Since I started late (age 81), I have been following Dr. Blagosklonny’s advice from his papers and Twitter—the highest tolerable weekly dose without unpleasant side effects.
As an aside, IMO: There is no proof that a weekly high dose of rapamycin significantly suppresses mTORC2. I have experienced slightly slower wound and mosquito bite healing, but not enough to concern me.
Unlike most, I titrated down from doses that were causing me to have diarrhea.
The maximum dose I could take was 16 mg with olive oil without causing diarrhea.
So for the last ~4 years, I have been taking this dose, or the equivalent, as I am now using GFJ to extend my supply of rapamycin. Up until recently, I was taking 6 mg weekly with GFJ.
One of the reasons for the highest tolerable dose is the theory that if a sufficiently high dose is administered, some of it will cross the blood-brain barrier and exert a therapeutic effect.
For the last 4 weeks, I have titrated up to 8 mg weekly with GFJ. I also encapsulate my rapamycin tablets in enteric-coated capsules and take them with GFJ and olive oil.
I don’t know how much, if any, effect the enteric-coated capsules make.
Apparently, my body has adjusted to taking high-dose rapamycin because I am experiencing no side effects, except that I always feel great for the next couple of days.
Results: Over the last four years, I have not contracted a cold, the flu, or COVID-19. Never experienced an infection. I am pain-free, which I find remarkable, because my contemporaries are always complaining about this and that pain. Rapamycin has dramatically improved my condition of chronic actinic keratoses.
Initially, I experienced an elevation in lipids and glucose levels, but Brillo (bempedoic acid with ezetimibe and metformin) addressed that.
I plan on titrating up to 10 mg weekly with GFJ/enteric-coated capsules/EVOO.
As for Dr. Stanfield’s study, it is too small and too short for me to be interested in the results, which I find predictable. But I appreciate his effort. If I wait for the weekly high-dose trial, the train will have already passed.
I don’t advocate high-dose rapamycin for anyone, especially younger people, where it is not needed. But for those of us at an advanced age, it is one of the very few probable life extenders.