@cl-user Attia was probably using a lot. That would be like him to maximize something he believed in. Originally, 5-ish years ago, when I had trouble exercising (zone 4-5, endurance) i was taking a low, non-extended release Metformin dose about 2 hours before exercise…so right in the peak (thanks for the chart). More recently on an extended release (and a statin) I just didn’t feel right when I was taking it day after day. And when i experimented with stopping the metformin i felt better. Now that I no longer take the statin (another experiment that paid off), perhaps there is room for metformin again if I need it. The akkermansia is keeping my hba1c low so I’m not in a rush. For now, I just aim for the Rapa + Metformin compounding effect. Good luck with the Metformin.
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Metformin promotes hormesis, what does not kill us makes us stronger
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Jonas
#33
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Neo
#34
Thanks. This is a news story about the paper that was in Cell
Interesting that:
In the meantime, Liu and his colleagues [have launched a 120-person trial](ClinicalTrials.gov) in collaboration with the biopharmaceutical company Merck in Darmstadt, Germany, which developed and manufactures metformin, to test whether the drug delays ageing in humans.
That will report out in 2026, so while much smaller than TAME, might have data sooner
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That looks like an excellent clinical trial. I hope it has positive results!
adssx
#36
They use 1,000 mg/day of Metformin hydrochloride extended-release tablets in this trial. So 2x the HED of what they tried in monkeys?! Metformin decelerates aging clock in male monkeys - #15 by adssx
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DrT
#37
The Chinese paper results seem fairly clear. I’m not going to criticise it simply on the basis that “it’s Chinese and therefore inherently untrustworthy.”
Metformin is a drug that has shown longevity effects in worms, flies and to some extent in mice but only circumstantial evidence in humans. These primate results go some way towards filling that gap in knowledge.
As far as effects on muscle strength goes, I can only state my own experience. I’m a 67 y-o male. I exercise on alternate days. 500mg SR metformin before breakfast. I don’t do much in the summer; just some jogging and pull-ups on a high bar. I can do 18 pull-ups (maybe more if I really tried) which, according to an athletic performance comparison website I found, puts me in the top 1% for my age.
That’s good enough for me.
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约瑟夫
#38
FWIW…
As I have posted countless time.
“If you wait until you are ready, it is almost certainly too late.” ~Seth Godin
“Keep waiting, the time you wait you will never get back.” ~Joseph
In my view another no brainier.
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Melih
#39
I get hypos on metformin (500mg IR), perhaps if there were 100/200mg tabs, I could take it.
My average dose of Rapamycin has been 2mg/bi-weekly for 1.5 years.
Could I make the assumption that I still have very high insulin sensitivity?
adssx
#40
Have you tried cutting 500 mg IR half? (I assume you cannot cut half the SR/XR version)
I like idea of GMRx4: single pill, ultra-low-dose combination of metformin XR 350 mg + dapagliflozin 2.5 mg + sitagliptin 17.5 mg. Not yet commercialized: Developing Late-Stage Drugs - Our Pipeline - George Medicines
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Melih
#41
I had tried that too, but got another hypo. I had taken it in the morning and then the hypo would begin at night.
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alorac
#42
Here is a link to a paper claiming that metformin shortens lifespan in the elderly.
Specifically, it claims “By in vitro and in vivo tests we found that metformin shortens life span and limits cell survival when provided in late life.” “In sum, we uncovered an alarming metabolic decay triggered by metformin in late life which may limit its benefits for non-diabetic elderly patients.”
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mccoy
#43
Apparently, Metformin may prevent muscle hypertrophy but not muscle strength (in the words of Nir Barzilai). But I’m afraid all of us (or nearly so) sin in vanity and desire hypertrophy.
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DrT
#44
At 67 I’m kinda past the “bigger is better” meme. I’ve read about too many bodybuilders dying prematurely to ever be convinced that that is a sensible path. Hyperplasia is a cornerstone of the “Antagonistic Pleiotropy” theory.
I just try to keep what I’ve got.
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DrT
#45
You could make that assumption.
But have you had your insulin level checked?
I’ve had mine measured both fasting and random (2 hours after a meal) and both readings were < 2 IU/L. The machine doesn’t measure below 2.
I take 500 mg metformin just before breakfast and don’t have problems BUT I have to make sure I eat exactly on time and LOTS. If I’m 15 minutes late I risk a headache, hypo etc.
I think if you haven’t tried the Slow Release or Extended Release metformin you might try it.
I have taken the Immediate Release stuff but it was a bit gnarly for me.
Let us know what you do.
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mccoy
#46
DrT, it’s not so easy to get bigger though. And bodybuilders often do their best to die prematurely, sometimes being successful.
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Melih
#47
I have not had a recent blood panel, but my panel (fasted state) from before starting rapamycin.
Glucose 4.28 mmol/l (<5.56)
Insulin 1.7 mU/l (2.6-24.9)
HOMA 0.3
Planning to do a full panel w/ DEXA in 6-12 months. Might try slow release after this.
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约瑟夫
#48
FWIW…
The proposed TAME Study plan is to use conventional metformin, Not “extended release /slow release”.
From the “Metformin Master”, Nir Barzilai.
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KarlT
#49
I like that.
But then there’s “haste makes waste”?
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KarlT
#50
Maybe I’m reading too much into it, but by using the word “claim” are you implying you think the results are wrong?
