The Power of Peptide Therapies

Mitochondrial Peptides, con't

SLU-PP-332

I'll talk about SLU-PP-332 (often referred to as "Sloop") next because it is similar to MOTS-c and works on similar pathways. Technically, SLU-PP-332 isn't a peptide, it's a synthetic organic compound often being classed as a 'small molecule,' but it gets grouped in with peptides due to its similar actions. Apparently the compound was developed at St. Luis University, hence the 'SLU'; the 'PP' standing for peptide project and the number just being a cataloguing reference. I couldn't confirm any of this, though, so take it with a grain of salt.

Unlike MOTS-c, which needs to be injected, most people are taking SLU-PP-332 as an oral pill. This is controversial, however, since due to the chemical properties of the SLU-PP-332 molecule it should have extremely low bioavailability when taken orally. None the less, there are so many people out there reporting the effects of taking SLU-PP-332 in pill form that there's simply no way this could be some kind of mass placebo effect. And taking SLU-PP-332 in injectable form is no easy task: because its not water soluble, the powder needs to be mixed with fat or alcohol before injecting (a number of people actually mix it carefully with a little DMSO first, then add the bacteriostatic water to make a stable injectable solution, but this is pretty advanced and it's not clear how much of an advantage this would be since people are getting effects taking pills).

SLU-PP-332 is estrogen related receptor (ERR) agonist, activating ERRα (alpha), ERRγ (gamma) and to a lesser extent ERRβ (beta), but ERRα is the true star of the show. If you reference the flow chart in the MOTS-c post, you'll see that ERR is activated downstream from AMPK, which MOTS-c activates. Although SLU doesn't directly stimulate AMPK, it stimulates it indirectly as a downstream effect.

As such, many of the benefits of SLU-PP-332 are similar to what is claimed for MOTS-c: increased muscular endurance, increased fat burning, more energy, etc. There are differences found in the studies, however. Like MOTS-c, much of the research on SLU-PP-332 is animal-based, but there are some human studies. This is likely due to the fact that it is a synthetic molecule, and therefore patentable and a potential money-maker, unlike MOTS-c which is a molecule produced in the human body and therefore unpatentable.

Just a note, which I probably should have mentioned in the MOTS-c post, estrogen related receptors (ERRs) don't actually have any estrogenic properties. They're structurally similar to estrogen receptors, which is where they get their name, but they don't bind estrogenic compounds or other steroid hormones.

SLU-PP-332 activates the ERR nuclear receptors making the body think that it's low in energy which then activates AMPK, ramping up ATP production by burning fat and increasing glucose uptake. Because it regulates mitochondrial function, ERRα is highly expressed in energy demanding tissues like skeletal muscles, the heart, the brain, the liver, white and brown adipose tissue.

Once activated, ERRs target specific genes that regulate energy production, increasing acute aerobic exercise endurance. One study gave it to mice and it allowed them to run ~70% longer and ~45% further compared to placebo (see A Synthetic ERRα Agonist Induces an Acute Aerobic Exercise Response and Enhances Exercise Capacity below). The crazy thing is that, in animal models, it was found to activate these genes even while in a sedentary state making it a direct exercise mimetic. One study found it can enhance beta oxidation and lypolysis (fat breakdown and burning), when in a parasympathetic state (rest and digest); which is notable as it's usually seen only when in a sympathic activity state, like exercise. That said, all its effects are compounded when taken pre-workout, combining it with exercise. It's like hooking up to an amplifier to exercise, boosting all its benefits and increasing adaptation. (Just to speculate here; there may be potential uses for SLU use in individuals who struggle to, or are unable to, exercise. Maybe it could even get them to the point where they could exercise).

In the same way MOTS-c works, SLU-PP-332 increases mitochondrial biogenesis through PGC-1α (the master architect of mitochondrial creation), improves ATP production efficiency making the mitochondria work with better fuel flexibility (the ability to switch between fat and glucose), improves beta oxidation (breaking down fat to be burned), revs up enzymes that help burn stored fat, increases resilience against oxidative stress, and supports mitophagy (the destruction and recycling of broken mitochondria; the clean up phase). Apparently many professional athletes have been using this small molecule for years as it's very good at building efficient muscle which can switch between glucose and fat metabolism. In bodybuilders it can switch them over from being in a mostly glycolytic metabolic state (burning mostly glucose for energy) to being able to use fat metabolism. It also helps to improve VO2 max (see this interview with professional coach Anthony Castore for more on its use in athletes).

