I’m not quite sure about 20% CR in literature. In addition, there’s just so much finer details I found in person that was different than what’s written in the media about the “Okinawa diet”.

As mentioned previously, interviewing a few Okinawan centenarians years back and I got an estimated 11-15% CR. Plus 20-30% is very difficult for people to maintain in general.

That being said, I used algo from CO2 measurement on them, not doubly labelled water like myself.

“Studies investigating the dietary intake of adults living on Okinawa suggest that Okinawans’ consumed approximately 17% fewer calories than the average adult in Japan, and 40% less than the average adult in the United States. For Okinawans, a 10–15% deficit in energy intake was estimated according to the Harris-Benedict-equation of the energy requirements”

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Here’s a review primarily of chondroitin and its anti inflammatory effects as well as the benefits to the extracellular matrix.
At the end of the article he points out that the combination of glucosamine/ chondroitin gave a 58% decrease in cardiovascular mortality and a 27% decrease in overall mortality. And this in humans, not mice.
I’m often remiss in taking this supplement and I’m glad to get a reminder.

I also like good old fashioned thallium stress testing, especially in those with borderline stress tests.

Could you please post the Articles link?

Sorry

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Since I have been on this forum I have found it hard to keep my supplement stack down to a reasonable few. Now it looks like I might have to add another one. I have tried glucosamine/ chondroitin before but dropped it because I never subjectively felt anything from it. Cosco has giant bottles of it and I see seniors buying it all of the time for arthritic pain relief etc. I didn’t know of its life extension properties. So my new rule after a few weeks on this forum is: If I add a new supplement, I have to drop a supplement. The list is already too long and unwieldy. I will probably add this to my list and drop something less promising.

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My main problem keeping glucosamine/chondroitin in my stack is the required dosage, typically a minimum of 4 large capsules or two “horse pill” tablets per day. But at least it’s fairly affordable.

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Maybe you could alternate days. You probably don’t need to take all of them every single day.

Yes, the dosing is challenging, especially if you’re taking other supplements. They’re trying to stuff a total of about 900 mg’s in each capsule which is difficult.

Some newbie pathways…Extra Cellular Matrix (ECM) and Matrisome.

"Accumulation of damage is generally considered the cause of aging. Interventions that delay aging mobilize mechanisms that protect and repair cellular components. Consequently, research has been focused on studying the protective and homeostatic mechanisms within cells. However, in humans and other multicellular organisms, cells are surrounded by extracellular matrices (ECM), which are important for tissue structure, function, and intercellular communication. During aging, components of the ECM become damaged through fragmentation, glycation, crosslinking, and accumulation of protein aggregation, all of which contribute to age-related pathologies. Interestingly, placing senescent cells into a young ECM rejuvenates them. Furthermore, we found that many longevity-assurances pathways re-activate de-novo synthesis of ECM proteins during aging. This raises the question of what constitutes a young ECM to reverse aging or maintain health? In order to make inroads to answering this question, I suggest a systems-level approach of quantifying the matrisome or ECM compositions reflecting health, pathology, or phenotype and propose a novel term, the “matreotype”, to describe this. The matreotype is defined as the composition and modification of ECM or matrisome proteins associated with or caused by a phenotype, such as longevity, or a distinct and acute physiological state, as observed during aging or disease. Every cell type produces its unique ECM. Intriguingly, cancer-cell types can even be identified based on their unique ECM composition. Thus, the matreotype reflects cellular identity and physiological status. Defined matreotypes could be used as biomarkers or prognostic factors for disease or health status during aging with potential relevance for personalized medicine.

Treatment with biologics that alter ECM-to-cell mechanotransduction might be a strategy to
reverse age-associated pathologies.

An understanding of how to reverse from an old to a young matreotype might point towards novel strategies"

There are some STRONG confounders in this “association” study. The reductions in CVD and ACM just seem way too high an intervention result.

