the market.

International Status

Eu: In the European Union, the regulatory status of Alpha-GPC varies by country. In Italy, Spain, and some other European countries, Alpha-GPC is approved as a prescription medication for the treatment of Alzheimer’s disease and other cognitive disorders, sold under brand names such as Gliatilin, Delecit, and Cereton. In these countries, it is regulated as a pharmaceutical drug with specific approved indications, dosages, and quality standards. In other EU countries, Alpha-GPC may be available as a food supplement, subject to the Food Supplements Directive (2002/46/EC) and national regulations. The European Food Safety Authority (EFSA) has not approved any specific health claims for Alpha-GPC supplements.

Canada: Health Canada regulates Alpha-GPC as a natural health product (NHP). It is included in the Natural Health Products Ingredients Database and can be legally sold with appropriate licensing. Products containing Alpha-GPC must have a Natural Product Number (NPN) to be legally sold in Canada. Health Canada has recognized Alpha-GPC for use in supporting cognitive function and memory.

Australia: In Australia, Alpha-GPC is regulated by the Therapeutic Goods Administration (TGA) as a complementary medicine. It is listed in the Australian Register of Therapeutic Goods (ARTG) and is legally available as a dietary supplement. Products containing Alpha-GPC must be registered or listed with the TGA before they can be marketed in Australia.

Synergistic Compounds


Compound Synergy Mechanism Evidence Rating
Racetam Nootropics (Piracetam, Oxiracetam, Aniracetam, etc.) Racetams enhance acetylcholine utilization and receptor sensitivity, while Alpha-GPC increases acetylcholine availability. This combination may provide more robust cognitive enhancement than either compound alone. Alpha-GPC may also prevent the ‘cholinergic depletion’ headaches sometimes reported with racetam use. 3
Acetylcholinesterase Inhibitors (Donepezil, Rivastigmine, Galantamine) Alpha-GPC increases acetylcholine synthesis, while acetylcholinesterase inhibitors prevent its breakdown, potentially leading to enhanced cholinergic neurotransmission. Clinical evidence supports this combination for Alzheimer’s disease (ASCOMALVA trial). 4
Omega-3 Fatty Acids (DHA/EPA) Omega-3s support membrane fluidity and neuronal health, while Alpha-GPC provides choline for phospholipid synthesis and acetylcholine production, potentially enhancing overall brain function and neuroprotection. 3
Uridine Monophosphate Uridine, choline (from Alpha-GPC), and omega-3 fatty acids are all components of the Kennedy Pathway for phosphatidylcholine synthesis, potentially enhancing neuronal membrane formation and repair when used together. 3
B Vitamins (particularly B5, B6, B12, and Folate) B vitamins support various aspects of brain metabolism and neurotransmitter synthesis. B5 (pantothenic acid) is particularly important as a precursor to acetyl-CoA, which combines with choline from Alpha-GPC to form acetylcholine. 2
Huperzine A Huperzine A inhibits acetylcholinesterase, preventing the breakdown of acetylcholine, while Alpha-GPC increases its synthesis, potentially leading to enhanced cholinergic activity. 3
Bacopa Monnieri Bacopa has multiple mechanisms including cholinergic modulation, antioxidant effects, and adaptogenic properties that may complement Alpha-GPC’s cholinergic-enhancing effects. 2
Lion’s Mane Mushroom Lion’s Mane stimulates nerve growth factor (NGF) production, potentially enhancing neuroplasticity and neurogenesis, while Alpha-GPC supports cholinergic neurotransmission and membrane integrity. 2
Citicoline (CDP-Choline) Both are choline sources but work through slightly different mechanisms. Citicoline also provides cytidine for RNA/DNA synthesis and supports dopaminergic transmission, potentially offering complementary benefits to Alpha-GPC. 2
Phosphatidylserine Both support neuronal membrane structure and function through different but complementary mechanisms. Phosphatidylserine supports cell signaling and membrane fluidity, while Alpha-GPC provides choline for phospholipid synthesis and acetylcholine production. 3

