George Ferman Profile picture
Nov 12 3 tweets 8 min read Read on X
"If you could only choose ONE supplement, what would that be?".

There's only one correct answer and that is................a mineral supplement (with trace minerals).

Minerals orchestrate thousands of functions, including:

-Tens of thousands of enzymatic reactions that rely on minerals as cofactors (magnesium activates 300+ enzymes for ATP production, zinc a few hundred as well like carbonic anhydrase).

-Nervous system regulation: Sodium, potassium, and calcium maintain nerve impulses and muscle contractions via ion channels.

-Detoxification: Selenium and zinc support liver enzymes like glutathione peroxidase for example.

-Energy production: Iron in hemoglobin and cytochromes for example and magnesium in mitochondria fuels ATP production.

-Blood cell production: The go-to examples for these are copper and iron for red blood cells and zinc for white blood cells.

-Oxygen metabolism and vitamin utilization/metabolism: Minerals like zinc are crucial for vitamin A metabolism for example and manganese and copper are crucial for superoxide dismutase (SOD).

-Blood sugar/insulin regulation: The go-to examples are that magnesium improves insulin sensitivity, zinc modulates glucose uptake and chromium enhances insulin signaling.

-Gut Health: Zinc aids hydrochloric acid (HCl) and enzyme production, copper has antimicrobial properties, chloride supports HCl as well.

-Hormonal support: Iodine and selenium for thyroid hormones T4/T3, boron, zinc and magnesium for steroid hormone metabolism.

-Oxidative stress defense: Selenium, zinc, copper, and manganese are crucial for antioxidant enzymes like GPx and SOD.

-Immune function: Zinc boosts T-cells and NK cells for example.

-Cholesterol conversion.

-Hydration: Electrolytes such as potassium, sodium, magnesium, and chloride regulate fluid balance through the Na/K-ATPase pump.

The list is endless.

Minerals are also crucial for bone health, joint health, DNA repair, skin health, brain development, detoxing and more.

This is why deficiencies create so many issues.

Some classic examples include:

-Low calcium (macro): Muscle spasms, osteoporosis (via parathyroid hormone dysregulation).

-Low magnesium (macro): Cramps, arrhythmias, anxiety (affects GABA receptors).

-Low potassium (macro): Fatigue, arrhythmias (disrupts cardiac action potentials).

-Zinc deficiency (micro): Gut permeability ("leaky gut"), low libido, acne/eczema.

-Iodine shortage (micro): Goiter, hypothyroidism.

Copper deficiency (micro): Anemia (impairs ceruloplasmin for iron mobilization), premature gray hair (reduces tyrosinase for melanin, lowers SOD activity, increasing oxidative damage), sun sensitivity (impairs collagen and melanin synthesis).

-Molybdenum deficiency (micro): Sulfur intolerance.

And mineral deficiencies become more and more common since compared to the 1950s, the food mineral content has been reduced by 20-50% (depending on region/type of mineral).

But that's not all.

In an industrialized world, we are all exposed to heavy metals that compete with both macro and micro minerals for absorption, transport and binding sites.

This "molecular mimicry" occurs because many metals are divalent or trivalent cations (for example Pb²⁺ mimics Ca²⁺ or Zn²⁺), hijacking transporters like DMT1 (divalent metal transporter 1 for Fe, Zn, Mn, Cd, Pb), ZIP (zinc-regulated transporters for Zn, Ni, Cu) or calcium channels.

They also bind proteins like metallothioneins (MT, which sequester Cu, Zn, Cd), transferrin (Fe carrier), or calmodulin (Ca-binding protein).

Let's put in perspective the importance of these nutrients by talking about lithium.

Just one trace mineral that most people never even think about.

Lithium is often misunderstood, conjured up as a heavy-duty drug for bipolar disorder with a laundry list of side effects but lithium is just a naturally occurring trace alkali metal.

Our bodies contain about 7 mg of lithium, and while it’s not officially classified as an essential nutrient (yet), animal studies suggest that a lithium-deficient diet can lead to problems in the spleen, immune system, reproduction and the brain.

Lithium orotate, the form that will be in your trace mineral supplement, combines lithium with orotic acid, a compound involved in DNA and RNA synthesis.

Unlike lithium carbonate, the pharmaceutical form used in high doses (400–1200 mg/day) to treat bipolar disorder, lithium orotate is typically taken in much smaller doses (5–20 mg/day), delivering elemental lithium in the range of 0.2–1 mg per dose.

Why the difference?

Lithium orotate is thought to cross the blood-brain barrier more efficiently, meaning you need less to achieve therapeutic effects in the brain.

Fun fact: A study found that lithium orotate (1.5 mg/kg) was more effective than lithium carbonate (15–20 mg/kg) at blocking amphetamine-induced hyperlocomotion, a model of mania.

This suggests lithium orotate punches above its weight due to its superior brain penetration.

