New Rapamycin User, seeking advice and best practices

Thank you, RapAdmin. Just out of curiosity, did you notice any changes to your lab results (positive or negative) after doing the the higher dose biweekly protocol?

Hi Basil,
Welcome to the group. there is a vast amount of information here. One thing that I have not seen mentioned is rapamycin and reproductive capacity. As your photo shows you to be a relatively young woman, you should read up on what rapamycin’s effects on sex hormones are and include those in your blood tests. Basically, rapa is NOT recommended for anyone planning on having children in the future, both male and female. It shuts down sperm production in men and reduces production of estrogen and testosterone. Here is one study

Now for older people, this may be a good thing. The hypothesis is that the reason women tend to live longer than men is that menopause dramatically reduces estrogen production while men keep producing testosterone as they age. Sex hormones raise Mtor, which may be why lower sex hormones leads to longer life.

On another topic, I understand your concern about metformin but I think it is overblown for older people. Remember, the goal here is increasing life span by increasing health span. Aging is caused by age-related disease like cancer and artherosclerosis. One reason to take metformin is to lower blood glucose, but another, more important reason is that people who take metformin are much less susceptible to cancers (though it is still unclear if this is causation or merely association). I take metformin and exercise daily without side effect. I’ve never heard of metformin causing insomnia but ou might try taking it in the morning. Another drug that can reduce glucose is acarbose, which blocks digestion of carbs in the gut. Talk to your doctor about borderline blood tests for H1AC and LDL. A better test than LDL is for Apolipoprotein B.

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Hi @Uppereast69 , thank you for the compliment:) - I am actually 55YO and that photo was taken 5 years ago when I was 50YO.

I’m in menopause so I don’t think I have anything to worry about there.

But I do appreciate you providing all of this information.

Regarding metformin, I always took it in the morning and started on 500mg. It made no difference. The effect that I was wide awake for most of the night, tried for 3 nights and then gave up.

I was most disappointed as I had heard good things about it.

I guess my body says it’s not for me.

The best age to start rapamycin is still very much an open question in humans - some, like Dr. Blagosklonny, think the right age is younger - around age 25 but others think later. Possible risks (that are seen in high-dose, continual dosing, applications like organ transplant patients and cancer, or high-dose mouse studies) are covered in this section of the website: Possible risks of rapamycin in healthy humans.

Regarding menopause - we have had people using rapamycin that say their menopause is reversed with rapamycin:

RapaMenopause

Please let us know if you see any results like this.

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Will do:), though I doubt it because I am taking bio-identical HRT to help with the debilitating symptoms of menopause such as insomnia.

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Perhaps aim for 0.1mg/kg. I weigh 74kg and take 8mg but if you weigh 56kg you might only want to take 5mg…

Also, if you’re concerned about sleep take it (with some olive oil) on waking as many people get a slight stimulant effect.

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@Maveric78 thank you, I will do that.

Before jumping back into statins

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After the instantiation of new reporting rules in 2004 [requiring disclosure of conflicts of interest], all clinical trials demonstrating that statins reduce LDL have shown no significant benefit for prevention of CHD.

This chart of research results is through 2015, so are there more recent studies pro or con, or did they miss any?

Sorry, I don’t give much credence to articles like this. There are many peer-reviewed studies that refute his opinion.

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If you’ve never had a heart attack, and you have no other risk factors, no smoking, hypertension, diabetes, or a strong family history, then your heart attack risk is very low . Intervening with a statin to go from low risk to low risk is just putting yourself at risk for myopathy, diabetes, and heart failure, with little to no gain.
Is there a peer reviewed study that refutes this statement with strong evidence that was reproducible?

Just saw this new paper…

It’s starting to look like everything is related to the gut microbiome. That’s something that we’ve really been neglecting.

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Well, first produce your own large-scale peer-reviewed study that supports Remnantl MD’s supposition.

He presented quite a few studies on his charts. Are you thinking that none of them were peer reviewed?

These studies each have thousands of participants:

Statin Use Over 65 Years of Age and All-Cause Mortality: A 10-Year Follow-Up of 19 518 People
“The benefit of statin use did not diminish among beyond age 75 and was evident for both women and mAll-cause mortality rates were 34% lower among those who had adhered to statin treatment, compared with those who had not”

https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.16060

Statins for Secondary Prevention in Elderly Patients: A Hierarchical Bayesian Meta-Analysis
“Statins reduce all-cause mortality in elderly patients and the magnitude of this effect is substantially larger than had been previously estimated.”

European studies suggest the same:
“statins reduce the risk of mortality irrespective of cholesterol level.”

Hypocholesterolaemia and mortality in patients with coronary artery disease
https://onlinelibrary.wiley.com/doi/abs/10.1111/eci.13194

The preponderance of studies highly favors statins for reducing all-cause mortality.
I for one don’t plan on quitting my low dose statins any time soon.

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Statins reduce all-cause mortality regardless of lipid levels.
European studies suggest the same:
“statins reduce the risk of mortality irrespective of cholesterol level.”

Hypocholesterolaemia and mortality in patients with coronary artery disease
https://onlinelibrary.wiley.com/doi/abs/10.1111/eci.13194

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Hypocholesterolaemia and mortality in patients with coronary artery disease:
https://onlinelibrary.wiley.com/doi/abs/10.1111/eci.13194
This 2019 paper seems to be saying that CAD is reduced by statins even in patients with hypocholesterolaemia. This makes the above paper from Remnant MD much weaker and probably incorrect.

So statins may reduce mortality rates independent and irrespective of their effects on lipid levels. So with that logic we should be countering the increase in lipids from rapamycin because rapamycin may be predisposing us to heart attacks by raising lipids. So maybe we should also be on chronic prophylactic antibiotics just in case of bacterial infection and hypoglycemic agents in case the modest blood sugar elevations leads to diabetes.
Also, don’t forget about anemia and lymphopenia. There are drugs that oncologists can give to counteract those also.
That nasty rapamycin stuff.

The preponderance of the evidence is pro statin. I am not suggesting you or anyone else take it.

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