Antagonistic Compounds


Compound Interaction Type Evidence Rating
Anticholinergic Medications Medications with anticholinergic properties (certain antihistamines, tricyclic antidepressants, some antipsychotics, etc.) directly oppose the cholinergic effects of Alpha-GPC by blocking acetylcholine receptors, potentially reducing or negating its cognitive benefits. 4
Scopolamine Scopolamine is a potent anticholinergic that blocks muscarinic acetylcholine receptors. While Alpha-GPC may partially counteract scopolamine’s cognitive-impairing effects (as shown in animal studies), the interaction could reduce the effectiveness of either compound depending on the context of use. 3
High-dose Nicotine While low to moderate nicotine may work synergistically with Alpha-GPC due to nicotine’s activation of nicotinic acetylcholine receptors, high doses of nicotine can lead to receptor desensitization, potentially interfering with the cholinergic benefits of Alpha-GPC. 2
GABA-ergic Compounds (in high doses) High doses of GABA-enhancing compounds (benzodiazepines, alcohol, phenibut, etc.) may counteract the cognitive-enhancing and alertness-promoting effects of Alpha-GPC through their inhibitory effects on the central nervous system. 2
Dopamine Antagonists Certain antipsychotics and other dopamine antagonists may indirectly interfere with some of Alpha-GPC’s cognitive benefits due to the complex interplay between cholinergic and dopaminergic systems in cognitive function. 2

Cost Efficiency


Relative Cost

Medium to High

Cost Per Effective Dose

For standard Alpha-GPC supplements (300-600 mg per day): $0.50-$2.00 per day. For higher therapeutic doses (1,000-1,200 mg per day): $1.50-$4.00 per day. For pharmaceutical-grade Alpha-GPC (available by prescription in some countries): $2.00-$5.00 per day, depending on healthcare coverage.

Value Analysis

Alpha-GPC represents a moderate to good value for cognitive support, particularly for older adults or those experiencing cognitive decline. The cost-effectiveness varies significantly based on the specific formulation, concentration, and quality of the product. The 50% Alpha-GPC products (containing stabilizers) are generally less expensive than the 99% pure form, though they provide less active ingredient per gram. For healthy adults seeking cognitive enhancement or athletic performance benefits, the value proposition is less clear, as benefits may be more subtle and individual responses vary.

When compared to other choline sources, Alpha-GPC is more expensive than choline bitartrate but offers superior bioavailability and blood-brain barrier penetration, potentially justifying the higher cost for cognitive applications. Compared to CDP-choline (citicoline), another high-quality choline source, Alpha-GPC is similarly priced or slightly more expensive, with the choice between them often depending on individual response rather than cost considerations. For therapeutic applications in cognitive disorders, Alpha-GPC may offer good value compared to prescription medications, with fewer side effects, though it may not be as potent for significant cognitive impairment. In countries where Alpha-GPC is available as a prescription medication, insurance coverage may significantly reduce out-of-pocket costs.

For athletes using Alpha-GPC for performance enhancement, the cost may be justified by potential benefits for power output and growth hormone secretion, particularly when used strategically before key training sessions or competitions rather than daily. Bulk powder forms typically offer better value than capsules or specialty formulations, though they require accurate measurement and may be less convenient. The value of Alpha-GPC supplementation increases when targeted to specific populations most likely to benefit, such as older adults with mild cognitive impairment or individuals recovering from stroke or traumatic brain injury. Overall, Alpha-GPC represents a moderate investment for cognitive health, with the best value found in standardized products from reputable manufacturers that provide at least 300-600 mg of Alpha-GPC per daily serving.

Stability Information


Shelf Life

Alpha-GPC typically has a shelf life of 2-3 years when properly stored, though this can vary based on formulation, packaging, and storage conditions. The 99% pure form has a shorter practical shelf life once opened due to its highly hygroscopic nature, while the 50% form (with stabilizers) tends to maintain stability longer.