Here’s why this matters: lithium deficiency, even at subtle levels, may contribute to mood instability, cognitive decline and even neurodegenerative diseases.

A 2018 study in Nature found that, out of 27 metals analyzed, lithium was the only metal significantly reduced in the prefrontal cortex (PFC) of patients with mild cognitive impairment (MCI) and Alzheimer’s disease (AD).

This same study showed that lithium orotate reduced amyloid-beta (Aβ) plaque burden by ~70% and tau phosphorylation in AD mouse models.

Lithium’s effects on the brain are multifaceted, influencing neurotransmitters, enzymes, inflammation and even the brain’s ability to repair itself.

Here are some examples/MOAs:

1. GSK3β inhibition.

Glycogen synthase kinase-3 beta (GSK3β) is a serine-threonine kinase that plays a central role in several brain disorders, including Alzheimer’s, bipolar disorder, and depression.

Overactive GSK3β promotes amyloid-beta aggregation, tau protein phosphorylation and neuroinflammation.

2. IMPase inhibition

Inositol monophosphatase (IMPase) is an enzyme in the phosphoinositol cycle, which regulates inositol levels.

Dysregulated inositol is implicated in bipolar disorder, where mania is associated with elevated inositol and depression with reduced levels.

Lithium inhibits IMPase, which helps stabilize our mood.

It's also great for reducing IP3-mediated calcium release from ER stores.

A word of caution: combining lithium with inositol supplements can be tricky.

In unipolar depression, inositol may enhance lithium’s antidepressant effects, but in bipolar disorder, it could trigger mania if taken during a manic phase.

Always consult a healthcare provider before combining these.

3. General anti-inflammatory effects.

Lithium orotate reduces neuroinflammation by modulating microglial function—the brain’s immune cells.

In the Nature study, lithium deficiency increased microglial expression of pro-inflammatory markers like CD68, Apoe, and GPNMB, impairing Aβ clearance.

Lithium supplementation reversed this, enhancing the brain’s ability to clear toxic proteins.

Lithium also:

Lowers cytokine levels: It reduces IL-6, TNF-α, and other inflammatory molecules, creating a less hostile environment for neurons.
Protects against oxidative stress: Lithium counteracts oxidative damage, which is linked to neuronal death in conditions like Alzheimer’s and Parkinson’s.
4. Neurotransmitter modulation.

Serotonin: Lithium enhances serotonin receptor sensitivity.
Dopamine and Norepinephrine: Lithium stabilizes these neurotransmitters, boosting them during depressive phases and dampening them during mania.
GABA: While lithium may enhance GABA activity, its effects on anxiety are less pronounced in clinical practice.
5. Boosting neuroplasticity.

*Mainly BDNF.

And of course we can add more niche effects such as reduced suicidality where:

A 1990 study in Texas found significantly higher suicide rates in counties with low or no lithium in drinking water.
A 2013 follow-up confirmed these findings across 226 counties.
A 2017 study of 51,000 patients showed a 14% reduction in suicide-related events in bipolar patients treated with lithium compared to other drugs.
Or improved B12 absorption (some individuals with high B12 blood levels despite not supplementing may have a lithium deficiency, as lithium appears to facilitate B12 transport into cells).

Now keep in mind that this is just one trace mineral and this supplement stack also has:

-Magnesium

-Potassium

-Chloride

-Molybdenum

-Silica

-Boron

-Maybe zinc + copper

*I am not a big fan of trace mineral supplements that have things such as vanadium.

all of which are equally or more important than lithium.

Let's take silica as an example.

Silica is also a natural mineral that can:

Assist in aluminum detoxification since it competes with aluminum for binding sites in the body, mobilizing it from tissues like the brain and kidneys.

Protects against alzheimer’s risk, a 2008 study found that consuming 10 mg/day of silica from drinking water was associated with a reduced risk of dementia, counteracting the effects of aluminum-rich water.
Support skin and hair health since it is essential for collagen formation.

That's all.
As always, everything is one quick search away and leave a like/RT in case you found this useful.Image
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Pathogen overgrowths -> Zinc, iodine
Migraines -> Magnesium
Fatigue -> Selenium, magnesium, zinc, iron/copper
Low vitamin D -> Magnesium, zinc, boron
Low free T -> Zinc, boron, magnesium
Brittle nails → Silica, Zinc
Unipolar-depression -> Selenium, zinc, magnesium
Bipolar-depression -> Selenium, lithium
Brain fog -> Zinc, selenium, magnesium
Hair loss -> Zinc, heme iron, selenium, magnesium
Low B12 -> Lithium
Dry skin -> Silica
Etc.Image
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More from @Helios_Movement

Nov 11
If you will never fix your brain unless you fix your mitochondria.

Just a single cortical neuron utilizes approximately 4.7 billion ATPs per second in a resting human brain.

