Sure Pioglitazone is less dangerous than Acitretine...
http://www.ncbi.nlm....pubmed/16038845
http://www.ncbi.nlm..../pubmed/2970477
Well, both drugs have their dangers, and at this time, it's difficult to say which agent is more ideal for targeting liver x receptors, which was the reason behind my use of Acitretin. But while taking Acitretin, I didn't experience anything profound, which I suspect might be due to bioavailability issues, or the neutralizing side effects. However, I do think that the guidelines and warnings of the perils of Vitamin A use are a bit hysterical, and perhaps detrimental to some, because it assumes that Vitamin A needs are static regardless of pathology. Pioglitazone and Rosiglitazone are also interesting candidates for this target, but the incidence of cardiac events prevents wider use, and may lead to the suspension of the latter.
Although I promised myself not become too invested into the calibrating of my regimen, I decided that since we are at the dawn of a new year, it might be worth one last assault, because I think for the time being, I've come as far as I possibly can. Here is my regimen at present:
Geronova's Dihydrolipoic Acid- 2 capsules. Although Michael Rae will certainly object to my choice of dihydrolipoic acid, I've decided that using the metabolite makes more sense, because I imagine its effects should be less indeterminate than R-Lipoic Acid. I know, I'm departing from empiricism, but sometimes the standards for proof can be a significant obstacle to scientific discovery.
AOR's Advanced Bone Protection and Strontium-1 capsule. I'll give this a fair trial, because I want something more powerful than just Strontium and Vitamin D3, and don't want to take large doses of K2 or calcium.
Bluebonnet's Ubiquinol-1 to 2 capsules. On one hand, it may not be necessary to use, but I'm dubious about its ostensibly deleterious effects, and because of the striking presence of mitochondrial dysfunction in studies of disease pathology, I think it's worth supplementing.
Life Extension's Peak ATP: 4 tablets. I've concluded that cognitive outcomes are dependent in no small part on optimal levels of nitric oxide, and thus, ample cerebral blood flow. When I become older, I might worry more about coagulation factors, but not for now. But Glycine Propionyl Carnitine has multiple properties that many might find appealing, and after research, it seems like it's several steps above the more popular Acetyl Carnitine.
AOR's Advanced B Complex-3 capsules. I'm back in the B-vitamin camp, and decided to include this supplement in order to maintain optimal levels of methylation.
Bluebonnet's Super Antioxidant Formula-3 capsules. This is an excellent formulation, and indicative of Bluebonnet's pleasing trajectory towards creating more empirically sound formulas.
Revgenetics' Master Gene P-16-2 capsules. This agent is understudied, but I'm interested in it's potential for curbing inflammation, maintaining cellular integrity, and catalyzing repair mechanisms to address mutations that may lead to a cascade of beguiling effects.
Revgenetics' Master Rx-2 capsules. I have my reservations about Resveratrol, but I also think that many of the negative findings have been due to poor study design---which is the case for most negative findings in supplement studies. What gives me confidence is my understanding of its pharmacology, and its potential if half-life and bioavailability problems are overcome. Revgenetics' Nitro-Mx is moving in the right direction, but I've gone a step further, and have changed my strategy for administration. At night, and so I won't diminish the effects of Astral Fruit C, I take the following: two tablespoons of olive oil, a teaspoon of black pepper, a variable amount of lime juice, a half a bottle of wine, a variable amount of Chia Seeds, Ubiquinol, Master Gene P16, a teaspoon of lecithin, fat soluble nutrients, dihydrolipoic acid, and a multi-antioxidant formula. For the time being, this seems to work well, but I will probably make future modifications.
Life Extension's Essential Fat Soluble Nutrients-1 capsule, and my replacement for all of the other fat soluble supplements that I formerly took. This is a well formulated supplement, which is keeping with Life Extension's commitment to thoughtful engineering. However, I only wish that Life Extension was more committed to higher standard of quality control, which comes at the expense of delivering more affordable products. Because some consumers are more concerned with the methodology of sourcing and manufacturing, I think it would behoove them to introduce two separate product lines, for the pedestrian, and for the neurotically health conscious.
AOR's Methylcobalamin Ultra-1 lozenge. I've become a bit wary about creating an imbalance with other B-Vitamins, or aberrant methylation, but I think the benefits of taking 15 mg exceeds the costs.
