Conclusion: Dr. Jon Berner is an asshole.

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I was expecting a couple of links to some literature or studies or case reports or something, it wouldn’t take much time, but maybe none exist and it’s all personal anecdote (which would make it nearly useless). Too bad.

He is pretty terrible.

He goes on a podcast and says lithium can cure dementia.
How much? He just can’t say.
How would you determine how much? He can’t say.
What testing would you do? Can’t say.

He describes his approach as if he’s an artist and there is no way to write down the method. There is no branching decision tree.

Which is a fancy, complicated way of saying he has no methods. Every patient gets whatever feels good to him that day. If they get side effects, he adjusts based on how he feels that day.

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Yes Dr. Jon Berner is at best incompetent, at worst a total scammer. It’s a disgrace for Matt Kaeberlein to have him on his podcast. It’s also not reassuring regarding Matt’s own competence.

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Matt often has odd guests, who are borderline if not total scammers: guys like de Lauer, Muntzel and several others, some gut lady, a cold plunge guy. Marginal characters or influencers with no real medical competence. He may be friends with some of them or maybe he’s looking to grow the channel so he features these influencers. I have long since complained about the quality of most of his guests, though he does have on solid guys like Brian Kennedy. Then he has guys on like Dr. Kevin White - complete puzzle, that guy never says anything, just repeats some sentence Matt says, mostly hems and haws and shifts around making faces - it’s like performance art, how long can you sit in an interview and say absolutely nothing of consequence. Then his co-host Nick - a nice guy but with zero medical knowledge, just really “guy on the street” level of understanding - maybe that’s the point, I don’t know. Oh well. There’s a distinction to be made between being a scientist and running a yt channel. Matt is not very good at the latter, but I have faith in him as a scientist.

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I noticed, reading the comments after watching one of MKs videos on YouTube, that some people were complaining that they were playing ads every 5 minutes. Makes me wonder if Optispan is making it as a health care entity, or if it’s just becoming a front for a YouTube channel… or maybe it’s the world we live in; everything gets monetized. That would at least partially explain the guest selection as a mechanism to boost subscribers and clicks. But maybe I’m being a cynic, but I’ll suspend judgement until which time as he starts promoting meat bars or some such.

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Multi-omic analysis reveals lipid dysregulation associated with mitochondrial dysfunction in parkinson’s disease brain

https://www.nature.com/articles/s41467-025-65489-2

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https://www.science.org/doi/full/10.1126/sciadv.adu0726

I was diagnosed ~2 years ago (I am 55 now) and started on rapa (8mg/8 days) shortly after the PD diagnosis. I’ve kept up with cardio (I ran 8 marathons through my 30s-40s and still ski and bike), added bodyweight strength training, and I also added CoQ10 and GLP-1 low-dosing in 2025 because why not.

This new R&D suggests none of this is a terrible idea. My ongoing approach is that I won’t know until my mid-60s, at minimum, whether I’ve bent the curve, so get busy living.

I’d be interested in any related reflections, helpful skepticism, or other advice. I mostly lurk here but it’s been excellent lurking. :^)

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I think PD and ALS/MND are both initially a problem with mitochondrial collapse (the failure of mitophagy in some circumstances caused by a lack of melatonin).

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Welcome here @mshobe.

Which GLP-1RA are you using? The exenatide phase 3 trial failed. Did you consider SGLT2i (dapagliflozin or empagliflozin)?

In addition to SGLT2, if I were you, I would look at (I don’t say to take them but to research them):

  • Vaccination (shingles, tetanus)
  • Telmisartan
  • Low-dose lithium orotate (not other forms)
  • Vitamin K2 MK7 (not other forms)
  • UDCA (not TUDCA)

You can search for those terms in this thread and elsewhere in the forum to find previous discussions about those compounds.