Storage Recommendations

Store in a cool, dry place away from direct sunlight and heat. Keep containers tightly closed to prevent moisture absorption, as Alpha-GPC is highly hygroscopic. For the 99% pure powder form, consider transferring to small, airtight containers with desiccant packets and only opening when needed. Some users store Alpha-GPC powder in the refrigerator or freezer to extend shelf life, though this requires allowing the container to reach room temperature before opening to prevent condensation.

For capsules and tablets, the original packaging often provides adequate protection if kept sealed. Once opened, consider adding a desiccant packet if one is not already included. Avoid exposure to high temperatures (above 30°C/86°F) as this can accelerate degradation.

Degradation Factors

Moisture (primary concern due to Alpha-GPC’s highly hygroscopic nature), Heat (accelerates hydrolysis and other degradation processes), Light exposure (particularly UV light), Oxidation (exposure to air), Microbial contamination (more relevant for liquid formulations), pH extremes (highly acidic or alkaline conditions can degrade Alpha-GPC), Enzymatic degradation (phospholipases can break down Alpha-GPC), Repeated freeze-thaw cycles (for liquid formulations), Physical stress (excessive grinding or processing can affect stability)

Sourcing


Synthesis Methods

  • Industrial production from soy lecithin through enzymatic processes
  • Purification from sunflower lecithin (less common)
  • Chemical synthesis from glycerophosphate and choline
  • Enzymatic modification of phosphatidylcholine
  • Extraction and purification from egg yolk lecithin (less common)
  • Microbial fermentation processes (emerging technology)

Natural Sources

  • Dairy products (in small amounts)
  • Organ meats, particularly liver and brain (in small amounts)
  • Egg yolks (in small amounts)
  • Soy lecithin (as a precursor)
  • Wheat germ (in trace amounts)
  • Human breast milk (naturally contains glycerophosphocholines)

Quality Considerations

High-quality Alpha-GPC supplements should specify the percentage of Alpha-GPC in the product, typically 50% or 99% (anhydrous). Products labeled as 50% Alpha-GPC typically contain Alpha-GPC in a carrier (often silicon dioxide or calcium phosphate) to prevent hygroscopic clumping. The 99% form is more concentrated but highly hygroscopic and may require special packaging to maintain stability. Third-party testing for purity and potency is recommended, as Alpha-GPC products can vary significantly in quality. Look for products free from heavy metals, pesticides, and other contaminants. Alpha-GPC should be white to off-white in color; discoloration may indicate degradation or impurities. Some manufacturers provide certificates of analysis (CoA) that verify the actual Alpha-GPC content and purity. For those with soy allergies or concerns, some manufacturers offer Alpha-GPC derived from sunflower lecithin, though this is less common. Pharmaceutical-grade Alpha-GPC (used in prescription medications in some countries) undergoes more rigorous quality control than dietary supplement versions. Stability is an important consideration, as Alpha-GPC is highly hygroscopic (absorbs moisture from the air). Products with appropriate packaging (moisture-resistant containers, desiccants, blister packs) may maintain potency longer. Some premium products may use specialized delivery systems (liposomal, sustained-release, etc.) that may offer advantages in terms of absorption or duration of effect.

Historical Usage


Alpha-GPC (L-alpha glycerylphosphorylcholine) does not have a documented history of traditional medicinal use as an isolated compound, as it was not identified or characterized until modern biochemical techniques became available. However, foods containing choline and phospholipids have been consumed throughout human history, with organ meats and egg yolks (which contain small amounts of glycerophosphocholines) being valued in many traditional cultures. The scientific understanding of Alpha-GPC began in the mid-20th century as part of broader research into phospholipids and their role in cellular membranes and brain function. By the 1980s, researchers had begun investigating Alpha-GPC as a potential therapeutic agent for cognitive disorders, particularly in Italy and other European countries.

