Paul Saladino, MD Profile picture
Sep 15, 2025 16 tweets 3 min read Read on X
Taurine is the next creatine.

Hear me out...

RCTs in humans show clear benefits from taurine (1-6g per day) in both disease states and for exercise performance.

Taurine is powerful stuff. 🧵 Image
Blood pressure reduction (PMID: 26781281), both SBP (systolic) and DBP (diastolic)

Improved vascular function in Type 2 DM (40546935)

Improved markers of metabolic syndrome including SBP/DBP, decreased triglycerides, decreased fasting glucose (38755142)
Decreased HgbA1c, fasting glucose, HOMA-IR, fasting insulin in type II DM and obesity cohorts (35769396, 39796489)
If taurine were a drug that the Pharma industry could patent we'd have a blockbuster on our hands here.

What else can do this without significant side effects?

No pharmaceuticals that I am aware of. Improving food quality could though...

And look at exercise outcomes:
Improved endurance outcomes (29546641) in a meta analysis of & trials looking at time to exhaustion (TTE).

Increased heat tolerance with increased sweating and decreased heat strain (30776254). Increased TTE by 10%, decreased blood lactate by 16.5% with single pre-exercise dose (50mg/kg).
Animal meat and organs are without a doubt the best food sources of taurine (and creatine fwiw).

Yet another argument against a plant-based diet.

Beef cheek (masseter muscle) is the clear winner here, with around 368mg taurine per 100g.
Most beef ends up in the 50-100mg taurine/100g range with things like flatiron steak also having above average amounts.

Dark meat chicken is a great source of food based taurine ~150mg+/100g. (12864905)
There is a large amount of variability in taurine content based on cuts of beef and dark vs white meat chicken.

Organs like beef heart and liver are also rich in taurine.

Use this paper as a reference if you are curious (PMID 12864905).
Cooking can degrade taurine up to 50%, another reason to cook your meat rare/medium rare.

Or just eat it raw.

Beef cheek tartare for Taurine maxing anyone? See original photo for inspiration.
Eating beef cheek or dark meat chicken (not raw!) could get you close to 1000mg of taurine per day with just food.

Grass fed and finished beef shows higher amounts of taurine and other nutrients relative to grain finished beef. (22063884).

Quality matters!
Unlike creatine, there does not seem to be a loading effect, and a single dose of taurine as been shown to be beneficial for performance (40852891).

In some studies doses >3g perform better than lower doses for glycemic reduction but it seems the jury is still out on optimal supplemental dosing.
Since taurine is an amino acid, free form supplementation is pretty straight forward and safe.

Side effects at higher doses include GI upset. Would be interesting to see long term safety data at doses >3g per day.
At this point I do not supplement taurine, but I focus on getting 1.5 lbs of meat + some organs (1/2 oz liver + 2-3 ox heart) from grass fed beef on a daily basis.

I look for beef cheeks when I can find them, and eat them raw as tartare.

Steaks are cooked rare- flatiron is on the menu often.
Are you guys taurine maxing yet or nah? What are you waiting for?

If you need help designing an animal-based diet there is a free animal-based calculator on my website paulsaladinomd.com
And yes, I apologize in advance if butchers everywhere are soon sold out of beef cheeks.

I stocked up before I wrote this post. 😂
And yes, this is something energy drink makers got right but eating a steak would be better!

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More from @paulsaladinomd

Dec 5, 2025
I cleaned 48 years of toxins from my blood…

I analyzed what came out and what I found blew my mind (results at the end of this post)… Image
In this bag is the “eluate” from a “blood cleaning” procedure called Inuspheresis.

At the bottom, you can see all of the brown material, which is 48 years of accumulated toxins.

Pesticides, plastic residues, forever chemicals, heavy metals, microplastics, etc. Image
These things are VERY difficult to remove from our bodies without some sort of serious detoxification.

I have not always been as intentional about my diet and lifestyle, and I wondered about what sort of toxins were in my body.

I generally prefer to eat clean and spend time in nature.

But this “biohack” was interesting to me. Let me explain further.Image
Read 11 tweets
Sep 15, 2025
Biggest nutrient deficiency in the US?

Potassium? Choline? Vitamin D?

Nope, it’s infrared light (760-1000nm). 🧵 Image
Believe it or not, the mitochondria in every cell in your body make the MAJORITY of your melatonin. (>95%) in response to infrared light (PMID 36671781, 29164625)

And almost NONE of us are getting enough of it.
We spend >97% of our lives indoors, where there is very little IR light.

If you live 86 years, you will spend 83 of them indoors.

Most of us spend less than 30 minutes per day truly outside. No bueno.
Read 8 tweets
Apr 2, 2025
I am not a fan of methylene blue. The data clearly shows that unless you have a block in your electron transport chain, it LOWERS ATP production in your mitochondria.

I think most people are conflating MAO-A inhibition and serotonergic effects with mitochondrial benefit.
Yes, metabolic dysfunction is common but methylene blue is not the way to address this.

The easy root cause solution is to cut out seed oils and processed sugars rather than turning your tongue (and brain) blue.
PMID: 21454572, 25277417, 35777722
Read 4 tweets
Mar 9, 2025
Sugar is bad for you, but not for the reason you think.

Sugar is NOT bad for you because it raises your blood sugar.

Sugar is bad for you because it causes dysbiosis in your gut => increases endotoxin =>inflammation/metabolic dysfunction.

A thread... 🧵 Image
From the outset, it's important to point out that "naked sugar" (think table sugar= sucrose and high fructose corn syrup) has different effects in the body than sugar consumed as a part of fruits/fruit juice/honey etc.. we'll get to this eventually...
Most believe that "naked sugar" is bad for you because if raises your blood glucose, but there is a dearth of evidence to actually suggest that raising your blood sugar is harmful for humans at all independent of pre-existing diabetes (PMID: 30249012). Image
Read 25 tweets
Jan 1, 2025
Fasting insulin is a SINGLE, CHEAP, EASY BLOOD TEST that could change the health landscape in the United States over night. Image
If every doctor ordered a fasting insulin ($30) on their patients -and knew how to interpret it**- we would immediately understand how great the burden of metabolic dysfunction in our country is and we could begin targeting it effectively.
The problem here is doctors are NOT taught that:

a) metabolic dysfunction (aka insulin resistance) lies at the root of the MAJORITY of chronic illness in our country...

b) metabolic dysfunction is EASILY diagnosable...

c) metabolic dysfunction is EASILY reversible.
Read 16 tweets
Aug 25, 2024
Seed oils ARE inflammatory. Full stop.

They increase oxidized LDL (PMIDs: 2008870, 14739118, 8432867, 28503188, 9488997).

Oxidized LDL is known to worsen atherosclerosis (PMID 24222937) and to bind C-reactive protein (CRP) (12244213) a marker of inflammation.

(All studies cited are in humans)

1/8Image
Seed oils increase Lp(a) (PMIDs: 21466598, 14739118).

Lp(a) is known to be pro-atherogenic, pro-thrombotic and pro-inflammatory (32453609)

2/8
Seed oils increase Lp-PLA2 (Lipoprotein-associated phosholipase A2) (PMID: 28503188).

Increased LP-PLA2 is strongly associated with increased cardiovascular disease (PMIDs: 22499993, 17431184) and cleaves oxidized phospholipids in LDL.

3/8
Read 8 tweets

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