Other Benefits
Before you think SLU-PP-332 is only about athletics and workouts, there's much more to this molecule. One area where SLU-PP-332 differs from MOTS-c is that it was found to upregulate the genes PER1 and PER2, which are exercise-induced circadian regulation genes. This needs to be confirmed, but anecdotally many people have reported better sleep while using SLU-PP-332 (with a small subset of what may be hyper-responders, who report having such profound increases in energy that they don't sleep well; it's unclear whether or not this could be mitigated by adjusting the dose or timing of the dose).

It can also improve liver and kidney function and, long term, will improve levels of liver enzymes AST and ALT (it can cause a small temporary rise in liver enzymes when first taking it, but this is apparently transient and usually drops within a month). Anecdotally, clinicians have also seen a whole point drop in A1C levels within 10 weeks. In mouse studies, SLU-PP-332 significantly reduced age-related kidney impairments, including lowering albuminuria (a key indicator of kidney damage) and preserving podocyte numbers, which are specialized cells critical for kidney filtration. It also decreased glomerulosclerosis (kidney blood vessel scarring) and reduced fibrosis in kidney tissues.

Many people report neurological benefits as well, reporting less brain fatigue, sustainable mental clarity and improved memory recall. Only about 5% of SLU-PP-332 crosses the blood brain barrier, which isn't much. However, if system-wide mitochondrial effectiveness is improved, there may be knock-on effects specific to the brain; having more energy in the tank leads to more energy available for the brain.

SLU-PP-332 also increases grip strength (in animal models), which is one of the hallmarks of longevity.

There is also an interesting study that looked at its use, and the use of a related compound SLU-PP-915, as an intervention for heart failure. They found "significantly improved ejection fraction and ameliorated fibrosis against pressure overload-induced heart failure without affecting cardiac hypertrophy," and that the molecules "maintain oxidative metabolism, which confers cardiac protection against pressure overload-induced heart failure in vivo."

Side Effects
The most commonly reported, and often only noticed, side effect is an increase in basal body temperature and increased sweating, likely due to the increase in metabolic rate. Some people report sweating buckets during workouts. The previously noted transient increase in liver enzymes is also a possible side effect.

Studies
A Synthetic ERRα Agonist Induces an Acute Aerobic Exercise Response and Enhances Exercise Capacity https://www.biorxiv.org/content/10.1101/2022.10.05.510974v1.full

Targeting ERRs to counteract age-related muscle atrophy associated with physical inactivity: a pilot study Frontiers | Targeting ERRs to counteract age-related muscle atrophy associated with physical inactivity: a pilot study

SLU-PP-332 and Related ERRα Agonists: A Focused Minireview of Metabolic Regulation, and Therapeutic Potential https://ujpronline.com/index.php/journal/article/download/1355/1899 [pdf download link]

A Synthetic ERR Agonist Alleviates Metabolic Syndrome A Synthetic ERR Agonist Alleviates Metabolic Syndrome - PMC

Transcriptional Regulation of Dehydroepiandrosterone Sulfotransferase (SULT2A1) by Estrogen-Related Receptor α.

Estrogen-related receptor agonism reverses mitochondrial dysfunction and inflammation in the aging kidney.

Novel ERR pan-agonists ameliorate heart failure through boosting cardiac fatty acid metabolism and mitochondrial function.
 
I could be wrong but I believe the GLPs are put into three different classes. So, something like ozempic is a GLP-1 because it only works on one pathway. A GLP-2 would work on two pathways. Retatrutide is technically a GLP-3 because it works on three different pathways.

I jumped on the Jay and Hunter bandwagon in June and started taking retatrutide as well. I stopped taking it for about two months (because it’s expensive) and now I’m back on it to lose the last 10-15 lbs I have and because it works so well in lowering inflammation. So far I’ve lost around 30 pounds just from that and lowering carbs. And it completely erased my desire for sweets.

When using peptides, is it the case that once you stop, you lose the benefits?

I would say yes to losing the benefits once you stop taking it. However, you do have to cycle off because your receptors will stop absorbing it and the benefits will dwindle. Jay actually just wrote an article about why peptides quit working after prolonged use.

The effects from coming off of it were very noticeable. My appetite shot back up and I was very sore for a week or two because it really does have incredible anti inflammatory benefits.

I would say the biggest downfall for me was that I was not lifting weights while taking it and my butt disappeared 😂. So, if you are taking a weight loss peptide make sure you are getting enough protein and lifting weights if you want your physique to even out.
 
