I have listened to so many hours of his podcasts recently that that is almost a direct quote. He followed it by saying there used to be a time we would rely on things like this but now we have better markers, or words to that effect.

I thought I’d provide an update on my efforts to improve my oral microbiome and nitrate intake to boost NO. I have been using nitrite test strips to test nitrate in my saliva on consecutive days, at various times of day, and after various actions, including brushing teeth with original and replacement toothpaste, eating my regular food, eating celery (high nitrate) every day with dinner, and finally taking nitrate supplements.

Test #1 – first thing in AM before doing anything with mouth. My first test showed good nitrite.
Test #2 – same day, after eating and brushing my teeth, my nitrite was gone. Was it my oral hygiene or my breakfast?
Test #3 – first thing in AM before doing anything with mouth, test results poor. I determined that I didn’t eat celery the night before as I did for the first test.
Test #4 – first thing again. Celery in dinner previous night. Good test results
Test #5 – after good 1st thing test, and after eating breakfast, test results also good. No problem with green tea or my breakfast killing my oral biome.
Test #6 – same day, after test #5, did oral hygiene. Test results bad. Two possibilities, toothpaste and tongue brushing. I switched to a “oral biome friendly” toothpaste and switched to tongue scraping vs. brushing.
Test #7 – Celery the night before, post breakfast, new oral hygiene. Good test result.
Test #8 – on same day but in afternoon. Poor result. Apparently the celery effect doesn’t last 24 hours. Decided to try nitrate supplement (can move to celery or other for breakfast another time).
Test #9 – Celery night before, regular brkfst, nitrate supplement after brkfst, new oral hygiene, tested in mid-afternoon. Good test result.

So, I’ve gotten my saliva nitrite testing well in AM & PM. Now I need to continue with my new oral hygiene protocol, and I should find more high nitrate foods to provide more variety in my diet. But I do like celery, so no rush. I’ll keep testing periodically to make sure nothing has broken the system.

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Great information. I love self experiments like this.

I’ll try it as well. My NO supplement will remain pine bark extract since it’s been proven to halt atherosclerosis in human studies. I’m now up to a 600 mg dose which is fairly high. I also combine with gotu kola.

How much celery and which brand of toothpaste? Are you concerned about cavities?

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@rivasp12


Boka Natural Toothpaste, Fluoride Free - Nano Hydroxyapatite for Remineralizing, Sensitive Teeth, & Whitening

The toothpaste looks legit. Plus I have good teeth genes. No concerns.

Approx 5-6 stalks of celery daily is what works for me. But the level of nitrates can vary based on where grown and fertilizer used. Organic is lower in nitrates.

Have fun!

I’ll look into pine bark. Thanks for the tip.

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Excellent. I’ll try it all. Will alternate celery with other nitrate foods.

Sunlight also upregulates endothelial NO production.

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It also ages the skin and causes skin cancer.

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“It also ages the skin and causes skin cancer”

And there are other forms of skin cancer than melanoma, not to mention actinic keratosis.

I will take my chances with a Vitamin D and K supplement.

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That is really a high dose. Why have you decided for such hight dosing?

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I wouldn’t jump to conclusions that quickly. Although the Mendelian randomization study you posted (thanks for posting) interestingly showed no association between ApoA1 and coronary artery disease, that doesn’t mean we can ignore the existing evidence of ApoA1 having positive effects on the vasculature. Thinking ApoA1 is just observational does not make sense in light of all the evidence of ApoA1 being able to directly participate in reverse cholesterol transport and plaque removal. It’s well known that infusion of ApoA1 can increase reverse cholesterol transport and help remove plaque from the vasculature. The fact that genetic variations associated with higher ApoA1 did not lead to reduced coronary artery disease incidence is surprising in light of that. It suggests that things are not so simple. Perhaps the positive effects on plaque are balanced out with negative effects on some other unknown factors. Or perhaps its positive effects are not reflected as a reduction in coronary artery disease, but are reflected in improvement in other aspects of cardiovascular health, like reduced atherosclerosis.

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If Mendelian randomization or randomized controlled trials show a negative or neutral effect I assume that the theories on mechanisms were wrong. It’s very common. See studies on candidate genes and how they fail to replicate. Candidate genes are genes chosen in humans by researchers because they believe them to be related to for example a disease because of a studied mechanism. It turns out they rarely at all work. The best approach has been to scan the entire genome in GWAS and pick genes by association rather than chosen by expert committee.

Related:

I find this paper fascinating. Yes, it seems like we want is to rejuvenate eNOS (while over expressed iNOS might be a culprit in aging?).

" In aged endothelial cells, up-regulated iNOS, which may be associated with NF-κB-induced vascular inflammation, produces high levels of NO. NO reacts with cysteine residues of proteins (arginase in this example), forming S-nitrosothiol (-SNO)–arginase, which increases arginase activity and L-arginine consumption. NO directly reacts with ∙O−2 produced by uncoupled eNOS, and other vascular sources, generating the harmful reactive nitrogen specie peroxynitrite (ONOO−), which contributes to vascular dysfunction."

