I do have a preferred Nattokinase vendor 
Iāve been purchasing from Belle Chemical for 4 years, great product.
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Steve,how do you manage taking the powder on an empty stomach?
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This powder is pretty innocuous, no bad flavour. I have this in my super shake every morning. But when I skip my shake I just put it in water and stir it up and drink it down.
I have a cast iron constitution (as they say), not much bothers my gut but this stuff is not difficult to consume anyway.
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I was under the impression that proteolytic enzymes need to be taken on an empty stomach, otherwise they just get wasted on digesting proteins in the stomach contents(?).
Iād hate for you to be wasting it in the smoothies, but I guess if youāre buying it in bulk youāve got plenty to spare.
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I have not done that since I started taking Nattokinase 4 years ago. I think you do bring up a valid point but I have not seen definitive clinical info on either side of this. Mostly speculative commentary based on the āproteolyticā aspect. It does appear to be sensitive to high gastric acid so an empty stomach first thing in the morning has the highest levels of gastric acidā¦
When people eat Natto as part of their diet, I doubt itās on an empty stomach and probably part of a meal with more to it than just the natto.?? where benefits have been evaluated in population studies,
This is the study I referenced previously and I canāt see if they used it with or without food. Itās benefits do seem to be very dose dependent which may reflect the consumption protocol.
This one is related to Osteo
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AnUser
#493
Is that independent of any effect on weight loss? Source or graph if you mind? Just curious.
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Davin8r
#494
This is likely impossible to distinguish given that thereās always dramatic weight loss in the published studies. Since incretins donāt have any direct effect on lipids it has to be the loss of liver fat that does it (thus no effect on lipids if visceral fat is already low).
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It may be indeed due to dramatic decreases in liver fat, here are several graphs detailing it:
- average liver fqat reduction of 50% after 48 weeks on those on 1mg and up
- liver fat reduction of 30% were achieved by at least 71% of patients, reduction of >50% was achieved by at least 43%, liver fat reduction of >70% by at least 22% of patients. 80% of patients on the highest dose achieved liver fat reduction of >70%
- by week 24, at least 27% had a liver fat content of <5%
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AnUser
#496
Interesting, Iāve heard that the body protects the liver with increases in saturated fat intake by dumping LDL-C into the blood stream, which is why serum LDL-C increases with saturated fats. I donāt know how true this is. But SFA intake is related to liver fat, and LDL-C.
Here are the numbers for apob changes. Itās actually a 24% decrease of apob, not 40% (I was thinking of triglicerides)
This is from a talk at EASD 2024: e-Science
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adssx
#498
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What is the easiest, moderate cost way to get these drugs these days - anyone have any suggestions?
The cost of weight loss drugs is finally dropping. How low can prices go?
Self-pay options
In March, Novo Nordisk cut the price of all doses of Wegovy by 23% for people paying in cash, dropping it from $650 to $499 per month for uninsured patients or those without coverage. (The list price of $1,349 stayed the same.)
It follows a similar move from Eli Lilly, which reduced Zepboundās starter dose to $349 and higher doses to $499 through its self-pay program, Lilly Direct. The discounted doses require patients to manually draw the medication from a vial with a syringe, adding an extra step compared to the prefilled injector pens.
ā¦
Experts point to several forces driving the falling prices: mounting pressure from the public and Congress on drugmakersā pricing practices; competition from pharmacies, med spas and weight loss clinics offering cheaper compounded versions of the drugs ā although many of those are expected to be phased out this month; and the Food and Drug Administrationās recent approval of a generic version of Victoza, an older GLP-1 medication that can start at a cost of around $350 for a monthās supply. The generic, called liraglutide, is taken daily, unlike Wegovy and Zepbound, which are taken weekly.
HistĆ³ria completa:
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Iāll talk about tirzepatide since semaglutide is so old (relatively). Brand-name will run you up to 500$/month (prescription needed), compounded 170-350$/month (telehealth will write you a prescription after some screening), gray will be about 30-40$/month.
Compound is probably the most straightforward way for someone looking to get started.
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Iām working my way up to this 10k FU dose with this Nattokinase product. Claude.ai was very alarmed 
by the high dosage so am going up 1k per week to ensure no other impacts. With summer here, I enjoy working outside, so am very hopeful the osteo in my hands will cooperate.
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One thing that is confusing though is that the package says ā100mg is 5,000 FU (scant 1/16 tsp)ā. But above you say you take 2 GRAMS. I am taking 1/8 tsp (200 mg) to get the 10,000 FU. Pure Organic Nattokinase Powder - Non-GMO, Gluten Free, Vegan (1 Pound, 454 grams) - Belle Chemical
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I can see where there would be some confusion. Both sides (front and back) of the packaging indicate 5000FU/gm which = 5FU per mg.
On the back, they are recommending 100mg as the dose which would = 500FU / dose. A very safe dose that covers their potential liability issues.
I take about 1.5gm = 7500FU daily for the past 4 or 5 years. I still acquired osteo in my left little finger but I can really notice the pain difference if I miss my 1.5gm of Nattokinase.
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The Nattokinase is working! Iāve been raking, digging, moving stones etc and way less pain in my osteoarthritic thumb joints. Have even been not bothering to wear the (uncomfortable) braces I got for each hand. Had the dose wrong at first (1/8 tsp) but with your kind correction, I now take a heaping tsp (donāt have a scale) and no side effects other than reducing the pain. Thanks so much. Have tried so many other things.
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You can get a relatively accurate milligram scale on Amazon for less that $30 They come in handy for those of us who buy bulk powder
Or you can spend $700 for a lab grade mg scale with Ā± of 0.1mg accuracy. If you want to get super accurate Ā±0.01mg scale, a very nice lab scale will run you $2k+
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