Cerebral Health's Synaptine Ultra-1-2 capsules, but I'm becoming increasingly dubious about ostensible nootropics. Anyway, I needed something with a strong affinity for AMPA receptors.
RevGenetics' Astral Fruit C-3 capsules, I'm somewhat optimistic about its potential, but I'm looking for a drug alternative. It also occurred to me that this supplement is needed for immuno-competency, since many of the more popular supplements have immunosuppressive qualities.
E-Lyte's Sodium Butyrate-In transit, and used for histone deacetylase inhibition, and reelin promotion. Further, it possesses the desired pharmacological properties of Valproate, but in contrast, seems to be a bit more sparing on one's cognition.
E-Pharm's Testforce (contains Sarcosine, pretty cool)-2 scoops, and used as a testosterone booster, neuroplaticity aid, and broad spectrum cognitive enhancer. My use of this supplement should be evidence of my disdain for the excitotoxic hysteria.
AOR's Prostaphil-3 capsules, and used to mitigate the adverse effects of Testforce, and to amplify detoxification mechanisms.
Vyvanse-30 mg
Strattera-40 mg
Modafinil-200 mg
Luvox-50 mg
Mirtazapine-15 mg
Donepezil-10 mg
Rasagiline-1-2 mg
Metformin-250mg
For supplements, I'm toying with the notion of adding one of the following, but will probably not make any amendments:
Magnesium Orotate
Nattokinase
Bacopa
Iodoral
Pycnogenol
Vimmortal
Neygeront ampoules
Acetyl Cysteine
Glucosamine
As for drugs, I'm contemplating taking Minocycline, Diflucan, Cycloserine, and Valtrex on a weekly basis. And I might include a small amount of dessicated thyroid hormone, but I'm quite hesitant. I'm also giving Piogltiazone, Buspirone, Clonidine, and Ondansetron second looks, but I'll certainly not be using all of these drug candidates, and will probably leave my drug regimen in its current shape. Indeed, I'm a bit wary of trying to take control of all variables, because it's not a healthy endeavor. Anyway, the pharmacological targets that have left me in a bit of a limbo are the liver x receptors, and the phosphodiesterase enzymes, because there aren't many good agents available.
With that said, I apologize for my erratic mood as of late, and for my failure to respond to all inquiries. My mercurial mood has been owing to some acrimony with a long standing friend, and the mild-depression and increased alcohol consumption that followed our mutual decision to de-link. But, our significant others conspired to reconcile the both of us, and all is better---we couldn't bear the notion of not being connected. As for inquiries about lifestyle, drugs, supplements, and multiple physiological disturbances, I've been purposely distant. This is not because I have developed a sudden callous attitude towards the suffering of others, but because I concluded that I don't have all of the answers, and have the humility to not render advice about fields which I lamentably have only a limited formal education. At this point, it should be abundantly clear that a number of individuals in this community have chronic and pervasive disorders that manifest in multiple forms. And evidently, many have grown alienated with the inability of medical professionals to adequately treat these confounding disorders, and as a consequence of this disenchantment, they have adopted a self-help posture. This is a generally positive development, because it's an acknowledgment that professional pressures and obstacles prevent optimal patient outcomes in these disorders. But at the same time, there are so many different etiologies (proven or postulated) for many of the oft reported symptoms of fatigue, cognitive dysfunction, and mood disturbances, and consequentially, I don't feel entirely comfortable with making prescriptions. Because I could be terribly wrong, and in this failure, I may contribute to hindering personal recovery. An individual sense of wellness is the most acute, and because of this acuity, the individual is in the best position to care for personal health needs if they can summon the energy to apply themselves. In contrast, medical professionals and discussion participants like myself are at a great disadvantage, because we're not fully cognizant of patient histories, and do not possess the time to personally commit ourselves to investigation. Diagnostic manuals and the like serve as good general guides, but I think there's a frequent failure to capture the variance in symptom presentation for each disorder. Which places a substantial burden on the individual, because of their vested interest to make the appropriate treatment modifications that suit the distinctive nature of their symptoms. Although this might be an arduous process, it is in my opinion, requisite for exceptional success.
Edited by Rol82, 05 January 2011 - 03:15 AM.