The first significant clinical applications of Alpha-GPC emerged in the 1990s, primarily in Europe, where it was developed as a prescription medication for cognitive disorders under brand names such as Gliatilin, Delecit, and Cereton. Italy, in particular, became a center for Alpha-GPC research, with numerous clinical trials conducted there demonstrating its efficacy for age-related cognitive decline, Alzheimer’s disease, and post-stroke cognitive recovery. In the early 2000s, a landmark multicenter study published in Clinical Therapeutics (2003) demonstrated Alpha-GPC’s efficacy in Alzheimer’s disease, helping to establish its clinical credibility. This period also saw the beginning of Alpha-GPC’s transition from a prescription-only medication to a dietary supplement in some markets, particularly the United States.

By the mid-2000s, Alpha-GPC had gained popularity in the nootropic and sports nutrition communities, with research expanding to include its effects on growth hormone secretion and athletic performance. The 2008 study by Ziegenfuss et al. demonstrating Alpha-GPC’s effects on growth hormone and power output helped establish its use in sports nutrition. In recent years, Alpha-GPC has become a common ingredient in pre-workout supplements, nootropic formulations, and cognitive health products.

Research has continued to expand, with studies investigating its potential applications for conditions beyond cognitive health, including physical performance, recovery from traumatic brain injury, and as an adjunctive treatment for various neurological conditions. Today, Alpha-GPC remains a prescription medication for cognitive disorders in some countries (particularly in Europe and Asia) while being widely available as a dietary supplement in others, including the United States. It is recognized as one of the more well-researched cholinergic compounds, with a substantial body of clinical evidence supporting its efficacy for cognitive health.

Scientific Evidence


Evidence Rating i

4Evidence Rating: High Evidence – Multiple well-designed studies with consistent results

Key Studies

Study Title: Cognitive improvement in mild to moderate Alzheimer’s dementia after treatment with the acetylcholine precursor choline alfoscerate: a multicenter, double-blind, randomized, placebo-controlled trial
Authors: De Jesus Moreno Moreno M
Publication: Clinical Therapeutics
Year: 2003
Doi: 10.1016/S0149-2918(03)80017-5
Url: https://pubmed.ncbi.nlm.nih.gov/12637119/
Study Type: Randomized, double-blind, placebo-controlled trial
Population: 261 patients with mild to moderate Alzheimer’s disease
Findings: Treatment with Alpha-GPC (400 mg three times daily for 180 days) significantly improved cognitive function, as measured by the Mini-Mental State Examination, Global Deterioration Scale, and Alzheimer’s Disease Assessment Scale, compared to placebo.
Limitations: Relatively short duration for a neurodegenerative condition; focused on a specific patient population with established disease.

Study Title: Choline alphoscerate in cognitive decline and in acute cerebrovascular disease: an analysis of published clinical data
Authors: Parnetti L, Amenta F, Gallai V
Publication: Mechanisms of Ageing and Development
Year: 2001
Doi: 10.1016/S0047-6374(01)00312-8
Url: https://pubmed.ncbi.nlm.nih.gov/11718826/
Study Type: Systematic review
Population: Multiple studies including patients with dementia and acute cerebrovascular disease
Findings: Analysis of 13 published clinical trials showed that Alpha-GPC was effective in improving cognitive symptoms in patients with acute cerebrovascular disease and dementia disorders. The review concluded that Alpha-GPC was superior to cytidine diphosphocholine (CDP-choline) in some cognitive domains.
Limitations: Included studies of varying quality and methodologies; some included studies were relatively small.

Study Title: Effect of L-alpha-glycerylphosphorylcholine on amnesia caused by scopolamine
Authors: Sigala S, Imperato A, Rizzonelli P, Casolini P, Missale C, Spano P
Publication: European Journal of Pharmacology
Year: 1992
Doi: 10.1016/0014-2999(92)90041-I
Url: https://pubmed.ncbi.nlm.nih.gov/1386390/
Study Type: Preclinical study
Population: Rat model of scopolamine-induced amnesia
Findings: Alpha-GPC treatment reversed scopolamine-induced amnesia and increased acetylcholine release in the rat hippocampus and cerebral cortex, supporting its mechanism of action as a cholinergic precursor.
Limitations: Animal study; may not directly translate to human outcomes.