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Conclusion:

In the context of Parkinson’s disease, we identify four key lipid alterations:
i. Reduced very long-chain ceramides ( > C20) in the putamen, suggesting early lipid dysregulation
ii. Increasing lyso-PC with disease progression
iii. Increased antioxidant lipids, including gangliosides and plasmalogens.
iv. Higher levels of sphingomyelin species (C34 and C36), correlating with proteomic changes.

These insights strengthen the understanding of lipid metabolism in PD pathology and underscore its role in disease progression. Future research should explore how these lipid shifts interact with protein networks and metabolic pathways, paving the way for novel therapeutic strategies.

FWIW, based on the above, ChatGPT 5.1 Thinking suggests the following potential therapeutic strategies:

  • Ambroxol (ongoing RCTs)
  • Substrate-reduction drugs (miglustat, eliglustat)
  • GM1 ganglioside itself
  • Oral plasmalogen supplements / alkylglycerols
  • PPAR agonists / peroxisome boosters (e.g., fenofibrate or pioglitazone)
  • DHA-rich omega-3
  • Lp-PLA₂ inhibitors (e.g. darapladib)
  • Aggressive lipid-lowering / statin-type approaches
  • Metformin
  • S1P-receptor modulators (fingolimod and cousins)
  • FIASMAs (functional inhibitors of acid sphingomyelinase)

I’m not convinced by any of the above (maybe ambroxol?).

Well, pioglitazone failed against PD (I posted a study to that effect some time ago) - wrt ppar I have more faith in high dose telmisartan, but needs proving. I am waiting on ambroxol (and waiting, and waiting :roll_eyes:), but while there are a lot of mechanistic reasons for hope, hasn’t it already failed once? DHA-rich omega-3: no thank you (at least as far as exogenous supplementation with DHA). LLT - statins - are a mixed bag, should work, but really doesn’t quite do it. I posted that paper above, but I really am not sure what is actionable here. I was hoping someone more versed in lipid physiology would chime in, I myself am not super versed in this. The only way I’ve looked more closely at lipids is in the context of calcium channels (lipid microdomains/rafts), and it’s clear that perturbed lipid metabolism results in features of NDDs including through modulating calcium channel signaling. But there is a lot that’s still not understood, and I myself know even less toward the lipid end of this - I think this paper is more exploratory than anything.

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Thanks @adssx - I should mention of your punchlist, I am already also working through the following:

  • Telmisartan 80mg/daily (I was taking losartan previously for hypertension, this substitutes for that)
  • Shingles and tetanus both completed ~2 years ago
  • Looking into lithium orotate

Will assess K2 and UDCA - both new to me. GLP-1 for me is tirzepatide/semaglutide. As others have stated, I figure at the worst, it can’t do any further damage and reducing inflammation is a net gain if not direct impact.

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There are a range of different K2s. You need MK7 and possibly MK9, but MK4 may not do the job. There are other K2s, but they are not available as supplements.

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Great that you’re looking at those!

Semaglutide does not cross the BBB at all and recently failed in the massive Alzheimer’s trial. Tirzepatide might be better. Liraglutide, dulaglutide and lixisenatide might cross the BBB more. Ongoing trials for PD for some of them. In the exenatide phase 3 trial in PD those on exenatide were slightly worse off than placebo although it wasn’t statistically significant.

Q10 failed in various PD trials btw. I’m not convinced by it.

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Actually re-checked and it’s compounded TZ/dula, so maybe a bit better at BBB.

And CoQ10 for PD is firmly in my “a bonus if it actually helps” bucket. It’s several hundred lead bullets in lieu of a single silver one for quite some time to come, I think.

