TRT or lifestyle interventions?

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It sounds like TRT. (20 characters)

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Interesting. I guess his buddy, Attia is getting behind this.

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If I remember it correctly, he ranked creatine as one of the top things he took, yet he hasn’t had any for 6 months.

As a new adopter, I was curious why this would be because I have not heard it’s something to be cycled. Do you think life happened and he’s just lazy about it or any other thoughts?

He mentioned creatine, omega 3 and vitamin D as supplements he highly endorses.

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Yes, I did watch it, thank you. I was trying to ask if you could tell why he felt it was a top supplement to take yet he stopped taking it 6 months ago. Perhaps I misheard him and should rewatch.

It indeed sound like laziness. Something I can understand because I highly resistant to protocols that require daily dosing (excluding statins) .

Does anyone know how effective is 35f of creatine weekly vs 5g every day? From my reading, people don’t recommend high doses of creatine because of water retention issues. Is that the only concern?

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Been on Creatine close to 6 months daily 5 g in the morning coffee. With a double dose 10 g on workout day… I workout every other day 1.5 hours… muscle resistance.

Feel better overall… especially in gym… have gained weight… firmer muscles… chest, arm and butt… but weight is not fat… better water retention in my muscle cells. So seems good.

When I started on rapamycin after 4 months, I lost visceral fat about 20 pounds went from 198 pounds to 178 pounds . Stabilized at 183 pounds for past 4 years. Dexa body composition shows no fat.

That said, in the past 6 months on creatine up 8 pounds to 191 pounds. Clothes fitting tightly in chest, arms and butt… but waist same.

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Yep, I’m well aware of the benefits of daily dosing. I’m trying to find out how effective once-weekly dosing is, if at all.

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Great. Just confirming for me the water weight gain has been fine.

I agree the daily intake and remembering to dose it can be an issue. Why I keep creatine and taurine next to coffee pot. Spoonful of each goes in before the Keurig cup… every morning… lol.

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Got it, OK. Yes, and the delivery mechanism is not convenient either. It’s either several pills/chewables, or powder.

I figure that for muscles gains/maintainance I can either commit to take this for the rest of my life every day, or commit to 1 more day a week of strength training. I much prefer adding 1 more weekly training session for now.

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I think a scoop of powder in the coffee is the way to go. I use it daily.

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I was listening to this podcast yesterday while working out. I did not know there were any good longevity doctors in India, so it was nice to hear that Dr. Ranney in Mumbai has a practice and is prescribing (and using personally) rapamycin.

Perhaps if Westerners are traveling through Mumbai on work it may make sense to visit him, if you can’t get a good longevity doctor in your area.

Dr. Ranney’s linked in profile: https://www.linkedin.com/in/docmranney/

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He says he’s going to get TPE done.

MK KW conference readout.pdf (172.3 KB)

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The arrival of these longevity clinics in India made me think about how cost effective they might be, given peoples experiences here with purchases of the medications from India. The exchange rate currently is about 84 rupees to the US$.

Full body MRIs:
Full body MRIs in India seem to be in the $250 to $500 range (US$).
The cost of a full body MRI scan in India generally ranges from ₹22,500 to ₹45,000. This price can vary depending on the city, hospital, and specific areas being scanned. For example, in Sonipat, the lowest price for a full body MRI scan is ₹22,500, while the market price can be as high as ₹45,000

Source: Google Gemini AI, and How Much MRI Scan Cost in India? | PoonaHospital

In the USA: A full-body MRI scan in the USA can cost anywhere from $1,495 to $4,499, depending on the clinic and the specific features included in the scan. Some companies, like Prenuvo, offer comprehensive scans that include additional tests like lab work and body composition analysis for around $2,500 to $4,499. Other providers, such as Ezra, offer a range of options, from a 30-minute scan for $1,495 to a 60-minute scan for $2,395.

Cleerly Heart Scans
For example, here is the pricing of Cleerly heart scans compared to the USA pricing (below). The exchange rate right now is about 84 rupees to the US$, so Cleerly exams are in the range of $78 to $122 US.

The cost of a Cleerly heart scan in the USA, which includes the Coronary CTA (CT Angiography) and AI analysis, is typically around $1,500 to $2,200. The exact price can vary depending on the imaging center and whether the scan is covered by insurance.

And they seem to have many centers that do blood testing, etc. So perhaps medical tourism focused on Longevity may make sense for some people.

A ā€œCleerly heart scan,ā€ which refers to a CT Coronary Angiogram (CCTA) with Cleerly analysis, can cost anywhere from ₹6,588 to ₹10,290 in India. The cost varies based on factors like hospital reputation, location, and the specific type of scan.

Factors Affecting Cost:

  • Hospital Reputation and Location:

Larger hospitals or cardiac centers generally have higher prices than smaller clinics or nursing homes.

  • Type of Scan:

CT Coronary Angiograms (CCTAs) with Cleerly analysis are typically more expensive than basic coronary calcium scans.

  • Geographical Location:

Prices can vary across different cities in India, according to Healthians.

  • Plaque Scoring:

Plaque analysis, a feature of Cleerly’s system, can add to the overall cost.

Example Prices:

  • Delhi: ₹6,588
  • Mumbai: ₹10,290
  • Lucknow: ₹7,200
  • Greater Noida: ₹9,450
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I’m not finding any indication that Cleerly analysis is available outside the US. Cleerly is not selling heavily discounted access to its software in India, which is what the above seems to be trying to imply.

No doubt the CCTA is cheaper.

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Ah… you are correct. At some point I’m sure they will expand there, but it appears not yet.

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