Study Title: Acute supplementation with alpha-glycerylphosphorylcholine augments growth hormone response to, and peak force production during, resistance exercise
Authors: Ziegenfuss T, Landis J, Hofheins J
Publication: Journal of the International Society of Sports Nutrition
Year: 2008
Doi: 10.1186/1550-2783-5-S1-P15
Url: https://jissn.biomedcentral.com/articles/10.1186/1550-2783-5-S1-P15
Study Type: Randomized, placebo-controlled, crossover study
Population: 7 healthy male volunteers
Findings: 600 mg of Alpha-GPC administered 90 minutes before resistance exercise significantly increased growth hormone secretion and peak bench press force compared to placebo.
Limitations: Very small sample size; focused on acute effects rather than long-term outcomes.

Study Title: The ASCOMALVA trial: Association between the cholinesterase inhibitor donepezil and the cholinergic precursor choline alphoscerate in Alzheimer’s disease with cerebrovascular injury
Authors: Amenta F, Carotenuto A, Fasanaro AM, Rea R, Traini E
Publication: Journal of the Neurological Sciences
Year: 2012
Doi: 10.1016/j.jns.2012.07.003
Url: https://pubmed.ncbi.nlm.nih.gov/22840406/
Study Type: Randomized, double-blind, placebo-controlled trial
Population: 113 patients with Alzheimer’s disease and cerebrovascular damage
Findings: The combination of donepezil (5-10 mg/day) and Alpha-GPC (1,200 mg/day) was more effective than donepezil alone in improving cognitive function and reducing the progression of cognitive decline over 24 months.
Limitations: Focused on a specific patient population with comorbid conditions; evaluated combination therapy rather than Alpha-GPC monotherapy.

Study Title: Choline alphoscerate (alpha-glycerylphosphorylcholine) an old choline-containing phospholipid with a still interesting profile as cognition enhancing agent
Authors: Tayebati SK, Tomassoni D, Nwankwo IE, Di Stefano A, Sozio P, Cerasa LS, Amenta F
Publication: Current Alzheimer Research
Year: 2013
Doi: 10.2174/15672050113109990166
Url: https://pubmed.ncbi.nlm.nih.gov/23597434/
Study Type: Review
Population: Multiple studies
Findings: Comprehensive review of preclinical and clinical evidence supporting Alpha-GPC’s efficacy in cognitive disorders, particularly dementia and stroke recovery. The review highlighted Alpha-GPC’s superior ability to cross the blood-brain barrier compared to other choline sources.
Limitations: Review article rather than original research; included studies of varying quality.

Meta Analyses

Parnetti L, Mignini F, Tomassoni D, Traini E, Amenta F. Cholinergic precursors in the treatment of cognitive impairment of vascular origin: ineffective approaches or need for re-evaluation? Journal of the Neurological Sciences. 2007;257(1-2):264-269. doi:10.1016/j.jns.2007.01.043, Carotenuto A, Rea R, Traini E, Fasanaro AM, Ricci G, Amenta F. The ASCOMALVA (Association between the Cholinesterase Inhibitor Donepezil and the Cholinergic Precursor Choline Alphoscerate in Alzheimer’s Disease) Trial: interim results after two years of treatment. Journal of Alzheimer’s Disease. 2017;56(2):557-565. doi:10.3233/JAD-160814

Ongoing Trials

Alpha-GPC Supplementation and Cognitive Function in Healthy Aging (NCT04763746), Effects of Alpha-GPC on Post-Exercise Cognitive Performance (NCT03919760), Alpha-GPC as an Adjunctive Treatment in Parkinson’s Disease (NCT04729530)

Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.

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