The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
there are a few bloodwork markers people can look at if they want to go back to the blood work episode I talked about a DMA which is asymmetric dimethyl arginine symmetric dimethyl arginine and blood levels of l-arginine and you can look at ratios between those to get a sense of how well your endothelial nitric oxide synthase is working
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for some reason we ordered adma asymmetric dimethyl Arginine and at least just say that the mind is below 100 which is the reference interval but it's the healthiest level you can get for a cardiovascular risk
if I measured a DMA a synthesis of nitric oxide you me right yes yeah well ultimately synthase arginine which results in the synthesis of nitric oxide Oh see I always thought that s DMA inhibited the synthesis of arginine but a DMA inhibited nos directly I should correct what I said one inhibits the synthesis and the other enhances the catabolism of arginine so the end of the day you're gonna have less and less nitric oxide and they're both markers that we can easily measure so and if we measure them in their high you might presume hey maybe that's a blood test that actually tells us something about endothelial function