Challenge my drug stack, be ruthless but honest

Here’s my stack. Challenge it! Be ruthless but honest. Tell me why I should drop something or if there’s something I should add! Thanks in advance for the help. :slight_smile:

(I’m always trying to improve)

Medications:
Rapamycin 3 mg + GFJ + EVOO weekly (unless sick or injured)
Metformin XR 500 mg at night
Empagliflozin 12.5 mg in the morning
Dutasteride 0.5 mg at night
Galantamine 4 mg at night
Brillo EZ 1 tab at night
Atorvastatin 5 mg at night
Telmisartan 20-40 mg in the morning (discontinued due to low BP)

Coffee 1 (2 cups)
Creatine Monohydrate 5 g
Glycine 5 g
Collagen Peptides 11 g
TMG 1 g

Coffee 2 (2 cups)
Magnesium Citrate (210 mg)
Taurine 6g
Whey protein 25 g (going to switch to plant-based)

Night Decaf sugar-free Tea (chamomile or berry)
2 g citrulline
5 g glycine

EVOO shot in the morning
Crushed black pepper
Turmeric powder
1 g of NMN
Hyaluronic acid (500 mg)

Supplements Morning
5000-10000 IUs Vitamin D3
NAC 2 g
Vitamin B12 2000 mcg methylcobalamin
Horbaach Prostate Support
Zinc 50 mg Mon Wed Fri
CoQ10 100 mg
Super B Complex Mon and Thurs
Lithium Orotate 5 mg
Lutein and Zeaxanthin 20 mg 4 mg

Supplements Night
Ultra Omega 3 fish oil (NOW) 500 mg 2X daily
Vitamin C 1 g
Astaxanthin 24 mg
NAC 2 g
Lithium Orotate 5 mg
MK-7 Vitamin K2 100 mcg
Glucosamine Chondroitin 1.8 g
Turmeric 800 mg
Magtein (Magnesium Threonate) 50 mg
Spermidine 500 mg
Centrum Silver Mon Wed Fri
Boron 5 mg
DHEA 25 mg (added after blood work)
Dihydro Berberine 100 mg

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Glycine 5 g

In the evening?

I take Glycine 2X a day. 5 g in the morning and 5 g in the evening.

With so much glycine + the glycine in the collagen, diet, etc and so much vit C, aren’t you worried of a kidney stone?

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Glycine helps prevent kidney stones; it doesn’t cause them, AFAIK. As for vitamin C, 1 g daily is enough to cause kidney stones, but I believe the risk is a real concern at 2 g or more daily.

I am not about to criticize anyone’s stack unless I spot something very dangerous. We are all on our own self-discovery to find the things that work best for us. We have noted from many posts that things that work for one person don’t work for another.
I am always trying to keep my stack as small as reasonably possible without missing out on a major intervention.

Old men (84), like old cars, generally have a lot of things that need fixing.
This is my current list of supplements and drugs that I have chosen for my personal needs and not a recommendation for anyone else, especially younger people.

I have eliminated many supplements I have taken in the past to reduce the list to a manageable number.

You may wonder why metformin is not on my list. I took metformin for decades, and I am a believer in its efficacy. Unfortunately, I reached an age where my gut no longer tolerates it, even in timed-release form. Statins? I just feel better when I am not taking them, and I have been taking substitutes that keep my lipids in order.

These are the supplements/drugs that I am currently taking.
As you can see, it is heavily weighted towards cognitive benefits. Losing one’s mind is an old person’s worst nightmare.

