Optimizing rapa in the blood, free genetic reports & personal stack

Hi. I’m a longtime life extension advocate/practitioner and short time lurker of this excellent user group. I’m 52, male. In the past I practiced moderate to extreme calorie restriction for 7 years following Walford’s CRON program with excellent health results but diminishing quality of life (basically a contraction in my emotional “range”).

A little over 2 years ago I started adding Rapamycin to my “stack” and never looked back. Despite 2 bacterial infections in the first year and infrequent mouth sores my experience with it has been extremely good. I now purchase all of my RX from Maulik (who I found from this user group – Thanks!) and save a ton by doing it! I recently have been trying to understand how to optimize my Rapa protocol. I have done a blood test at the end of the week to ensure there is no Rapa in my blood. Since then I have 1) added Capsugel DRcaps to take my 4 weekly pills and 2) added grapefruit on day 1 and day 2, (in addition to day 0 prior to the Rapamycin). The intent is to get a higher initial dose and keep it in my blood longer. I will test my blood again soon to ensure that I have no measurable rapamycin on day 6 of the week and thus likely no TORC2 impact. The blood test from gethealthspan.com is reasonably priced at $25.

I did 23andme years ago and recently discovered the free site geneticgenie.org. If you download your raw 23andme data to the site it will give you a nice report on your genetic profile that is much more extensive than 23andme. In my case I discovered I have a 70% reduction in folate/b12 methylation due to a homozygous MTHFR gene. Of particular interest to this group: the free report will also evaluate your genetic response to drugs, and among those evaluated is tacrolimus, which could provide insight into your sirolimus response based on the similar structure and binding of the 2 drugs.

I appreciate the collective knowledge in this group and I humbly submit my “stack” for your feedback (I try to follow the gethealthspan autophagy/AMPK cycling protocol for the 3 Rapa days and 4 non-Rapa days)…

RX: Sirolimus in DR Caps (Pure Capsules) 4mg/wk w grapefruit (~12mg)
RX: Metformin 500mg
RX: Empagliflozin 10mg
RX: Victoza 0.18mg (3 clicks)
RX: Tadalafil 5mg
RX: Acarbose 50mg x2
RX: Rosuvastatin 2.5mg
B3 (Niacinamide)- 3 RAPA days) 500mg
Quercetin - (3 RAPA days) 500mg
Caylon Cinnamon - (3 RAPA days) 600mg x 2
Berberine w/MCT- (4 non RAPA days) 400mg
“Curcubrain”- (4 non RAPA days) 400mg
Milk thistle- (4 non RAPA days) 250mg
Ginger root- (4 non RAPA days) 500mg
Pterostilbene- (4 non RAPA days) 100mg
Grape seed extract- (4 non RAPA days) 400mg
Ashwagandha - (4 non RAPA days) 300mg
EGCG - (4 non RAPA days) 400mg
POWDER Creatine 5000mg
POWDER Glycine 3000mg
POWDER TMG 1000mg
POWDER Psyllium husk 8gm
POWDER Taurine 5000mg
POWDER Carnosine 250mg
Spermidine drops 20mg
Hyaluronic Acid +C +Biotin 200mg/25mg/5mg
SAM e 200mg
CoQ10 / PQQ 100mg
Multivitamin 1 pill
Carlson very finest (refrigerate) 1/2 tsp: 800EPA/500DHA
Magnesium Glycinate w/bioperene 200mg
Magnesium Malate 120mg
N-Acetyl L-Cysteine (NAC) 1200mg
Ultra Vitamin K 1000mcg
Mushroom Complex 500mg
Calcium AKG 500mg
Luteolin 100mg
D3 2k/5k IU (summer/winter)
Odorless Garlic 1,200mg
Pine Bark Extract 300mg
Asprin 81mg
Alpha Lipoic Acid 333mg
Saffron 88mg
Methyl Folate / B12 640mcg/500mcg
Glocosamine/Chondroitin/MSM 1460/1600/400
FOS 1000mg
Astaxanthin 12mg
Neuro Support Complex 500mg
Chelated Iron (rapa reduces uptake) 18mg
Vanadium/Chromium 2mg/200mcg
Sulforaphane 400mcg
Melatonin sustained release 0.3mg
Melatonin 10mg
Chlorella 500mg
Cilantro 450mg
l-optizinc 30mg
C w/citris biofl/Rutin 1000/100/25mg
Natto 100mg
Tart Cherry (take in pm - melatonin) 300mg
Aged Garlic Extract 60mg
Rhodiola Rosea 250mg
Citrus Bergamot 700mg
Peppermint 500mg
Capsaicin 350mg
Lithium Orotate 5mg (lithium)
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Welcome to the community, Brett1! That’s a pretty massive stack. I would recommend throwing the various drugs and supplements into the search function here, and reading up. That will likely be more information than contained in a post from an individual member here. You will find different approaches to building a stack, and you can see what you are comfortable with. For example I personally am very slow to add meds and supplements to my stack, taking into account my particular health status, as a result my stack is a lot smaller than many others including yours. Keep reading and seeing what speaks to you, your goals and approach. Best of luck!

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