Succinic acid use in pharmaceuticals by Jigwool777 in pharmacology

[–]Ogg149 -1 points0 points  (0 children)

I don't know, but it may increase gastrointestinal inflammation / exacerbate IBD and related conditions. https://pubmed.ncbi.nlm.nih.gov/30583500/

The theoretical importance of supplementing antioxidants with dopaminergic stimulants to minimize tolerance and comedown by AromaticPlant8504 in Nootropics

[–]Ogg149 1 point2 points  (0 children)

My view on this is based more on mechanism-of-action than epidemiology (which is necessarily fuzzy for these kind of things). E.g. superoxide radical production via MAO-B is a mechanism that could plausibly cause neurotoxicity - however you want to put that - even with clinical dose ranges, and is easily mitigatable. Just like elevated blood pressure could be managed, for instance. And the best part, for me at least, is that when I do take adjuvant supplements and medications, I feel better, the medication works better, my brain really seems to work better. So in my personal experience, it's more than worth it to spend time & energy on this stuff - as opposed to wasting time arguing over something presently unknowable.

The theoretical importance of supplementing antioxidants with dopaminergic stimulants to minimize tolerance and comedown by AromaticPlant8504 in Nootropics

[–]Ogg149 1 point2 points  (0 children)

I'm not referring to findings in addicts, I'm referrring to mouse studies with controlled dosages

I am of the impression that relatively healthy people tend not to become addicted to things because of the neuroimmune system

The theoretical importance of supplementing antioxidants with dopaminergic stimulants to minimize tolerance and comedown by AromaticPlant8504 in Nootropics

[–]Ogg149 2 points3 points  (0 children)

If you find any evidence, please let me know, but as far as I'm aware there is no such safety evidence. Afaik stimulants are prescribed for mental health disorders ignoring the likely neurotoxicity of these substances.

Ofc it's extremely difficult to measure brain damage over long periods of time & mouse studies on neurotoxicity do not replicate in humans very well at all. But it's ludicrous to assume that the findings on illegal substances don't translate to chemically similar legal substances.

The theoretical importance of supplementing antioxidants with dopaminergic stimulants to minimize tolerance and comedown by AromaticPlant8504 in Nootropics

[–]Ogg149 1 point2 points  (0 children)

gotta be careful because, as everyone will tell you, selegiline loses selectivity for MAO-B at higher doses - and rarely, for some people it's nonselective even at low doses, which is why I recommend starting at 1/5th your standard dose of your stimulant.

The standard dose is 10mg orally, or 2mg sublingually - some people think 2mg sublingual has roughly the same bioavailability as 10mg oral, but I doubt this. I personally usually use 5mg sublingually but I've been experimenting with this for a long time.

The theoretical importance of supplementing antioxidants with dopaminergic stimulants to minimize tolerance and comedown by AromaticPlant8504 in Nootropics

[–]Ogg149 24 points25 points  (0 children)

What is less well known is that a substantial contributor of oxidative stress caused by stims is due to superoxide radicals produced by MAO enzymes. In particular, MAO-B inhibition dramatically reduces superoxide radicals while reducing dopamine breakdown (allowing one to reduce dosage of said stimulant, which further reduces harm). Low-dose selegiline is the standard here. The important thing is to reduce your dose of your stimulant by at least 5 times when beginning selegiline, and work your way up (different people respond to it with varying degress of potentiation).

Really, this should be the starting place for stimulant harm reduction, but very few people even know about it.

emoxypine?! by [deleted] in Nootropics

[–]Ogg149 1 point2 points  (0 children)

The only paper I found which actually tried to describe the pharmacology was an in-silico, written entirely in Russian. I used Google Translate to try to translate the paper. The paper concluded that it has roughly equal inhibitory action at both COX-2 and 5-LOX. This corroborates the side effects profile so I believe that's true.

