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.
so we uh for various reasons we lost our collaboration with UCLA neurosurgery but they were in the stage two clinical trial of infusing lactate uh and they weren't the only ones there's a group in Switzerland who uh preferentially gives hypertonic lactate to TBI patients and they they appear to do better
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the implication of this at the risk of stating the obvious is we should be giving brain injured people intravenous lactate around the clock to heal their brains
So when you think about the advantages of lactate for uh alternative brain fuel and ketone as an alternative brain fuel, you know, I had George Brooks on the podcast a while ago and he talked about how you could probably rescue concussion patients if you administered lactate quickly following a concussion.
But, if glycolysis is blocked and we can augment the total energy supply by giving lactate, that's what we seek to do.