These are the supplements that I have been taking on a regular basis:

CoQ10 Cardiovascular health
Vitamin D3 Cardiovascular and immune health
Vitamin K2 (MK7) Cardiovascular health, preventing arterial calcification.
Lithium orotate Cognitive health, life extension
Magnesium L-threonate Cognitive function and sleep.
Alpha GPC Choline: Cognitive enhancement
Bacopa monnieri Cognitive function, stress reduction, memory support
Ginkgo Biloba Cognitive function, circulation, brain health
Phosphatidylserine Cognitive function, stress reduction
Creatine Cognitive function, creatine has neuroprotective effects. Prevention of muscle loss. Creatine may help regulate blood sugar levels.
Galantamine Cognitive function By increasing acetylcholine levels, it can help enhance memory, attention, and the ability to perform daily activities.
L-citruline Nitric oxide production, improve circulation, reduces blood pressure
Boswellia serrata Boswellia serrata exhibits a broad spectrum of therapeutic benefits, particularly in managing chronic inflammatory conditions and supporting joint health. Reduces hsCRP

Drugs:
Metoprolol Helps lower blood pressure, reducing the risk of stroke, heart attack, and kidney problems.
Telmisartan Lowers blood pressure, improves heart function, reduces the risk of stroke, improves insulin sensitivity, and improves the function of blood vessel linings.
Dutasteride Reduces symptoms of BPH and possibly reduces the risk of developing prostate cancer
Tamsulosin Improves urine flow
Tadalafil Tadalafil helps relieve symptoms of BPH. Tadalafil is approved for treating pulmonary arterial hypertension by relaxing the blood vessels in the lungs, which improves blood flow and reduces the strain on the heart, thus improving exercise capacity and quality of life. PDE5 inhibitors like tadalafil may promote autophagy. PDE5 inhibitors have been shown to protect against cognitive decline and support brain health, potentially influencing aging-related cognitive decline. Preclinical studies have suggested that PDE5 inhibition may improve mitochondrial function, leading to better cellular energy production. PDE5 inhibitors, such as tadalafil, may have anti-inflammatory effects, which could contribute to improved healthspan and longevity.

bempedoic acid/ezetimibe (combo pill) Enhanced LDL cholesterol reduction. Greater reduction in LDL cholesterol than either drug alone. Lower risk of new-onset diabetes compared to statins.

My life extension supplements/drugs (unproven as yet)
Rapamycin ~15-20 mg effective dose weekly.
Lithium Orotate 10mg daily
Melatonin 10 - 1000 mg. nightly.
Tadalifil 5 mg daily

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@DeStrider Looks good to me. If anything, there may be some things on there that might not be doing a whole lot but since you’re a bit older than me, you probably want to throw the kitchen sink at your health. I would too.

@desertshores Looks like a great stack

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It looks good and you’re obviously all in. The only thing I notice is that you’re taking a small boatload of D, small on the k2 (no k1?), no A and no E, though there could be small amounts in the multi. Pretty sure it was Masterjohn that says to take fat soluble vitamins in excess in the correct ratio. There is a cleanup crew to get the excess vitamin D out of the way and it will indiscriminately reduce A, E and K. He also thinks K2 mk4 is the main one even though the mk7 can be converted. And Lustgarten says K1 is a big deal even though it may not seem like it. If you eat like a goat (lots of green leaves) you may be ok anyway. I’m not.
For my D I use the life extension one with iodine and all the k’s.

Obviously YMMV,

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Dear @DeStrider, thank you posting that… 1-2 years ago you attracted my attention to citrulline. With time I noticed, that you need at least 3-6g a day, in order to notice any effect on NO.

Why 2 g citrulline is too low (Schwedhelm 2008):
• 2 g citrulline → only +20–25% arginine (too low for NO increase)
• 3 g citrulline → +35–40% arginine (crosses NO activation threshold >30%)

:point_right: 2 g = not enough NO → tadalafil has nothing to extend synergetically
:point_right: 3 g = enough NO → tadalafil + NO = full synergetic effect.

That’s why 3 g citrulline works synergistically with tadalafil, but 2 g often feels like nothing. Up2you

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Fascinating ! That’s why I failed…not enough grams…

How long does the citrulline last for after ingestion ? I imagine it’s some good few hours…but your experience will be a lot better than my guess.

Thanks for that ! Encouraging…

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For your cognitive health supplements, have you been able to find any formulations containing several of them together? It would be nice to have them all in one pill.

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I posted mine a while ago but here is an update (I just turned 40 years old). Doses are daily unless mentioned otherwise.