“The c2 analysis results presented in Table 1 show that respondents who were taking
glucosamine/chondroitin were more likely to be older, white, having a high school or higher education, not smoking, and exercising more. Other possibilities include that otherwise-healthy people take supplements, and therefore live longer. People could have been taking other supplements that could have accounted for some of the findings”

From the posted paper:

“Chondroitin sulfate supplementation is associated with reducing all-cause mortality in humans and increasing the lifespan of model organisms. But many gaps remain in our understanding of how chondroitin sulfate supplementation improves health during aging”

Looks like yet another aging theory that needs more work. Not convinced that in HUMANS, a singular pathway is associated with longevity.

That’s true, there’s alot of variables to sift through, but there’s a great deal of smoke surrounding glucosamine and chondroitin and CVD prevention for there not be be some fire.

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CVD and cancer are the most common causes of death. Your cited article looks pretty good to me because it uses a large cohort and takes many factors into account. I will
be adding it to my stack. Hello Costco.
After adjustment for age, sex, body mass index, race, lifestyle factors, dietary intakes, drug use, and other supplement use, glucosamine use was associated with a significantly lower risk of total CVD events (hazard ratio 0.85, 95% confidence interval 0.80 to 0.90), CVD death (0.78, 0.70 to 0.87), coronary heart disease (0.82, 0.76 to 0.88), and stroke (0.91, 0.83 to 1.00).”

FWIW I’ve been taking glucosamine/chondroitin for about 30 years. Very few people knew of it back when I started. I would guess that the population that has been taking it for a long time is skewed toward some form of athletics and health interests.

I began using it to reduce knee pain as I was running regularly and had some issues. It worked for that so I just kept on taking it, even after I gave up running.

My knees have since found it necessary to add Boswellia to the stack.

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Yeah, I’m all in, just have to remind myself to take those horse pills every day.

Interesting story, the original product was named Cosamin and the owners had an office down the street from my medical center. This was in the mid 80’s. They told me that they have had incredible results using glucosamine/ chondroitin in horses and would I mind trying it on some arthritis patients ( with permission of course).

It was just a supplement so I tried it for one month on a few people and got some very positive feedback. They took my information and ran an RCT. Afterwards launched a billion dollar product.

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This study, possibly weaker, MANY reverse confounders. They didn’t even track dosing…just “yes or no”. Half the frequency of non smokers in the glucosamine group, and double the frequency of use of vitamins/minerals/supplements in the user group, although they try to adjust for this. They do find “associations between glucosamine use and these CVD outcomes were stronger among current smokers than among former or never smokers”

“Glucosamine users also tended to take more aspirin, non-aspirin non-steroidal anti-inflammatory drugs, vitamins, minerals, and other dietary supplements than non-users”

Members might have to do the horse pill risk/reward calculus.

There’s alot of smoke here. It’s got me convinced despite the cofounders.

I have read a lot about this one. Malcolm Kendrick is ALL about the glycocalyx. He cites studies that show a healthy glycocalyx is what you need. From his book:
“Albumin is physiologically bound within the glycocalyx, protecting against shedding and contributing to the maintenance of vascular integrity and normal capillary permeability. Recent studies have demonstrated that for every 10g/L drop in albumin, the risk of CVD doubles.”

He goes on to say that chondroitin, glucosamine and hyaluronic acid are the chemicals that directly contribute to the Albumin. I’ve been taking it for years, so can’t do numbers before and after, but I’m wondering if I double what I’m taking if I will see it in my Albumin.

I also remember seeing Gundry talk about how glucosamine and MSM are chemicals that bind lectins. So it seems to me they should be taken with your big meals, particularly if you’re eating something with lectins.

Good info. Easy to share the study links that support this statement?

It might also be the quality of the albumin, not just qty…all the work on plasma exchange and longevity, and keeping your AGE and hba1c down.

And why keeping your glucose AUC low is associated with longevity…protecting the precious glycocalyx.

It looks like he used his own brain to come up with it from this study and the ones that show glucosamine gives a 9% to 22% lower risk of CVD. And Chondroitin Sulfate use in osteoarthritic patients lowers CVD risk:

As posted previously. Also mentions this one:

But his logic is that since the glycocalyx is made of proteins, it only makes sense to take the supplements that contain the same type of proteins, then he says these are the ones and they reduce heart disease. QED