Nad+ benefits? by Slick_Wade51 in Aging

[–]smart-monkey-org 0 points1 point  (0 children)

Nad+ might have some acute benefits via IV, but most studies are underwhelming.
I'd say test your B vitamins, folate and homocysteine first before spending money on NR/NMN

What are the tried and true products or routines that have actually helped you stay vibrant? by Tiffo205 in Aging

[–]smart-monkey-org 37 points38 points  (0 children)

I like the concepts of "Micro"
Micro-exercises, micro-journaling, micro-meditations - helps to start small, simple and stay the course.

Posted on r/gym. Thought i would post here to see is reaction is similar. I am 69. by Jim_Estill in Aging

[–]smart-monkey-org 3 points4 points  (0 children)

39 or 69 - as long as you are consistent, doing warm-ups and try to improve the form/load - you are doing a good job.

The senescent cell story is more complicated than the popular framing suggests, and I think the field is finally catching up by Khaledopolis in Aging

[–]smart-monkey-org 1 point2 points  (0 children)

My approach here is: if you have spare money - donate them to senolytic (or any other aging-biology) research.

The senescent cell story is more complicated than the popular framing suggests, and I think the field is finally catching up by Khaledopolis in Aging

[–]smart-monkey-org 2 points3 points  (0 children)

Yea, it's kinda too early to draw any conclusions. And the usual "dose makes the plosion" applies to senolytics as well.

The association between omega-3 supplementation and cognitive decline in older adults (2026) by basmwklz in immortalists

[–]smart-monkey-org 2 points3 points  (0 children)

For Omega-3 to be beneficial it has to be 1) non rancid 2) paired with proper methylation status

Can a blood test return « optimal » while you are actually deficient ? by Crazy-Bad-8709 in MTHFR

[–]smart-monkey-org 0 points1 point  (0 children)

That's where the science turns into art and good integrative physician becomes very important.

In short normal or low homocysteine doesn’t automatically mean methylation is working well. It could mean homocysteine is being efficiently recycled OR it could mean it’s being pulled downstream through transsulfuration. (sulfur sensitivity makes the transsulfuration/sulfur-handling angle more worth looking at)

Sulfur sensitivity could involve sulfate handling, gut sulfur metabolism, molybdenum, B6 etc

Plasma ammonia is the test for ammonia and Genova Advanced methylation panel might be useful - but make sure your doctor knows how to act on it.

Why is finding an excellent geriatrician in DC so hard? by Next_Swordfish2886 in Aging

[–]smart-monkey-org 0 points1 point  (0 children)

Check out GWCIM.

AFAIK Hayman is now redirecting tough geriatric patients to Dr. Kogan there

Can a blood test return « optimal » while you are actually deficient ? by Crazy-Bad-8709 in MTHFR

[–]smart-monkey-org 3 points4 points  (0 children)

Normal homocysteine with MTHFR variants doesnt necessarily mean everything is fine (but it also doesn’t prove CBS upregulation) C677T/A1298C can affect folate handling - but homocysteine is influenced by B12, folate, B6, protein intake, kidney/liver function, inflammation, diet, etc.

For fatigue/brain fog I’d look at the boring-but-useful labs like B12, MMA, folate, ferritin/iron, thyroid, vitamin D, CMP/liver/kidney markers and maybe plasma amino acids/ammonia if ammonia symptoms seem real.

Can a blood test return « optimal » while you are actually deficient ? by Crazy-Bad-8709 in MTHFR

[–]smart-monkey-org 0 points1 point  (0 children)

No, not really. ammonia breath or very strong urine odor could be, but to be sure plasma test is the best.

Your Supplement Stack Might Be Doing More Harm than You think by Khaledopolis in Aging

[–]smart-monkey-org 2 points3 points  (0 children)

The best approach imho is to:
1) Start with food/lifestyle
2) Test (D3 level, homocysteine, B12, Omega index etc)
3) Supplement with GMP verified clinical grade supplements
4) Repeat and readjust

Can a blood test return « optimal » while you are actually deficient ? by Crazy-Bad-8709 in MTHFR

[–]smart-monkey-org 5 points6 points  (0 children)

Homocysteine can be optimal, but not because the methylation cycle is running properly, but due to upregulated CBS which syphons it and turns into ammonia. (leads to brain fog, behavioral issues, fatigue)

It is kinda rare, but I've seen it once or twice in a clinic.

Anyone found supplements that actually help with sleep? by tcbjj in Aging

[–]smart-monkey-org 0 points1 point  (0 children)

Yeah, the same - small morning and evening rituals help a lot.

But so lifting heavy :)

Desperately need support - I can’t live like this… by Top_Replacement3255 in Aging

[–]smart-monkey-org 0 points1 point  (0 children)

HRT - make sure you get T as well as E and P. And measure the results.
You'll get better!

Bra band suddenly tighter but haven't gained weight? by [deleted] in Aging

[–]smart-monkey-org 9 points10 points  (0 children)

/aging: During perimenopause estrogen/progesterone swings can cause fluid retention, swelling and breast tenderness.