Acarbose (150mg)

Astaxanthin (12mg)

DHEA (50mg) to correct deficiency

Empagliflozin (10mg)

Ezetimibe (10mg)

Glycine (2g) so 4g total

HCG (200mcg) so 1400mcg per week

HGH (2iu)

Ivabradine (10mg) to keep heart rate down a little

KLOW peptide blend (2.1mg GHK-Cu, 0.33mg TB500, 0.4mg BPC157, 0.37mg KPV)

Lithium Orotate (5mg)

Melatonin (0.3mg time release)

Dr. Stanfield Microvitamin+ (multivitamin, 5g creatine, 2g taurine, 12.5g collagen, 200mg hyaluronic acid, 2g glycine, 500mg TMG, 2.5g psyllium husk)

NAC (2400mg)

Nandrolone (15mg) so 105mg per week for joints

Naproxen (220mg) for joints

Nattokinase (12000FU)

Pregnenolone (100mg) to correct deficiency

Rapamycin (5mg per week)

Retatrutide (2mg per week) 1mg 2x weekly

Rosuvastatin (2.5mg)

Selegiline (1.25mg)

Sildenafil (25mg)

Taurine (2g) so 4g total

Testosterone (20mg) so 140mg per week

Ubiquinol (200mg)

I eat lots of dark chocolate and take cacao powder, consume shiitake mushrooms daily for the spermidine and ergothionine, eat sardines daily for the omega 3, etc so I don’t supplement with those things.

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No, but at your age you probably don’t need much.
My current daily stack for an old man:
Lithium
Bacopa
Modafinil
Galantamine

  • some minor actors
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Glad it helped! :wave:

Citrulline peaks in plasma about 1 hour after ingestion and maintains elevated arginine and NO levels for roughly 4–6 hours (Schwedhelm 2008; Bailey 2015).

Interestingly, there’s also a loading effect – with daily intake (3–6 g for ~1 week) baseline plasma arginine gradually rises, so NO remains higher even between doses. That’s why consistent use feels smoother and more potent over time, not just a transient “pump” spike.

So:

Acute: 1 h → peak, 4–6 h → active window
Chronic: 3–6 g/day → raised baseline NO after several days

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Correct I might not need some of it but I don’t think it’ll hurt either and I have no problem spending money when it comes to my health.

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Now that’s a stack! Looks like some changes since last time
Did you really drop these - thyroid, nebivolol, telmisartan, trazodone?

Guess you prefer sildenafil over tadalafil. 20mg tadalafil a day would be fun though.

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Yes thanks for pointing all that out.

So my Free and Total T3 levels aren’t as good as I’d like them to be but whenever I take thyroid medication at any dose, I just get even more tired for some mysterious reason so I kind of gave up on it for the time being.

Telmisartan and Nebivolol I stopped because blood pressure is already on the low side

Trazodone stopped working and I notice I feel happier when I don’t take it for some odd reason.

I switched to Sildenafil because I get less side effects but still take tadafil when “necessary”

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Thank you Sir ! You might have just saved my sex life !

Respect !

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Right on.
Not sure if you have tried Pentosan Polysulfate (Elmiron), but it’s something to look into as you mentioned a few products you use for joints.

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Here’s mine (42, male with some cardiovascular risk factors):

Morning:
Rosuvastatin 5 mg
Ezetimibe 10 mg
Telmisartan 40 mg
Tadalafil 2.5 mg
Omega 3 (EPA 1.1 g DHA 260 mg)
Brad Stanfield’s multivitamin
Taurine 2 g
Cocoa flavanols 750 mg
Aged garlic extract 1.2 g
L-Citrulline 3 g
Astaxanthin 12 mg
Lutein 25 mg/Zeaxanthin 5 mg
Lithium 1 mg
Collagen peptides
Creatine 5 g

Night:
Glycine 3 g
Magnesium L threonate 144 mg
Melatonin 300 mcg

Intermittent:
TRT 100 mg weekly
Rapamycin 6 mg monthly

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