I jumped on the Jay and Hunter bandwagon in June and started taking retatrutide as well. I stopped taking it for about two months (because it’s expensive) and now I’m back on it to lose the last 10-15 lbs I have and because it works so well in lowering inflammation. So far I’ve lost around 30 pounds just from that and lowering carbs. And it completely erased my desire for sweets.
Great results! Thanks for sharing.

I could be wrong but I believe the GLPs are put into three different classes. So, something like ozempic is a GLP-1 because it only works on one pathway. A GLP-2 would work on two pathways. Retatrutide is technically a GLP-3 because it works on three different pathways.
You're right, they do get referred to that way, but it's just short-hand nomenclature. All of them are GLP-1 agonists, none of them affect the GLP-2 receptor and I'm pretty sure there's no such thing as a GLP-3 receptor. Apparently the peptide sellers switched to referring to them this way on the advice of legal counsel to avoid possible legal repercussions (Chase Irons, a bodybuilder YouTuber who sells peptides has spoken about this at length). It's like an easy way to refer to first, second and third generation GLP-1 agonist peptides (or single, double or triple receptor agonists). So while "GLP-3" refers to Retratrutide, it's just a convenient misnomer.

However, you do have to cycle off because your receptors will stop absorbing it and the benefits will dwindle. Jay actually just wrote an article about why peptides quit working after prolonged use.
Apparently this is fairly dependent on the peptide. Some of this idea of cycling caries over from the bodybuilding world where cycling anabolics is necessary, but with peptides, not all the receptors being activated are subject to desensitization. I would think the growth hormone peptides (like Tesamorelin, Ipamorelin, CJC-1295) would need to be cycled, and many of the sleep peptides (Epitalon, DSIP) need to be cycled too. But I don't think that GLP-1s need to be cycled (the studies have had subjects on them for close to a year) and the healing peptides like BPC-157 or TB500 seem to be beneficial long-term without cycling. It's a bit of a minefield as far as reliable information goes, and no one really seems to know because, AFAIK, there haven't been any studies on it. All we can really do is look to anecdotal reports about it.

That said, it certainly doesn't hurt to cycle off periodically if you notice results stalling.
 
Mitochondrial Peptides Con't
This post will round out the last two mitochondrial peptides I wanted to cover and I'll move on to other areas. I started out with the mitochondrial peptides since the mitochondria are the actual site of the production of energy (ATP) in the body and any level of disfunction can lead to so many downstream effects, even ones that aren't readily recognizable as specific disease states. How many people complain of a lack of energy these days? It seems to me that correcting issues in the mitochondria would have profound effects on a person's state of being, many of those effects being unpredictable.

However, I recognize that my own interest in the subject may have colored my vision here :lol: , so I'm going to wrap this up and move on to peptides that may be of more general interest to all. I'll probably move on to healing peptides next.

So here I'll round out the last of the mitochondrial peptides/small molecules I wanted to cover: SS-31 and 5-amino-1mq.

SS-31 (aka Elamipretide)
SS-31, also known as Elamipretide, is a synthetic mitochondrial targeted tetrapeptide (4 amino acids) designed to stabilize and protect the energy producing centers of the cell, mitochondria. It's a unique peptide in that it's not sending a signal that is picked up by receptors within the body, as with most other peptides. Instead, it has a specific and directed physical effect within the cell, specifically targeting the inner mitochondrial membrane.

The SS in SS-31 comes from the names Szeto and Schiller, the two researchers credited with its discovery, Hazel H. Szeto and Peter W. Schiller. Apparently they were originally conducting research on a synthetic opioid peptide intended to target the μ-opioid receptor. They accidentally discovered SS-31, leading to the naming of the compound in their honor.

SS-31 has a specific affinity for a phospholipid called cardiolipin, to which it binds exclusively. Cardiolipin is located on the inner mitochondrial membrane and when SS-31 binds to it, it provides protection and repair; it's like a mitochondrial mecha-suit. This stabilizes the mitochondrial membrane, improves electron transport efficiency, reduces reactive oxygen species (ROS) production, and enhances ATP output.

Cardiolipin, is only found in the body in the inner mitochondrial membrane and plays a central role in maintaining mitochondrial structure and function. It's like the glue that holds together the protein complexes of the electron transport chain (ETC), which sits on the inner mitochondrial membrane. This is integral to the function of the ETC, the very mechanism by which the mitochondria produce energy. Alterations in cardiolipin content or composition are linked to several diseases, including Alzheimer’s, Parkinson’s, heart failure, and sarcopenia. Aging is associated with decreased cardiolipin levels and increased oxidation, contributing to mitochondrial dysfunction. It's a promising therapeutic in any condition involving mitochondrial dysfunction, including aging-related diseases, neurodegenerative disorders and cardiovascular conditions.

