Thanks! Started Rapamicyn at 6mg / wk Jan '23. I get Rx from a longevity doc (LivHEALTH) and fill at the cheapest local pharmacy with GoodRx Gold so pricing is reasonable and source is “clean”.
Started my longevity journey in ~Oct 21 mostly by improving a pretty good fitness routine and starting to move diet more in-line, in fall 22 I started monitoring blood glucose (and despite being lean and fit) figured out I was far from healthy (A1C was never bad but fast BG was always over 100 and regular mid-day spikes to 180).
Went low carb <100 net grams / day (full omnivore with tons of veggies tons of meat and almost zero white carbs), added a supplement stack (mostly typical stuff and most measurable with labs but the most longevity oriented ones would be: TMG and Methylated B’s (I have MTFHR), Fish oil (I dose and test to maintain 11% on omega quant), Astaxanthin, Zeaxanthin, and Lutein (for their various purported benefits), curcumin, GLYNAC, and melatonin) and brought on Liv in Jan 22 which is were molecules came in.
Again, recognizing I’m balancing 2 competing priorities, these aren’t all strictly longevity but, for my model of “be strong, have optimal health then die quickly” I’m taking: TRT (I was clinically low although didn’t know how much I needed it till I started, amazing changes to muscle mass and bone density), Desiccated Thyroid (same), Rapamycin, D&Q senolytic 2x per year.
I take the lowest dose of Lipitor and Ezebmitibe (after confirming I’m a hyper absorber with the Boston lab test) and aim for APOB of ~50. I take lowest dose of norvasc and ramipril to keep BP below 120/80 (average 117/70 on current regimen) as without them no matter how healthy I am I’m 130+ / 90+, I still low dose aspirin, been on it for years without issue and am more concerned about risks of coming off vs. just saying on at this point.
I cycle many different peptides from the research companies (so possible that’s counter to longevity in and of itself but, I’m careful and only buy from well supported “big name” suppliers). Some of those like Epitalon & Thymalin dosed for 20 days a few times a year are strictly in hopes of a longevity benefit, also TA1 for immunity enhancing benefits (can’t say I’ve had a single bug since starting 2x / wk about a year ago and had very close exposure to Covid 2 times in that window) and BPC/TB/GHK for periodic recovery and injury support.
I do also cycle on and off a number of the growth hormone promoting peptides to keep the muscle on and stay lean, those could certainly be seen as counter to “longevity” depending on your beliefs on HGH and IGF-1 levels but, my “unassisted” IGF-1 tests low normal for my age so I’m thinking periodic short spikes of higher might support muscle maintenance and keep me lean without too much impact on overall longevity (only time will tell). Finally, since I know the group is always interested in this info,
I don’t “notice” anything with the Rapamycin per say other than I definitely get some of the mouth sores (which I’ve never had previously and dont get when I’m off rapa) and I MIGHT be a little tired the day after dosing (although after tracking in whoop for 18 mos, it doesn’t identify any impact on my recovery, literally zero). Since I’m getting pharmacy Rapa and I’ve measured my levels, I don’t do anything to “tinker” with absorption, I take it between meals (not necessarily fasted) and not with food.