Hi RapaAdmin, I like your prompt, but I used it with a modification to consider my genetics. Genetic variants affect how an individual’s body metabolizes medication and other compounds. I have been reading this forum for couple of years, but I have not seen this issue discussed - I may have missed it. It might actually deserve its own forum heading. (Let me know if you want me to create one. I came to this realization accidentally. I am a volunteer participant as a subject in NIH’s AllOfUs research program. It is like the US version of UK Biobank. The program offers full genomics for participant in an opt in basis.) When I got back my results, it gave me one disease risk factor variant (out of the 59 checked) and 2 deficient drug metabolism related variants. They also gave me genetic counseling and confirmation tests at Color Lab (for disease risk only) which confirmed the variants. Here are the drug metabolism related variants result I got back.
GeneVersion What it Means
CYP2C19*2/2 Poor Metabolizer
SLCO1B11/15 Decreased Function
DPYD1/1 Normal Metabolizer
G6PDB Normal Metabolizer
NUDT151/1 Normal Metabolizer
TPMT1/1 Normal Metabolizer
UGT1A11/*1 Normal Metabolizer
The top 2 confirm my suspicion that I feel more impact from drugs that I take more than most, including when I started rapa at different doses. I had gone up to 3/week when I had to stop it for a different reason - the fact that it was elevating my A1c. Side note: I have a plan to decrease my Rosuvastatin, add Ezetimibe and restart rapa at least experimentally. I think it is very important this community is aware of our own genetic markup for drug metabolism during our experimentation with various compounds. For example, it is known that SLCO1B1 *1/*15 carriers are prone to increased systemic exposure to simvastatin (Zocor®) resulting in myalgia (muscle pain) side effect at what could be a normal dose. This is part of a emerging individualized medicine field of research. In this community we might increase our awareness self in regards to compounds we take help each other by reporting dose response stories just as many of you have been reporting how you were able to decrease rapa dose using grapefruit juice…
Gemini Pro liked your version, but I asked him to add genetic information. Here’s how it did it:
It changed sub heading # to Context and Genomic Profile
It added a sub section under it called Genetic Variants like this for my profile:
- Genetic Variants:
- **CYP2C19 2/2: Poor Metabolizer (High risk for accumulation of substrates).
- **SLCO1B1 1/15: Decreased Function (OATP1B1 transporter impairment; affects ).
- Wild Type (Normal): DPYD, G6PD, NUDT15, TPMT, UGT1A1.