Cardiolipin is highly vulnerable to oxidative damage as it's directly exposed to reactive oxygen species (ROS) generated during the production of ATP. Oxidized cardiolipin loses its ability to support mitochondrial proteins and supercomplexes, leading to impaired ETC function, reduced ATP production, and a further increase in ROS (it's like a downward spiral: ROS cause damage to the ETC which causes it to starting leaking more ROS, causing more damage).

By binding to cardiolipin, SS-31 patches up existing damage as well as providing protection from further damage. This in turn enhances the efficiency of the ETC and actually increases ATP production. By reducing mitochondrial permeability (leakiness) it actually prevents cell death since oxidation promotes the translocation of cardiolipin to the outer mitochondrial membrane, where it acts as a signal for mitophagy (mitochondrial death) and apoptosis (cell death).

As well as providing repair and better structural integrity, SS-31 also acts as an on-site antioxidant, scavenging ROS at the source. This is a big deal because other exogenous antioxidants rarely manage to get to the inner mitochondrial membrane. SS-31 is basically catching ROS directly at their source, before they can cause any damage.

SS-31 is one of the only peptides that has received FDA approval, specifically for Barth's syndrome, a disease that results from a genetic mutation of TAZ gene that is responsible for modeling cardiolipin into a more functional form. Barth's syndrome is rare, but life-threatening. People with the condition have a defective mitochondrial membrane and compromised energy production. This results in early onset cardiomyopathy, skeletal muscle weakness, growth delays, cyclic neutropenia, chronic fatigue, and a heightened risk of infections.

In studies, SS-31 has been shown to improve renal blood flow and improved renal function in subjects with renal artery stenosis. Subject in one study improved their performance on a timed walking test after only 5 days of treatment. In an early phase trial, it improved heart function in heart failure patients and it's currently on trial for dry age-related macular degeneration.

In mouse studies, SS-31 appeared to reverse age-related decreases in ATP, increasing ATP production, decreasing fatigue, and increasing endurance in the mice. In mice who were made more decrepit, SS-31 prevented uncoupling and prevented skeletal muscle atrophy through decrease apoptosis and had positive influence on anabolic pathways. In mice it has also shown to have a beneficial impact on recovery from burn injuries by preventing apoptosis as well as reducing oxidative stress, acting as an antioxidant at the source. It has also been shown to decrease development of insulin resistance and has reductive effects in different animal based heart failure models. In different induced stroke models in rodents it decreased infarct volume and restored renal function to kidney after lack of blood flow was induced. SS-31 also decreased dopamine depletion in Parkinson's-like rodent models and protects against drug toxicities that impact the mitochondria. In a study where they replicated ALS in rodent models, administration of SS-31 seemed to improve mortality rates and motor response.

SS-31 is often taken in conjunction with other mitochondrial peptides like MOTS-c since they're providing benefits to the mitochondria via different mechanisms. SS-31 that does need to be cycled as having it around for too long can down-regulate the body's own repair mechanism (they get lazy from having someone else do:lol: their job). It's said that SS-31 cycles only need to be done twice per year.

Studies













5-amino-1mq (NNMTi; 5-amino-1-methylquinolinium)
5-amino-1mq is another compound that isn't strictly speaking a peptide, but rather a synthetic small molecule. It functions as a nicotinamide N-methyltransferase (NNMT) inhibitor, meaning it inhibits the enzyme NNMT (hence the molecule's other name NNMTi, the 'i' standing for 'inhibitor'). Scientists discovered this small molecule when they were specifically looking for compounds which would inhibit NNMT.

The short statement on what 5-amino-1mq does: it increases NAD+ levels by inhibiting the NNMT enzyme, preventing it from taking nicotinamide from the NAD+ salvage pathway and methylating it for excretion. In other words, it stops NNMT from taking spent NAD+ and throwing it away, allowing it to be recycled into NAD+ again. 5-amino-1mq is like your hoarder mom who says "hey, don't throw that away, we could use that" when you're trying to clean out her attic, except that in this case, the hoarder mom is right.

NAD+ and Why We Want to Save it
NAD+ is a coenzyme critical for energy metabolism, DNA repair, and sirtuin activity. NAD+ is an electron acceptor. By picking up electrons it becomes the electron donor form NADH, and transports them to the electron transport chain (ETC) to be made into ATP. Once it drops off the electrons, NADH turns back to NAD+. This NAD+/NADH process is a fundamental component in the creation of ATP. Having more NAD+ means having more potential energy.