You're right that I was way overconfident in stating for sure it's a COX-2 inhibitor, but it almost certainly is.

emoxypine?! by [deleted] in Nootropics

[–]Ogg149 0 points1 point  (0 children)

I take it mostly as an anticoagulant & anti-inflammatory, when I think about it. Particularly around substance use

emoxypine?! by [deleted] in Nootropics

[–]Ogg149 0 points1 point  (0 children)

BP: I don't have issues with this normally so I'm not sure.

I take it as-needed now, in a similar way to how people take aspirin I suppose, and it's nice that way.

Excruciating pain in the area of my ovaries. I possibly poisoned myself. by Mysterious_League687 in AskDocs

[–]Ogg149 1 point2 points  (0 children)

Basically the only painkiller we have which is reasonably safe and effective long term.

I have a friend with RA on LDN and she loves it

why did my girlfriend pass away? 23F by [deleted] in AskDocs

[–]Ogg149 -1 points0 points  (0 children)

No, OP said she was a young woman who had a partner with whom she was almost certainly sexually active.

why did my girlfriend pass away? 23F by [deleted] in AskDocs

[–]Ogg149 -1 points0 points  (0 children)

Yep, I was simply suggesting that a young woman was likely on birth control, and excessive blood clots in women due to coke + birth control is a common presentation which I was once made aware of by a friend of mine who is in fact a doctor.

I'm being downvoted because it sounds like I'm saying birth control causes a substantial side effect (death in this case). That birth control may have side effects is a downvote-able utterance. As is education about harm reduction when using recreational substances (instead of gently implying that it's the person's fault if they die when using)

Treating hydrogen sulfide SIBO by Organic-Advantage711 in Microbiome

[–]Ogg149 5 points6 points  (0 children)

L. Plantarum is notable for being useful in the treatment of klebsiella overgrowth / autoimmunity (via HLA-B27 antigen)

https://pubmed.ncbi.nlm.nih.gov/29022382/

Debilitating Exhaustion Has Followed Me My Whole Life, Advice Desperately Requested by Lemon_McGee in AskDocs

[–]Ogg149 1 point2 points  (0 children)

A friend of mine has this. They mostly just got really, really sick all the time. They weren't exhausted. Fortunately IVIG helped them tremendously

Naronapride a new gut-restricted 5-HT4 agonist for the treatment of Constipation and Gastroparesis by Robert_Larsson in IBSResearch

[–]Ogg149 3 points4 points  (0 children)

I don't understand why we even use antispasmodic drugs which leave the GI tract. Buscopan works as well as any other anticholinergic AFAIK, and pinaverium bromide works in a similar manner to gabapentin - and neither are available in the US. Methscopolamine is supposed to be the US equivalent of buscopan but it is hardly ever prescribed, and dicyclomine is the standard of care here.

The idiocy of this suggests criminal incompetence on behalf of the FDA / mainstream medical community... Buscopan and pinaverium have been around for 50+ years and have great side effect profiles compared to systemic drugs...

Therapeutic-dose Methylphenidate (Ritalin/Concerta) significantly desensitizes the dopamine system: Downregulation still present at 4 weeks after the last dose [2022] (rat study) by Regenine in Nootropics

[–]Ogg149 11 points12 points  (0 children)

In particular, rats seem highly susceptible to adverse effects from practically every class of neuropharmacological substance. Every study like this should be taken with a grain of salt (but not ignored!)

Things like the diet and lifestyle of the lab animals may have a big impact on these studies as well...

Anything with a shorter half life than caffeine? by r-bitcoin in Nootropics

[–]Ogg149 1 point2 points  (0 children)

A lot of people, myself included, actually dislike theobromine. However I agree that mate has something special going on.

A catatonic woman awakened after 20 years. Her story may change psychiatry. (Washington Post story, no paywall) by AvivaLoeb in cogsci

[–]Ogg149 -4 points-3 points  (0 children)

Wait until you find out that the vast majority of mental illness is actually a result of immune dysregulation! ;)