You should see about having her try a lactoferrin product (get one with 250-300 mg, as they are a better value then the lower dose ones). Jarrow makes a good one. If you google "Jarrow Formulas Lactoferrin -- 250 mg - 60 Capsules" you'll find a few sites that sell if for 60%+ off retail. It's about $15. Almost all the reviews are good and report improvements with skin and reduction in acne problems.
As for Na-R-ALA, I haven't heard of it helping acne. interesting. Anyway, what does are you looking for. 100mg? 300 mg? For 100 mg, try googling "Source Naturals R-Lipoic Acid -- 100 mg - 30 Tablets" and see the shopping results. 300 - Life Extension makes one at a fair price.
Yeah. True about the bacteria-media thing. Actually now I think I remember it is the oil, not from your face, but from your hair. The hair oil collects on the pillow if I remember correctly. If you wash your hair at night you'd probably have the same effect I guess. I'm not really a fan of excessively washing the oils off of your hair and skin though, so I think I might try changing pillow cases every night or every other night and see if that helps.
Its both bacterial and from oil. The sebum is in the hair follicles, which is the main cause of acne. The bacteria simply spread once they start eating the oil. If your wife has really oily hair after not washing it for a day it might be she has very active or over active sebaceous glands.
So far I've noticed that washing your face with some kind of emulsifier works (no yolks lol), anything with SLS in it usually works, so basic soap it fine. it will dry the skin out a little, so use something like coconut oil, which is antibacterial, to help moisturize the skin. If her hair and skin aren't very oily it's a bad bacterial infection. Use something more gentle on the face, like tea tree oil. That helped me a lot when I was younger. That too is antibacterial, and a very good one.
I suffered from chronic acne, it was serious enough that I was prescribed accutane. My advice is to look into her diet. When I did a low carb veggie and meat only diet, my acne subsided.
Btw, I've been taking ALA for the past 2 weeks to improve my insulin sensitive since its a potent antioxidant that works like an insulin mimicker. Can't say I've noticed improvements, but it did give me a better pump during workouts.
Other things worth looking into would be vitamin D, perfect skin by geniune health. Most important factor is still the overall diet.
That's not entirely correct, it's just that racemic ALA's glucose control benefits are dose-dependent. Perhaps only the R-isomer works in this manner, but as regular ALA is half R-lipoic acid, you just need more to do the same thing, and perhaps even more than that wothout chelation (for improved bioavailability).
OP, I use Vitamin Shoppe brand, regular ALA. It works perfectly fine and is cheap; however, they do not make an R-ALA product. I don't know if acne-specific use requires R-ALA, but I imagine you'd be fine with regular ALA, just dosed higher as described above.