But beyond energy metabolism, NAD+ also serves as a substrate for enzymes involved in DNA repair, gene expression regulation (e.g., sirtuins - remember these from the MOTS-c post; they promote mitochondrial biogenesis, antioxidant defense, and metabolic regulation), and other signaling pathways. This is where NNMT comes in. Through a series of steps known as the NAD+ salvage pathway, NAD+ is recycled after it is consumed by enzymes. NNMT will grab used NAD+ (now just nicotinamide, NAM) and methylate it to be excreted. The salvage pathway is crucial for maintaining cellular NAD+ levels, especially under conditions of high NAD+ consumption or aging. So preventing NNMT from stealing NAD+ is highly beneficial for creating energy.

(An aside for the methylation nerds out there - when NNMT snags the nicotinamide from the NAD+ salvage pathway, it consumes S-adenosylmethionine (SAM), the universal methyl donor. It methylates nicotinamide, producing S-adenosylhomocysteine (SAH) and 1-methylnicotinamide (MNAM), using up precious methyl groups. SAH is then converted into homocysteine (Hcy). High homocysteine levels are associated with cardiovascular disease, neurodegenerative disorders, pregnancy complications, osteoporosis and increased cancer risk. All this to say that inhibiting NNMT could increase methylation and lower homocysteine levels which may be mechanistically responsible for some of the benefits of 5-amino-1mq currently under investigation.)

Unfortunately, NAD+ levels decline significantly with age; about 50% every 20 years. The decline of NAD+ levels with age has been linked to various age-related conditions, making NAD+ precursors a focus of research for potential health benefits (supplemental NMN, NR and niacin, for example). One of the mechanisms of NAD+ declining with age may be the tendency towards higher expression of NNMT as we age.

NNMT
Although some of its functions could be considered 'good', the actions of NNMT seem to be a net-negative for overall health. NNMT has been implicated in osteoarthritis, metabolic disorders, cardiovascular disease, cancer, kidney disease, and Parkinson’s disease. NNMT expression has been proposed to modulate metabolic dysfunction linked to obesity, fatty liver disease, and muscle aging. As fat cells gain size, or as we age, NNMT number and activity increase in the fat cells, reducing fat metabolism.

In mice with cardiovascular disease (CVD) there was an upregulation in the expression of NNMT as well as its end product MNA (1-methylnicotinamide). MNA is anti-inflammatory and antithrombotic so it's theorized that in people with atherosclerosis there's increased NNMT activity to compensate for cardiac injury. In mice with obesity and insulin resistance NNMT expression is upregulated in adipose tissue. As such, mouse studies have found that suppressing NNMT improves insulin sensitivity, reduces diet-induced obesity, and has a positive effect on metabolic syndrome. In a sense, NNMT found in white adipose tissue seems to be an 'on switch' for metabolic syndrome and seems to be responsible for holding on to fat stores like one's life depended on it, despite doing 'all the right things' to lose weight. NNMT in adipose cells actually goes up when in caloric deficit or when fasting, especially in conjunction with vigorous exercise, almost as if it is purposely protecting fat stores by reducing lypolysis and decreasing overall metabolism in the adipose cells.

Another aside, the fact that NNMT exists at all seems to indicate it has a beneficial role in some situations. Indeed when expressed in the liver it is associated with an improved metabolic profile, and its byproduct of NAD+-snatching, MNA, has anti-thrombotic and anti-inflammatory effects, as mentioned above. But I would speculate that its overexpression in fat tissue seems to be some sort of survival mechanism that is activated inappropriately in some people which only seems to result in negative outcomes long-term. Chronic inflammation, adipose tissue dysfunction, endoplasmic reticulum stress, hypoxia and poor diet have all been found to drive NNMT overexprssion, lending credence to the idea that its a survival mechanism in response to environmental and metabolic stressors.

NNMT is also overexpressed in multiple cancers (clear cell renal cell carcinoma (ccRCC), lung adenocarcinoma, pancreatic adenocarcinoma, glioblastoma, gastric, ovarian, and oral squamous cell carcinomas and cancer-associated fibroblasts (CAFs) in high-grade serous carcinoma, specifically). It seems to aid cancer progression via metabolic reprogramming and epigenetic dysregulation. NNMT promotes tumorigenesis by: enhancing ATP synthesis and cancer cell proliferation by promoting the Warburg effect (cancer cells preference for sugar-burning); increasing the migration, invasion and replication of tumors; remodeling the epigenetic landscapes; supporting cancer stem cell phenotypes; and contributing to drug resistance. Researchers are actively targeting NNMT in cancer research.