"Reduced NO bioavailability in aging is a consistent feature in experimental and clinical studies. Vascular aging is accompanied by reduced eNOS expression/activity or augmented breakdown of NO by ROS. In addition, senescent endothelial cells phenotype shifts toward an inflammatory state, with up-regulation of adhesion molecules, cytokines, and chemokines. This phenotype favors platelet aggregation and inflammatory cell adhesion, which may progress to thrombotic and atherosclerotic events. "

““The main vascular sources of ROS have been identified in aging: detaching mitochondria (Ungvari et al., 2010) and nicotinamide adenine dinucleotide phosphate (NADPH)-oxidase)””

" NO seems to be a key molecule to longevity and cardiovascular health. This concept was partially derived from studies addressing the cardiovascular function in mice that do not express at least one, a combination of two, or all NOS isozymes genes (nNOS−/−; iNOS−/−; eNOS−/−; n/iNOSs−/−; n/eNOSs−/−; i/eNOSs−/−; n/i/eNOSs−/−; Tsutsui et al., 2009). Accordingly, the survival rate of 10 month-old triple NOS knockout mice is reduced by ∼80%, mainly as a consequence of spontaneous myocardial infarction, coronary arteriosclerosis and mast cell infiltration in the coronary artery adventitia (Tsutsui et al., 2009). The role of each NOS is well established in some CVD. For instance, studies in mice models of atherogenesis demonstrated that eNOS and nNOS play protective roles, whereas iNOS is pro-atherosclerotic (Tsutsui et al., 2009). On the other hand, in particular conditions such as myocardial ischemia, iNOS up-regulation represents a compensatory molecular mechanism that protects myocardial cells from damage (Bolli, 2001). However, few studies have addressed whether chronic ablation of a specific NOS isoform affects lifespan. A role for eNOS in lifespan and spatial memory was suggested by a report showing that the survival rate of eNOS knockout mice was reduced by 50%. Those mice also exhibit decreased exploratory behavior at 18–22 weeks of age when compared to age-matched controls (Dere et al., 2002). In addition, it has been reported that caloric restriction extends lifespan. However, this effect was strongly attenuated in eNOS knockout mice (Nisoli et al., 2005). This implicates eNOS-derived NO as one of the mechanisms by which caloric restriction extends lifespan."!!

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Very interesting. The biology is always so complicated. I’ve made NO rejuvenation a big part of my program. The available (and inexpensive) technologies for tracking results make NO a pleasant problem to solve. Nitrite test strips and blood pressure monitors are a no brainer.

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Like with most supplements, the question is to find the right dose and not be overly ambitious and end up overdosing. More is not the same as better.

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Very interesting. Yes, it’s possible to overdo it. Melatonin seems to inhibit inducible NOS which is beneficial and anti inflammatory, whereas nitrate rich foods and pine bark act on endothelial NOS, which is very beneficial. It’s possible that adding a drug like cialis to the mix of foods and supplements could be detrimental. I’ve never seen a study on that.

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Would you mind sharing your new oral hygiene protocol?

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It’s all in this thread.
Big changes were:
New toothpaste (photos of brand above)
Stopped brushing tongue; started scraping
Eat celery (4-5 stalks) every night
Take nitrate supplement every morning after breakfast
Now I have good test strip results:

  • when I first wake up
  • after eating breakfast and drinking tea, before brushing teeth
  • around lunch
  • around 3pm
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This is interesting, Vegetable nitrates , but not non vegetable sources ,reduce dementia risk in humans.

Dietary nitrate intake in relation to the risk of dementia and imaging markers of vascular brain health: a population-based study - ScienceDirect

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Good to know.

Another curious finding that may mean nothing but it’s got me thinking…I missed my daily celery “dose” (I actually love it) due to being out and failing to get to the store in time. The next morning my mouth tasted very differently than normal. Bad. I sleep with mouth tape so I don’t get dry mouth. I didn’t think to test my NO since I was certain it would be bad (no celery, after all). I did take my nitrate supplement the previous morning but the effect is not supposed to last more than a few hours (6?). I’m guessing I should take the supplement at dinner as well if I don’t eat my celery.

Has anybody else gone down the Nitrite test strip path to fix NO?

Supplement buyer beware! I switched to a less expensive nitrate supplement from Humann which is run by Dr Bryan who is a recognized expert in NO. I was so confident the supplement would be good. I was wrong. Perhaps I got a bad batch or an old batch but the damned things did not work. I’ve reordered my original supplement to get back on track. My nitrite test strips saved me…alerted me to the problem.

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Nitric Oxide

Volume 91, 1 October 2019, Pages 15-22

“Validity and reliability of test strips for the measurement of salivary nitrite concentration with and without the use of mouthwash in healthy adults”

https://www.sciencedirect.com/science/article/abs/pii/S1089860319301363

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