I sourced Rapacan last month but have not felt the desire to initiate usage without some form of supervision, at least initially.
I reached out to Dr Allen Green who -fortunately for me given dearth of local options-was willing to provide assistance remotely although his response was succinct and did not really go into his approach which I am sure he will elaborate on during the initial consult.
Does anyone here know how he goes about supervising a rapa regime or can point me towards discussions of patient experience? How often does he seek follow-ups, request blood tests be performed, what type of blood tests, dosing strategy etc?
There’s no one local. I had considered one individual-the only option in my jurisdiction-but between vacillation on fees (they were changed after initial quote), requiring as a minimum a no of tests (beyond the typical bloodworks) that for me were simply cost prohibitive for a luxury given my age/nascent nature of this field of treatment, poor correspondence responsiveness and finally uncertainty as to their ability to prescribe Rapa/being hypersensitive about regulatory situation it was agreed to go separate ways.
Dr Green basically responded immediately to my request for guidance/supervision and was willing to assist remotely.
I intend to utilise his assistance initially and will happily update this forum when I have something worthwhile to add.
What guidance are you looking for? Dr. Greene’s dosing regimen is known. You can get blood tests and follow the numbers as well as any doctor. You’ll likely stay on top of your health better than any other doctor, so why throw money at Dr Greene or any other doc for that matter (provided you’re otherwise healthy)?
I’m not much in the way of self-medicating, particularly for therapies/interventions that are experimental. Its simply to have someone to discuss various approaches/options (and I do not necessarilly want to follow his standard dosing regime), who presumably has the time to stay on top of the latest research and ideas (which I do not given my career), who can respond should I have any concerns around how I am reacting to the medication and with whom I can discuss my lifestyle more broadly. Its like having a medical consultant. There may come a time when I feel this is no longer required and I have a decent grip on my rapa regime, but until then I prefer caution and expertise to my somewhat novice approach.
I also understand he has a fair no of doctors and scientists among his patients. Surely they see value in consulting an expert, despite their own technical backgrounds.
Thank you kindly, but I believe they are only for US based users. Also just to flag, I have no issue souring the rapa. The ideal is cheap and cheerful generic rapa from India (which I have been able to procure fairly easily) together with occassional doctor consults (and remote ones work out to being cheaper as well) until such a time as I feel sufficiently secure in my regime. In some ways finding a doc who is happy to serve me remotely and is fine with me acquiring my own rapa is the best option from a cost perspective!
Yes I think I tried to access this service when I was in the US last a few months ago–I do not believe it allowed me to input an extra US address, and provding a local familial residence was of no use to me for obv reasons. One of their founders reached out to me asking if I had any further queries to complete my order and when I asked about international services I did not recieve a response I mean the regulatory hurdles must be quite imposing so fair enough.
Not sure this thread is of any interest but I thought I would update re my experience having an initial (remote) consult with Dr Green.
We spoke for just over 30 minutes. His demeanor was friendly and I did not feel under any form of time pressure.
I think he takes it as read that the people approaching him are a self-selecting bunch with a high degree of self-education regarding rapamycin as he did not explore the theories behind rapamycin as an anti-ageing intervention. This was reverse solicitation and the nature of the discussion reflected that. He did touch upon some of rapamycin’s benefits, but this was in response to my particular situation.
He started by taking a brief medical history, as well as basic biometric data and asking if I had any diseases, specifically those related to ageing. He did NOT request any blood works prior to recommending I start the regime, nor did he think monitoring blood works over time would be all that beneficial. This may have been due to the fact of my age (sub 40) and since my last health screen through work two years ago did not flag anything of concern. But he also said he would not expect to see actionable data one way or the other from having regular blood works, perhaps as a result of the low dosage he advised (see below).
He was interested in knowing my insulin sensitivity (which I will have more up-to-date data on when I have my next health screen early next year) and whether I had any copies of APOE4 given both could impact dosage. Depending on the latter results, he may decide to increase the dosage since rapamycin might delay the onset of Alzheimer’s disease. He told me to e-mail him when I had results and he would respond accordingly.
As it is he recommended 4mg/week, a dosage principally driven by my age, although I have decided to start more cautiously with 2mg/week for first 2 months. He asked me whether I had sufficient access to the medication. He was comfortable with my supply and intended use of Biocon Rapacan generic from India. He also said to not worry about the expiration date, as dry medication will be absolutely fine several years after printed expiration.
Excluding any e-mail communication regarding the tests referred to above, or if I have any concerns, he did not feel we needed to have another remote consult for a year.
I was happy with the experience and given the fairly spaced apart consults but with ease of email access, I think he represents good value for money for the more cautious amongst us who still want a medical professional as a reference point. I should note he typically prefers to conduct the initial consult in person, but he took pity on me since I do not live near him and have a paucity of local doctors in this field that I can access.
Indeed. To be clear I did ask if he wanted me to perform any tests and submit them to him for evaluation prior to commencement. The distance factor isn’t much of an issue for obv reasons given soft copy would be easy enough to forward, unless one suspects the patient might tamper with the report but not sure what’s the incentive for that.
Perhaps it’s a liability issue given my location (avoid risk by limiting the amount of medical records reviewed) but as I say he DOES want to know APOE4 and insulin from a recent test. I should flag he also asked about my historical cholesterol levels, although as I stated to him this was based on a two year old report (which again he did not personally review).
I do have a health screen through work in the new year but again besides the insulin he did not ask to see full report. I’m sure if any issues are flagged I could relay to Dr Green. The price of admission for regular correspondence would appear to be the fee for the initial consult.
Dr Green-from my limited and remote exp-isn’t running a highly technical or particularly analytical operation with an online dashboard tracking various markers over time etc etc. (although you could argue having an initial blood test isn’t exactly all that involved). But I view him more as an experienced sounding board who answers emails promptly, which is all I really want.
I must admit it can at times seem hit or miss when trying to get into contact with these specialists. My one local potential ignored me for over a month and another where family is based failed to respond during the three weeks I was on vacation there.
Not many of them around, so I guess they are fairly popular.
Dr. Green was relatively quick to respond to my initial email (a matter of a day or two) and while he ignored one email (not v important as I was asking how I should pay for initial consult-which hey the longer he failed to clarify the better for me!), he did respond to a different email (on my medical history) on a Monday when I had sent it on the prior Saturday.
I’ve been a ‘patient’ of Dr Green for a bit over a year. No follow up or direction from him beyond the initial visit. I hope he’s doing well as he hasn’t updated his website since May.
When I saw Dr. Green about a year and a half ago he prescribed (in addition to rapamycin) a biweekly dose of 100mg of dasatinib with quercetin and the daily taking of 8 grams of NAC with 6 grams of glycine. Does anyone know if he is still instructing patients to do these things?
I saw him in 6/2021. He also prescribed 6 mg per week of rapamycin to me too. But he also prescribed a biweekly dose of 100mg of dasatinib with quercetin and the daily taking of 8 grams of NAC with 6 grams of glycine. Are you saying that in 10/21 he did not prescribe these additional things to you?
He chooses a regimen based on your labs, DNA, age, etc. APOE4 carriers get a different regimen, as do insulin resistant patients. After 12 months, I repeated same labs that he required for the initial appointment, sent him a smaller fee, and scheduled a 30 min call which was very helpful. We talked about Covid, and he gave great advice on my lipid levels. He was very easy to reach, in my experience.
I mean the regulatory hurdles must be quite imposing so fair enough.