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This is a very quick and simple overview, but the concept seems pretty powerful. Alkahest (the blood plasma company started by Tony Wyss-Coray at Stanford, has over 100 million blood samples and is now looking for early blood markers of diseases (it sounds like Parkinsons was one of the first that they started on) - so perhaps a way for early identification and disease process tracking…

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I see red light was mentioned here a few years ago, but I’ll also share it was briefly mentioned in today’s Huberman podcast. He was interviewing the neuroscientist Glen Jeffery who very briefly touched on it helping the symptoms of Parkinson’s

A summary of the above video:

A. Executive Summary

The conversation presents a comprehensive argument that modern indoor light environments—dominated by LED-heavy short-wavelength spectra—constitute a chronic mitochondrial stressor, while long-wavelength light (red, near-infrared, ~650–900 nm) can acutely and chronically improve mitochondrial performance, visual function, and systemic metabolism. Glen Jeffery’s research program, spanning insects, mice, primates, and humans, supports the view that light is a key environmental variable shaping mitochondrial aging, on par with diet, movement, and temperature.

Jeffery shows that short-wavelength light depresses mitochondrial membrane potential and respiration in retinal and brain cells. In mice, daily exposure to LED-shifted spectra induces fat gain, fatty liver, elevated ALT, organ shrinkage (heart, liver, kidney), impaired glucose regulation, and abnormal sperm morphology—all without dietary changes. Mechanistically, this aligns with reduced ATP output, lowered mitochondrial reserve, and possibly elevated ROS and cGAS-STING activation.

Conversely, long-wavelength light accesses deep tissues (passing through skin, skull, and clothing) and interacts with nano-structured water around ATP synthase, reducing viscosity, increasing rotor speed, and inducing upregulation of respiratory-chain proteins. This produces two effects: (1) immediate ATP improvement, and (2) longer-term mitochondrial “repair mode.”

Human studies show:

• A ~20% reduction in glucose spike when red light is applied to a small patch of skin before an oral glucose load.

• A ~20% improvement in color-vision thresholds, lasting ~5 days, after 3 minutes of ~670 nm exposure to closed eyelids.

• Long-wavelength light reduces age-related rod loss, supporting slower retinal aging.

• Morning exposure is consistently more effective than afternoon exposure, revealing strong circadian coupling.

Jeffery argues that sunlight—rich in long wavelengths—is epidemiologically linked to lower all-cause mortality, while excessive LED exposure may represent an overlooked aging accelerator.


B. Bullet Summary

  • Short-wavelength/blue-enriched LEDs blunt mitochondrial membrane potential and respiration.
  • LED exposure in mice induces metabolic syndrome phenotypes independent of diet.
  • Long-wavelength light penetrates skin, skull, and clothing; scattering distributes energy through tissues.
  • Nano-confined water, not cytochrome c oxidase, is the dominant absorber at long wavelengths.
  • Long-wavelength light increases ATP synthase rotor speed and respiratory-chain protein expression.
  • Mitochondria operate as a body-wide community, signaling across distant tissues.
  • Red/NIR exposure reduces mitochondrial-triggered apoptosis.
  • A small illuminated skin area alters systemic glucose handling (~20% spike reduction).
  • Abdomen illumination reduces Parkinsonian degeneration in primate models.
  • Long-wavelength light slows retinal photoreceptor loss in aging animals.
  • In humans, 3 minutes of 670 nm improves color-vision thresholds by ~20% for 5 days.
  • Eye exposure works through closed eyelids; dose threshold behaves like a binary “switch.”
  • Morning exposure yields far stronger benefits than afternoon exposure.
  • Sunlight includes broad long-wavelength content absent in most indoor environments.
  • Epidemiology links higher sunlight exposure to lower all-cause mortality.

