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#109 How To Boost NAD Levels To Fight Inflammation, Improve Recovery, and Slow Aging | Dr. Charles Brenner

  • **Anti-inflammatory effects:** Eight randomized controlled trials demonstrate nicotinamide riboside at 500-1000mg daily significantly lowers inflammatory markers including IL-6 and IL-10 in humans. The effect proves strong enough that participants receiving NR first in crossover trials maintained lower inflammation three weeks after switching to placebo. This anti-inflammatory action appears most beneficial for individuals with elevated baseline inflammation from conditions like obesity, COPD, or metabolic dysfunction.
  • **Blood versus tissue NAD:** Blood NAD levels remain relatively stable with age in healthy individuals at approximately 20 micromolar, but tissue NAD in organs like liver, brain, and muscle declines significantly. People with mitochondrial disease show measurably lower blood NAD, while inflammatory conditions tax NAD systems across multiple organs simultaneously. This explains why blood testing provides limited value for individuals—supplementation reliably increases NAD regardless of baseline measurements.

#106 How To Increase Your Testosterone Levels Naturally | Derek from MPMD

  • **Testosterone measurement protocol:** Test early morning when levels peak from diurnal rhythm, get fasted blood draw, avoid biotin-containing supplements for several days prior as they cross-detect with hormone assays, stay hydrated to avoid falsely elevated hematocrit readings, and obtain repeat measurements before making treatment decisions since single snapshots can vary significantly based on stress, sleep, and other transient factors affecting hormone production.
  • **Free versus total testosterone:** Total testosterone reflects overall production capacity including hormone bound to proteins, while free testosterone represents only two to three percent that actively binds androgen receptors. Sex hormone binding globulin binds approximately sixty percent of testosterone, albumin binds thirty-eight percent. High SHBG levels can cause symptoms despite adequate total testosterone because insufficient free hormone reaches target tissues to exert biological effects.

#105 Exogenous ketones, my coffee protocol, and supplements for blood sugar regulation (Premium Member Q&A July 2025)

  • **Exogenous Ketone Types:** Delta G and Ketone Aid use beta-hydroxybutyrate ester bonded to 1,3-butanediol, providing immediate effects plus sustained release over 90 minutes as the liver converts the ester. Ketone IQ contains only 1,3-butanediol at 5 grams, requiring one hour pre-consumption for conversion. Beta-hydroxybutyrate creates calm focus by shifting neurotransmitter balance toward GABA over glutamate, reducing anxiety while maintaining cognitive performance.
  • **Blood Sugar Supplement Protocol:** Berberine requires 600mg three times daily with meals for total 1,800mg to effectively impact glucose and lipid panels. Alpha lipoic acid dosing ranges 600-1,200mg daily. Ubiquinol at 100mg daily supports general mitochondrial health. This combination targets glucose regulation and lipid optimization when taken consistently at meal times for berberine's glucose-lowering effects to activate properly.

#102 Why Vitamin D Deficiency Accelerates Brain Aging

  • **Deficiency prevalence:** Seventy percent of Americans have deficient or insufficient vitamin D levels (below 30 ng/mL). Factors blocking production include sunscreen, melanin pigmentation, age (70-year-olds produce four times less than 20-year-olds), northern latitude residence, and body fat storage reducing bioavailability of this fat-soluble vitamin.
  • **Genetic risk mitigation:** Vitamin D supplementation reduces dementia incidence by 33% in APOE4 carriers, the biggest genetic risk factor affecting 25% of the population. One APOE4 allele doubles Alzheimer's risk, two alleles increase it tenfold. Supplementation helps but doesn't fully eliminate this elevated genetic risk.

Recent Episode Summaries

7 AI-powered summaries available

119 min episode3 min read

→ WHAT IT COVERS Dr. Charles Brenner, discoverer of nicotinamide riboside, explains NAD biology and its role in cellular energy, DNA repair, and inflammation. The discussion covers clinical evidence for NR supplementation at 500-1000mg daily, how chronic inflammation and disease states deplete NAD, safety considerations including cancer risk, and practical strategies for supporting NAD through lifestyle factors like exercise, sleep timing, and circadian rhythm optimization.

196 min episode3 min read

→ WHAT IT COVERS Rhonda Patrick interviews Derek from More Plates More Dates on testosterone optimization for men and women. They cover accurate measurement protocols, lifestyle factors that suppress testosterone, evidence-based natural interventions including diet and supplements, testosterone replacement therapy protocols, and practical strategies to assess and optimize hormone levels through blood work interpretation and symptom management.

33 min episode3 min read

→ WHAT IT COVERS Rhonda Patrick shares her personal supplement protocols and answers member questions about exogenous ketones, coffee preparation methods, blood sugar regulation supplements, and fertility optimization. She explains her switch to Delta G ketone esters for cognitive performance, her Chemex pour-over coffee routine with Purity Coffee brand, and optimal dosing for berberine, ubiquinol, and alpha lipoic acid combinations.

17 min episode3 min read

→ WHAT IT COVERS A study of 12,388 adults shows vitamin D supplementation reduces dementia risk by 40% over ten years. Dr. Rhonda Patrick explains mechanisms linking vitamin D deficiency to accelerated brain aging and provides specific dosing recommendations for prevention. → KEY INSIGHTS - **Deficiency prevalence:** Seventy percent of Americans have deficient or insufficient vitamin D levels (below 30 ng/mL).

231 min episode3 min read

→ WHAT IT COVERS Dr. Andy Galpin discusses evidence-based strategies for optimizing athletic performance and longevity through nutrition, supplementation, and recovery protocols. The conversation covers fasted training protocols, time-restricted eating for muscle gain, carbohydrate and protein timing, performance supplements including creatine and beta-alanine, magnesium and omega-3 supplementation, and practical recovery strategies for both elite athletes and fitness enthusiasts.

114 min episode3 min read

→ WHAT IT COVERS Dr. Darren Candow, director of the Aging Muscle and Bone Health Laboratory at University of Regina, details creatine supplementation protocols for muscle strength, bone density, cognitive function, and recovery. The discussion covers optimal dosing strategies ranging from 5-20 grams daily, mechanisms of action beyond ATP production, applications for aging populations and athletes, emerging brain health research, and addresses common concerns about side effects and...

111 min episode3 min read

→ WHAT IT COVERS Dr. Kerry Courneya, Canada Research Chair at University of Alberta with over 600 peer-reviewed studies, explains how exercise functions as therapeutic intervention for cancer prevention, treatment, and survivorship. The discussion covers optimal exercise protocols for reducing cancer risk across eight to ten cancer types, mechanisms by which exercise improves chemotherapy tolerance and survival outcomes, and emerging research on exercise as monotherapy for low-grade cancers...

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