General / Off-Topic Metformin, should we take it?

If you don't know about Metformin, maybe you need to?

Metformin is a diabetes medicine, which has been found to have anti cancer, anti-aging, and anti-inflammatory properties.
Some are using it off label to extend their lives, even though they have none of the diseases it is indicated for.

It's dirt cheap. Fairly safe. Defends against diabetes, and reduces fat gain.

It's getting to be as trendy as avocado toast, with gurus like Dr Peter Attia using it himself.
Starting metformin on oneself is a popular topic in the lounge these days, especially amongst the endocrinologists. I have considered it.
I'm not taking it. Never have. But maybe I might later on.

The biochemistry of it does not suggest that it's going to be something I want. It acts as a weak poison, and slows down your mitochondria from making energy, and that makes them burn more fat and sugar for the same output. This is like putting water in your carburettor to spend more at the pump. It's helpful if maybe you have "too much gasoline" - eg, like obesity/diabetes.

There is considerable ignorance of basic science even among some of the Ph.D guys doing the research.
Metformin is a catabolic substance, which sort of mimics fasting or low calorie eating.
It defies logic that it could, somehow, build more muscle. Muscle building is energy intensive, and why would you want that to be inefficient if that's the goal?

The MASTERS study was started in 2017 to see if older people could gain more muscle by doing training and taking Metformin.
( In my view, none of the people who came up with that idea understand what they are doing in the slightest. I will not repost their reasoning here, it is complicated, but more obviously, wrong.)
Metformin-> poisoned mitochondria ->Less ATP = more AMPK = less mTORc1 = less protein synthesis = less muscle growth. duh.
So the results came out this year!
And what did we learn?

It failed of course.

If you train and take the drug, you grow less muscle. (Shocker for the blokes doing the study, somehow.) - Less than the control group who got placebos.

Peter Attia wrote about this in his blog. https://peterattiamd.com/191013/ which is detailed and somewhat confused, (but worth a look if you want to live longer.)
So he's personally off the Metformin himself now. ( Attia was one of the guys working with Taubes when the experiment to prove Taubes' keto hypothesis crashed and burned, so he's 2 for 2 now.)

However, there's a way to leverage what it does to generate more muscle gain if used differently.
It's something I've done on myself this year, and posted about here. This stuff is of considerable interest to me academically- but it's not for everybody.
You need:
  • working kidneys
  • about 10 days time
  • gym access
Short version:
Fast for 2-3 days and take metformin at low doses. Create a 300% daily calorie deficit in total.
Hydrate well.
Do a fasted full body resistance workout, 24 hours after coming off the Metformin.
Break the fast with a post workout high carb/protein feed.
Alternate refeeding/resting and doing full body training for the next 5-7 days. Shoot for say 3 workouts.
Progress each load daily, eat a 10% calorie surplus over maintenance, with 1g protein/lb bodyweight/day.

This skyrockets the chemistry to make muscle protein, after dropping a couple pounds bodyfat (accelerated by metformin).
The rebound effect causes a fever as the metabolism revs past redline. There is profoundly fast growth, with visible gains in a week.
This is not named officially, but I like Shinkansen Protocol ( Fast-Train) It's theoretically possible to do cycles back to back to accelerate a composition change over time, but I have no research on the sustainability of it, and suspect that it's just too intense to do. If I get the chance to try 2 cycles, I'll post about that.

long version: too much Physiology for regular people. It's only interesting to me.
 
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Humankind will eventually get passed the PCD "long age barrier" (cell death) and stuff like sarcopenia, I can see this to become a desired product for the ultra rich, live 500 years....

In a society that treats death as taboo, ritualises it at the most, and is obsessed by self optimisation this is not astonishing to me.

The cycle of life is something we do not teach, let alone fully understand.
 
Humankind will eventually get passed the PCD "long age barrier" (cell death) and stuff like sarcopenia, I can see this to become a desired product for the ultra rich, live 500 years....

In a society that treats death as taboo, ritualises it at the most, and is obsessed by self optimisation this is not astonishing to me.

The cycle of life is something we do not teach, let alone fully understand.
Living for 500 years sounds like a nightmare. I doubt our psyche is up for that.
 
Long life seems like a burden based on our own severely limited scope, but I don't see why it couldn't be a blessing if you had the proper goals and inspiration.
 