5-amino-1mq Inhibits NNMT
To state it again, 5-amino-1mq inhibits NNMT, stopping it from grabbing substrates from the NAD+ salvage pathway, thereby increasing NAD+ and allowing for more ATP production. It has been shown to increase NAD+ levels by approximately 30% to 50% in preclinical studies. Increasing NAD+ reportedly leads to better endurance, faster exercise recovery, mental clarity, and efficient fat loss, versus being in an NAD+ depleted state which results in brain fog, fatigue, poor exercise recovery and difficulty losing weight. The reported effects of increased NAD+ levels are similar to what is anecdotally reported in those taking 5-amino-1mq.

Because NNMT is highly expressed in white adipose tissue (as well as the liver and skeletal muscle) the effects of 5-amino-1mq include reduced fat mass, smaller adipocyte size, and improved metabolic activity. In animal studies this has shown improved metabolic parameters such as insulin sensitivity and cholesterol levels, reduced fat accumulation and increased energy expenditure. Multiple studies in mice have shown 5-amino-1mq reduces body weight and adipose tissue without altering food intake. Anecdotally people have reported drop in HbA1c levels, better proprioception, increased vertical jump height, greater muscle contractility and strength, decreased joint pain and improved cognitive function.

The Microbiome
One fascinating finding is that 5-amino-1mq actually shifted the microbiota to a more favorable profile in obese mice. The researchers took diet-induced obese mice and administered 5-amino-1mq injections as well as a switch to a lean diet. They then analyzed the microbiome of the mice. They found that the microbiome had shifted to a profile associated with improved metabolic regulation and body weight control. The treated mice also saw dramatic reductions in body fat and had decreased liver adiposity, both normalizing to age-matched lean animals. The control animals who only underwent the diet switch did not see these results, suggesting the 5-amino-1mq was responsible for the changes seen. (See Combined nicotinamide N-methyltransferase inhibition and reduced-calorie diet normalizes body composition and enhances metabolic benefits in obese mice.) It should be noted, however, that the doses given to these mice were massive when compared to what an equivalent human dose would be, far exceeding the dosing generally recommended by orders of magnitude.

Studies







 
I'll zoom in here on SS-31 and the kidneys because it's really tricky to find something that improves kidney function at very different levels. The average understanding of kidney failure is very simplified. The kidney is very complex, in both anatomy, histology, physiology and pathophysiology. A kidney failure problem can be located at many different levels, sometimes a problem is very localized. SS-31 seems to target all possible kidney damage. Here's a reference article:


In all the kidney failure studies where creatinine decreased, and glomerular filtration increased (hence, overall kidney function got better), they observed the following as an effect of SS-31:

↓Tubular necrosis, tubular cell detachment

↓Endothelial cell injury, renal microvascular rarefaction

↓Tubular necrosis, tubulointerstitial lesions

↓Kidney injury scores

↓Tubular injury score, tubulointerstitial fibrosis, glomerular score ↑microvascular density

↓Glomerulosclerosis, fibrosis

↓Renal fibrosis, glomerular score, tubular injury

↓Tubulointerstitial fibrosis, mesangial matrix proliferation

↓Medullary volume, medullary hypoxia

Not bad, at all.

Doses are still in the drawing board, with a maximum of 40 mg suggested without monitoring. In some longevity circles, they recommend 1 mg per day. Therapeutic doses start at 5 - 10 mg per day.
 
Just a note that Ark is experiencing some severe kidney issues probably as a result of chemotherapy in 2020/21. He is currently getting ss-31 that we are getting from Jay Campbell. Thank goodness such things are available since the only other option would be dialysis.
 
Just a note that Ark is experiencing some severe kidney issues probably as a result of chemotherapy in 2020/21. He is currently getting ss-31 that we are getting from Jay Campbell. Thank goodness such things are available since the only other option would be dialysis.
Sorry to hear of Arks kidney issues - he will be in my thoughts and prayers. Lots of rest,and warmth (lamp/heatpad etc) on lowerback area - cordyceps CS4 mushroom great for kidney issues and depletion - we re in the time of kidneys /water element according to traditional chinese astrology /medicine, so any weaknesses in kidneys would show up more at this time .

wishing him a speedy recovery
with my love you all

🙏
 
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