D. Claims & Evidence Table

Claim Evidence Presented Assessment
LED/blue light impairs mitochondrial function Real-time mitochondrial imaging in mice; LED vs full-spectrum comparisons Moderate–strong (animal data strong; human data limited)
LEDs promote metabolic dysfunction Mouse studies showing fat gain, fatty liver, ALT elevation under identical diet Moderate (requires replication & mechanistic isolation)
Long-wavelength light improves systemic glucose handling Human OGTT study: ~20% reduction in glucose peak after back illumination Moderate (small sample but clear effect)
Long-wavelength light improves color vision in humans Multiple human tests showing ~20% improvement lasting 5 days Strong (replicated, consistent)
Red/NIR reduces neurodegeneration in Parkinsonian primates Abdomen illumination reducing symptoms Moderate (small N, model validity reasonable)
Long-wavelength light penetrates skull, skin, clothing Radiometry/spectrometry measurements; imaging through hands & skulls Strong
Long-wavelength light interacts with nano-water, not cytochrome c oxidase Water absorption spectrum matches effective wavelengths Speculative–plausible (needs biophysical confirmation)
Morning superiority for mitochondrial effects Cross-species circadian comparisons Moderate
Sunlight exposure lowers all-cause mortality Epidemiology from Sweden & UK (e.g., Weller et al.) Moderate (observational, confounded)

E. Actionable Insights (8 items)

  1. Morning long-wavelength exposure (within 1–3 hours of waking) is optimal; 3–10 minutes is sufficient to test effects.
  2. Avoid reliance on blue-heavy LEDs in primary living spaces; incorporate halogen/incandescent or daylight-spectrum lamps.
  3. Use red/NIR for pre-meal glucose control testing: illuminate a small torso patch for 5–10 min before standardized carb intake; track CGM metrics.
  4. For retinal aging metrics, try 3 minutes of ~670 nm through closed eyelids once every ~5 days; assess color contrast thresholds.
  5. Increase natural sunlight exposure, emphasizing morning and avoiding sunburn; monitor sleep, mood, and glucose over weeks.
  6. For indoor environments, prioritize broad-spectrum, high-CRI lighting with IR content; avoid IR-blocking glass where possible.
  7. Combine morning outdoor light with low-intensity aerobic work (walks), testing additive mitochondrial effects.
  8. Avoid “indiscriminate blasting” with high-power devices; low-irradiance, well-characterized red/NIR sources are safer.

H. Technical Deep-Dive

Mechanistic Axes

  • Mitochondrial membrane potential (Δψm): Blue/short-wavelength light reduces Δψm, lowering ATP production and increasing mitochondrial distress signaling.
  • Nano-water viscosity: Long-wavelength absorption reduces viscosity around ATP synthase, increasing rotor torque and ATP output.
  • Mitochondrial protein upregulation: Long-wavelength exposure increases expression of ETC complexes (I–IV, V).
  • Apoptotic threshold modulation: Red/NIR reduces cytochrome c release probability, delaying apoptosis.
  • Circadian modulation: Mitochondrial proteome and ATP output are highest in the morning, explaining time-of-day dependent responses.
  • Systemic “mitochondrial community” signaling: Energy-demand shifts, cytokine release, microvesicle communication, and redox changes allow distal effects (e.g., abdomen illumination → brain, skin → systemic glucose).
  • Aging pathways: By improving Δψm and lowering mitochondrial distress, red/NIR plausibly reduces cGAS-STING activation, dampens inflammaging, and may shift AMPK/mTOR toward repair, although not directly shown in humans.

I. Fact-Check of Important Claims

Claim Consensus View Verdict
Blue/LED light damages mitochondria Animal data support mitochondrial impairment at high blue doses; human data incomplete Partially supported
Red/NIR boosts ATP via water Water absorption at these wavelengths is true; ATP synthase viscosity mechanism is plausible but unproven in vivo Speculative, not disproven
Red/NIR reduces Parkinson’s degeneration Photobiomodulation shows promise but mechanisms uncertain; human evidence preliminary Weak–moderate
Light passes through body & skull Biophysics supports deep penetration of NIR; well-established Strong
Sunlight increases longevity Observational studies (Sweden, UK) suggest correlation; causation unproven Moderate
Red/NIR acutely improves human glucose handling Small controlled study → effect appears real; needs replication Moderate
Daily LED exposure contributes to NAFLD/obesity Animal studies robust; human evidence indirect Moderate but tentative

Not sure if anyone has posted this already but if not, thought @adssx would find it interesting:

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