I have t2 Diabetes and take this every single day, twice a day. Yes, I have definitely noticed that (despite what my GP says) it definitely, but DEFINATELY monkeys around with your enzyme and hormone levels outside of glucagon and Insulin. It also causes a constant low-grade nausea and general sensation of being unwell and makes it harder to sleep. It's actually pretty knarly stuff, but not as nasty as the consequences of not taking it. Probably. I don't know if it keeps people young and extends life span - I suspect it's one of those things where there was an informal study done (usually by a university) who discovered some result that implies that it's possible that it might extend these things in a small way in certain special circumstances...IF the results are valid and IF the theory is correct....... And all the media heard was "extend life". It's not always their fault, often universities write up their results in somewhat hyperbolic terms to try to attract students to this place where miracles happen.

Anyone with diabetes who takes this can tell you that it causes muscle catabolism. About the only time I've felt good in the last five years was when I stopped taking it due to illness and a conflicting prescription. And that's a problem because the best way to combat T2 is with exercise and diet. But Metformin just makes you feel tired and weak all the time.
 
I have t2 Diabetes and take this every single day, twice a day. Yes, I have definitely noticed that (despite what my GP says) it definitely, but DEFINATELY monkeys around with your enzyme and hormone levels outside of glucagon and Insulin. It also causes a constant low-grade nausea and general sensation of being unwell and makes it harder to sleep. It's actually pretty knarly stuff, but not as nasty as the consequences of not taking it. Probably. I don't know if it keeps people young and extends life span - I suspect it's one of those things where there was an informal study done (usually by a university) who discovered some result that implies that it's possible that it might extend these things in a small way in certain special circumstances...IF the results are valid and IF the theory is correct....... And all the media heard was "extend life". It's not always their fault, often universities write up their results in somewhat hyperbolic terms to try to attract students to this place where miracles happen.

Anyone with diabetes who takes this can tell you that it causes muscle catabolism. About the only time I've felt good in the last five years was when I stopped taking it due to illness and a conflicting prescription. And that's a problem because the best way to combat T2 is with exercise and diet. But Metformin just makes you feel tired and weak all the time.
I used to take Metformine for T2 diabetes, however I have since reversed that and now I am no longer diabetic.
 

Deleted member 110222

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No interest in "extending my life" here.

Unlike many people in the world, death really does not scare me. I mean I hope to pass away naturally of course. But the raw concept of death? Nope. Doesn't bother me.

The spirit returns to the cosmos and the body returns to the soil. Hell I'm only 25 and already know exactly what I want done with my body. Cremated and have the ashes scattered deep in the woods.

No grave for me.
 
No interest in "extending my life" here.

Unlike many people in the world, death really does not scare me. I mean I hope to pass away naturally of course. But the raw concept of death? Nope. Doesn't bother me.

The spirit returns to the cosmos and the body returns to the soil. Hell I'm only 25 and already know exactly what I want done with my body. Cremated and have the ashes scattered deep in the woods.

No grave for me.
Your next tattoo with the woods in the background ?

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No interest in "extending my life" here.

This is a common sentiment, because the phraseology is offensive to anybody who favors a natural approach. It suggests selfishness and greed at the expense of others.

The effect of "life extension" is a secondary effect of a number of other things though. For instance, not getting cancer. Having lower body fat. Not getting a stroke. Being physically more capable: eg a better grip strength.

Being healthy is inherently an attractive thing. I dont really want to date somebody sickly, or with a mismatched set of limbs, because biology makes me seek a fertile partner.

By and large, everybody wants those healthy attributes.

Maybe if we considered it to be optimizing ourselves better, rather than grabbing more than we deserve, the concept wouldnt seem so negative.
 
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The fear of death, or at least the apprehension of your own mortality, is something that happens gradually later in life. Before 40 I honestly don't know if I knew I was mortal - I think of the things I did back then with my body, the risks I took with my life and the squandering of precious youth, of time and of opportunity. I have a few scars and things - plus one or two unpleasant memories - but I didn't really understand death until I'd seen enough of life to appreciate it. Paradoxically, with the majority of my life probably behind me, I fear death more now than I did when I'd only had a few brief years of life.

Of course. Do you want to live forever? - That would be bad for the species as it would probably lead to a stagnation of evolution and rapid depletion of resources by aging, obsolete individuals. Also you have to consider what "live" means - bodies wear out, decay, get injured and so on. Immortality as an immobile, rotted corpse until the heat death of the universe and intervening aeons floating around the core of a burned-out sun as a disembodied spirit?
 
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