Originally Posted by mrsD

I think the Metanx should be empty stomach, alone because of the B12 content.

The others don't really matter. ALA might be better with food.
Some complain of upset with it.

Lovaza being a fat is best absorbed at mealtimes when your bile is being secreted. Less chance of reflux with it then.

Acetyl carnitine is best divided up into several doses, depending on how high your dose is. It is not absorbed well. 500mg can be taken each time.

Serrepeptase I am not sure about, check the label of your bottle.
Also for the Niaspan, follow the directions given to you from your pharmacy.

Most nutrients can be taken with food. B12 is one exception.