Lowering the Cost / Improving Access for Therapeutic Plasma Exchange (Plasmapheresis)

Thanks for the post. The idea seemed reasonable, but I can see now that it might not work so well.

I’m just making up numbers here as a way to think about the process. 70% dilution is what’s needed and each donation results in a 25% dilution. If the dilution fades away at a rate of 10% each day, here’s how it would go:

Monday - first donation - plasma is 25% diluted

Wedsneday - at 10% a day for 2 days, dilution has faded to 20.25% - dilute 25% of 79.75% to get down to 44.9375% dilution after this donation

Next Monday - 10% per day for 5 days and the approximately 45% dilution has gone back to about 27% dilution, and so on for the rest of the month - treading water

These linear, totally fabricated numbers are not to be taken at face value, but they may serve to illustrate that the 5 day pause is the likely culprit. If you could have donated every 2 days for a longer stretch, it could have been a different story.

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Any app that paid young people $500 USD per litre (I assume you mean 18+) would be an instant hit and go viral. No need for referrals, that information will get spread for free! That’s a lot of money to most people in the world, especially young people. I certainly would have done it when I was in University.

It would also create a massive transfer of wealth with interesting social ramifications.

FWIW

You can be assured that a private person to person transaction would most likely be illegal/or become illegal,{very quickly] in the US.

And my issue with any “blood product” is the same;

Lowering the Cost / Improving Access for Therapeutic Plasma Exchange (Plasmapheresis) - #37 by Joseph

I’m not sure if this is relevant but I recently saw a article talk about what I was suggesting in my previous comment on this thread. If you are interested take a look it seems to me like a good option in the future.

https://www.reddit.com/r/Futurology/comments/13orzo9/taiwanese_scientists_research_suggests_that_with/

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Uk blood donation service tests all donations for all sorts of nasty things - if you are going down this route you need to factor in the cost of testing for the same things.

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If I were going for this sort of therapy I would really try to find a way of getting artificial plasma where you know what is in it.

Even if the issue is not IL-10 there is so much evidence that the problem is something in older blood rather than there being something in younger blood that is rejuvenating. Hence you need to start with water as add in various substances until you get usable quality plasma.

It remains I think there are better ways of dealing with senescence, but I can see this has some merit.

How serious are individuals here interested in starting a skunk works?

The problem with this is that people may not agree as to exactly what to do. Personally I think there are better approaches than acting on the plasma although I can see the arguments for so doing.

Thinking again what I am doing is changing the plasma, but through the digestive system rather than using needles.

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Absolutely… it seems like the low hanging fruit might be regular, home-based TPE / plasmapheresis with 5% Albumin and a used equipment. I know you are concerned about blood products Joseph, does that include even 5% albumin? My understanding is that its highly processed and tested by Grifols and others in the industry.

Pretend

You have an apheresis unit.

Now what?

Ok, an action plan might look something like this I suppose.

Purchases to be made/arranged:

  1. Aphoresis equipment (cheap, from auction , used equipment vendor). Perhaps the cost could be split between a few people / friends in a given geographic area, and the equipment shared).
  2. Validation process to make sure equipment is operating within spec. (perhaps identify local experts in the equipment to have them test and evaluate equipment purchased, prior to use)
  3. Identify a complete and detailed “bill of materials” for all the specific consumables (specific to the apheresis device being used) needed for each plasmapheresis session (tubes, needles, filters, etc.).
  4. Get prescription for albumin 5%, and other necessary add-ins to plasmapheresis (e.g. intravenous replacement of calcium and magnesium, etc.).

Learning / Expertise to be gained (or hired):

  1. Study plasmapheresis protocols, techniques and guidelines… and create new home protocols for biohackers
    e.g. https://www.ncbi.nlm.nih.gov/books/NBK560566/
    and: https://emedicine.medscape.com/article/1895577-technique
    here: https://www.transfusionguidelines.org/transfusion-handbook/11-therapeutic-apheresis/11-1-therapeutic-plasma-exchange-tpe
  2. Identify and de-risk (plan activities to mitigate or obviate known risks and contraindications, and complications).
  3. Learn venepuncture processes and procedures (are there classes/courses we can take at local medical schools for something like this?)
  4. Identify local experts that can be hired for initial home processes.

Perhaps one of our community members who speaks russian can contact this group of similarly-minded Russian biohackers who have done all this before, and get their protocols and suggestions for home applications…

And, for details see earlier posting this thread: Irina Conboy Plasmapheresis Webinar - #41 by RapAdmin

Practice in low-risk models?

  1. Can we practice with model organisms… e.g. rats or ? How do nurses learn the plasmapheresis protocols and practice them prior to use?

… Other ideas and suggestions (or is everyone thinking this is a little too ambitious a project :wink:

Note - found this interesting slideshow overview on plasmapheresis:

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No, not too ambitious!

Who else is interested?

Other than RapAdmin and myself?

One of their advisors, Leonid Peshkin, PhD, is a Harvard Medical school professor.
https://rle4.life/

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The easiest way, imho, to do it is donate plasma in a lab, then come home and inject yourself with the same amount of saline + 5% albumin using just a 4-leg IV stand to hold saline bags. Medline 4 Leg IV Poles Stand, 2 Hook, 4 Caster, Chrome, 47 to 85" Adjustable Height https://a.co/d/3aDjsZ6

It’s an easy way to do it at home. The only thing to learn is how to use catheter on your vein (and the basics of asepsis/antisepsis).

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When you donate plasma request/insisted a catheter be used and leave in place{or do not donate, your negotiation stance] flush with heparin flush. When you get home re-infuse/infuse your solution, connect to the catheter.

You can remove cather, or leave in a few days{as long as you flush once per 24 hours with heparin flush.

You can infuse other supplements for a few days and not have to be re-stuck.

Why are you thinking saline?

Saline my increase blood pressure in some people.

Online brain storming.

We have reduced the cost to less than $500.00 per treatment.

Some people/clinics are not/do not like this type of thinking, as it effects there bottom line.

When do we start?

Shamelessly…

“If you wait until you are ready, it is almost certainly too late.”
~ Seth Godin

I am not the waiting type.

Do you mean saline vs plasma? It’s more neutral and the point is to dilute, not to receive more plasma. I would use Ringer’s saline. Plasma will restore naturally after donation in couple days.

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I would use. Lactated Ringers with added compounds a mix.

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I had never heard of this before, so looked it up:

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For simplicity, I wouldn’t keep the same catheter. Amateurs could easily contaminate it.

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