so I think our highest was up close to 20 milligrams once a week
The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
so I think our highest was up close to 20 milligrams once a week
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The "high risk" framing here is the right call. I've had three patients ask about rapa this month and none of them grasped the immunosuppression tradeoff until I walked them through it.
The PEARL trial framing in the dossier is the clearest writeup I've seen for a non-specialist. Worth linking from the AMA pages too.
I'm on 6mg/week, year two. Tracking IL-6, fasting glucose, lipids. Happy to share the spreadsheet if Whalespan wants longitudinal user data.
The dosing variance across the advocate camp is staggering. 3mg, 5mg, 8mg, biweekly, weekly… brief is right that "monitor or specialist only" is the responsible read.
but um by far the majority were once a week and among those the vast majority were 6 milligrams once a week and I think there's some historical reasons for that that sort of you know has what become become popular in the the online sort of community where people talk to each other but where do you think that number comes from so I think it's partly from Janes study so it's close to Joon study which was 5 milligrams once a week of ever alus I think it's also because many of the people the first people to start taking uh rapy off label were patients of Alan Green out of New York and I think that was sort of his standard dose that he put most people on so I could be wrong about that but that's my impression is that's kind of how that became popularized for lack of a better word within the within the community but having said that there are there's a lot of variation around that both in terms of doses that people are taking once a week and then there's a you know fraction of people who are taking rap ayon daily um uh usually one milligram 2 milligrams um sometimes for you know purposes other than purely for aging so people who have uh existing autoimmune disorders sometimes people are taking rapamycin for that but um but in general I would say among the off Lael rapy users the majority are once a week and of those the majority are 6 milligrams um kind of it's kind of a bodal distribution there's a group of people around 3 milligrams as well but lots of variation around that
most people using ramyon off label for potential Health span effects most doctors prescribing it are recommending once weekly dosing you know in the 3 to six sometimes 8 10 milligram range
Rapamycin extends median and maximum lifespan in mice across multiple lab strains and dosing protocols.
Rapamycin will extend human lifespan by 5+ years at standard weekly dosing.
Weekly rapamycin dosing in healthy adults shows favorable safety and immune markers in early observational data.
Chronic low-dose rapamycin imposes an immune trade-off that outweighs the longevity hypothesis for most healthy adults.
mTORC1 inhibition is the mechanistic backbone for rapamycin's healthspan effects in mammals.
The PEARL trial showed an acceptable 48-week safety profile in healthy adults on weekly rapamycin.