Thanks @desertshores It seems Creatine Nitrate may be the better supplement. I’ll give it a go.
I am doing the most recommended and upping daily folate (2000mcg DFE), B6 (40mg) and B12 (400 mcg) above the multivit. but that still isn’t that much.
One thing that might reduce homocysteine is methionine restriction, since methionine supplementation increases homocysteine. [ref] Methionine restriction also extends lifespan in male mice, even relative to long-lived controls. [ref]
One way to restrict methionine is using collagen for 35% of your protein intake, which should reduce methionine intake by 30%, while not resulting in any amino deficiencies. [ref—conflict of interest?] This also will reduce isoleucine intake by about 30%, and isoleucine restriction in mice also increases lifespan. [ref] Unfortunately we don’t know the combined effect of methionine and isoleucine restriction in mice.
Collagen also is high in glycine which extends lifespan in ITP. [ref] In rats, glycine supplementation blunts increases in circulating homocysteine caused by methionine supplementation. [ref]
Something to mention is that 3 months of methionine restriction in rats actually increases homocysteine by 2.5x. [ref] I wouldn’t worry too much about that, since I trust the mice lifespan data on methionine restriction more than I trust the negative health outcome associations with homocysteine in humans.
You can also try switching to niacin. Acutely at least, it appears to produce weaker homocysteine increase than nicotinamide [ref], which is what NMN is mostly degraded to prior to tissue uptake.
I do take 10g of collagen/day. Both for the extra glycine (also take GlyNac) and I’ve seen improvements in my skin.I’m relatively low cal and low carb and do eat meat.
I am going to try switching to niacin (nicotinic acid) as my NMN runs out.
I’m also interested in 1-MNA as discussed by @Elizabeth here:
https://www.rapamycin.news/t/niacin-revisited-helpful-or-harmful-in-cardiac-health/12263/43?u=ng0rge
And here:
https://www.rapamycin.news/t/niacin-revisited-helpful-or-harmful-in-cardiac-health/12263/149?u=ng0rge
And by @RapAdmin here:
https://www.rapamycin.news/t/can-you-share-your-longevity-healthspan-regime/1734/456?u=ng0rge
Here’s a link to the product. Too bad it’s so expensive.
https://ohphealth.com/products/endoteliol-1mna?variant=44143499739427
"Edotelio 1-MNA is a groundbreaking molecule that has shown promising results in blocking the enzyme Nicotinamide N-methyltransferase (NNMT), which is implicated in various conditions such as metabolic health, brain health, and cellular health. By blocking NNMT, NAD levels can be optimized safely.
1-MNA, which stands for 1-methylnicotinamide, is a natural byproduct of nicotinic acid and nicotinamide, both primary variants of vitamin B3. Along with optimizing NAD levels, research indicates that 1-MNA is anti-inflammatory and plays a role in supporting the health of the vascular endothelium and the cardiovascular system. Given its potential benefits, 1-MNA can be considered a daily supplement for most individuals."
According to the latest NMN study sponsored by Sinclair’s company, NMN is useless for males but useful for females.