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Oxaloacetate

Oxaloacetate

Fatigue · Post-Exertional Malaise · Brain Fog · Neuroinflammation

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Pricing example

  • RTHM Safety Assessment Fee

    Paid to RTHM. Every 90 days, only if approved.

    $0
  • Pharmacy cost

    90-day supply + shipping

    Expect higher medication cost during titration period

    $399
  • Estimated total for 90 days

    With RTHM discount

    $399

Key benefits

  • Reduce Mental Fatigue

    A randomized placebo-controlled study showed that ME/CFS patients taking oxaloacetate experienced a >25% reduction in fatigue, with 40% of participants being “super responders” showing fatigue reductions up to 63%.

  • Boost Energy Levels

    In an open-label study, oxaloacetate reduced mental and physical fatigue by up to 33% in ME/CFS patients and up to 46.8% in Long COVID patients over six weeks.

  • Enhance Overall Health

    Oxaloacetate improves mitochondrial energy production, regulates blood glucose, and exhibits anti-cancer properties, supporting metabolic health and overall well-being.

Is Oxaloacetate right for me?

Oxaloacetate may help with:

  • Fatigue and low energy
  • Brain fog
  • Post-exertional malaise (PEM)
  • Exercise intolerance
  • Neuroinflammation

Patients with ME/CFS, Long COVID, or other conditions linked to mitochondrial dysfunction may benefit from oxaloacetate.

Research & evidence

  • Study #1: Oxaloacetate Reduces Fatigue by Over 25% in ME/CFS Patients

    A preliminary 2024 randomized placebo-controlled study in ME/CFS patients found a statistically significant >25% average reduction in fatigue in those taking oxaloacetate, compared to a non-significant ~10% reduction in the placebo group. Additionally, 40% of participants were “super responders,” experiencing an average fatigue reduction of 63%.

    RESTORE ME: A RCT of Oxaloacetate for Improving Fatigue in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

    View Study
  • Study #2: Oxaloacetate May Reduce Fatigue by over 46.8% in Long COVID patients

    An open-label study found oxaloacetate reduced mental and physical fatigue by up to 33% in ME/CFS patients and 46.8% in Long COVID patients over six weeks. Fatigue improvements were dose-dependent in ME/CFS patients.

    Oxaloacetate Treatment for Fatigue in ME/CFS and Long COVID: A Non-Randomized Clinical Trial

    View Study
  • Study #3: Natural Oxaloacetate Levels Are Significantly Lower in ME/CFS Patients

    A Cornell study found significantly lower oxaloacetate levels in ME/CFS patients compared to healthy controls. This supports the role of oxaloacetate supplementation in improving mitochondrial energy production.

    Metabolic profiling of a myalgic encephalomyelitis/chronic fatigue syndrome discovery cohort reveals disturbances in fatty acid and lipid metabolism

    View Study

What people say

  • “It’s helped me. But I do build up a tolerance sometimes. Some people use it only for crashes. It can really help but it’s not a fix.”

    ANDHarrison · reddit.com

  • “It helps me so much. Like, so much. I take the benagene for mecfs and take 1000mgs a day. I’ve noticed that it makes my energy envelope a little bit more stretchy, like I can push a little bit and be okay. I’ve been pacing religiously but it seems oxoloacetate increases the gains made from pacing, p…”

    Thesaltpacket · reddit.com

  • “It has helped me! I’ve taken it for over 3 months at the recommended dose. When I had tried it at a lower dosage it did nothing. I’ve been able to stop using my wheelchair. I’ve been able to visit with friends. It’s the only thing that has helped me. The cost is immense. I’m fortunate to have the re…”

    ANDHarrison · reddit.com