Here are some basic steps you can take to support the function of your mitochondria.

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*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*

Now first and foremost, mitochondrial dysfunction is implicated in a host of health conditions ranging from chronic fatigue, low testosterone, depression, bipolar disorders, low testosterone and neurodegenerative diseases all the way to cardiovascular issues, diabetes and even sleep apnea.

Now, what are mitochondria?

Mitochondria are subcellular organelles that likely originated from ancient α-proteobacteria engulfed by eukaryotic cells.

These organelles produce the vast majority of cellular energy through adenosine triphosphate (ATP), which is needed to power every cell's biochemical reactions.

They also modulate processes like cell signaling, calcium homeostasis and apoptosis.

So it’s really no wonder that mitochondrial dysfunction is implicated in a host of health conditions.

When it comes to the structure of these double-membrane organelles, it’s a good idea to be aware of the following.

We have the:

-Outer membrane that is highly permeable due to porins such as voltage-dependent anion channels that allow small molecules and ions to pass freely.

-Inner membrane that is less permeable, with selective transporters, that houses the electron transport chain (ETC) and ATP synthase.

-Intermembrane space that is the region between the membranes.

This one is enriched with protons during ATP synthesis, creating a gradient essential for energy production through chemiosmosis.

-Mitochondrial matrix that is the innermost compartment, containing mitochondrial DNA (mtDNA), 70S ribosomes and enzymes for metabolic pathways like the Krebs cycle.Image
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Now let’s dive a bit deeper into their main functions.

Let's start with ATP production.

Our cells require, well, energy in order to run properly.
Mitochondria produce ATP through oxidative phosphorylation in the ETC.

How?

In a nutshell, electrons from NADH (complex I) and FADH₂ (complex II) pass through complexes III and IV, pumping protons into the intermembrane space. The resulting proton gradient drives ATP synthase to convert ADP and inorganic phosphate (Pi) into ATP.

If you have no idea what these are, ATP production happens primarily through three stages:

-Glycolysis (happens in the cytoplasm)
-The citric acid cycle (or the Krebs cycle (happens in the mitochondrial matrix))
-Oxidative phosphorylation (happens across the mitochondrial inner membrane)

Glycolysis is anaerobic (no oxygen needed) and takes one glucose molecule breaks it into two 3-carbon pyruvate molecules through a 10-step enzymatic process (glucose gets two phosphates added whcich uses 2 ATP and gives us fructose-1,6-bisphosphate which splits into dihydroxyacetone phosphate and glyceraldehyde-3-phosphate, then the former also converts to G3P, so we get two G3Ps and each one is then oxidized (loses electrons to NAD⁺ and forms 2 NADH (these basically “carry” energy)).

Finally phosphates are transferred to ADP making 4 ATP total (only 2 were used). After some shuffling, you’re left with 2 pyruvate.

Now, we take these 2 pyruvate molecules and each one is converted to acetyl-CoA by pyruvate dehydrogenase. This process releases CO₂ and generates 2 NADH.

For each acetyl-CoA, the following happens: Acetyl-CoA and oxaloacetate get together to form citrate which reshuffles into isocitrate, then isocitrate loses CO₂ and electrons, forming α-ketoglutarate and 1 NADH.

Now that the first oxidation is done, we move to the second one were α-Ketoglutarate drops another CO₂, yielding succinyl-CoA and 1 NADH. Now in this critical step, succinyl-CoA transfers a phosphate to GDP (making GTP, which converts to 1 ATP).

The oxidations don’t stop here and succinate becomes fumarate (1 FADH₂), then malate, then oxaloacetate (1 NADH), completing the loop.

And we can finally talk about oxidative phosphorylation and its two parts, the electron transport chain (ETC) and chemiosmosis. The first one is a series of protein complexes (I-IV) and carriers (ubiquinone, cytochrome c) embedded in the inner mitochondrial membrane.Image
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Read 17 tweets
Nov 10
Here's the list of nutrients most people don't get enough of and experience:
-Fatigue
-High blood pressure
-Skin issues
-Low libido
-Brain fog
-High blood sugar
-Hair loss
-A compromised immune system
and more, as a result.

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*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*

Before we even get into the nutrients, you must be aware of two things.

Number 1: Each macronutrient (protein, carbs, fats) relies on specific metabolic pathways that require distinct vitamins, minerals and cofactors for optimal function.

So basically, our micronutrient needs are influenced by our macronutrient intake.

Now, here are some micronutrient adjustments you can make for certain macronutrient splits.

-High-protein diets
B6: Cofactor for transaminases and decarboxylases in amino acid metabolism.
B9: Aids in methionine metabolism.
B7: Supports amino acid catabolism and energy production from branched-chain amino acids.
B12: Essential for methionine synthesis.
Magnesium: Facilitates protein synthesis.
Molybdenum: Cofactor in the urea cycle (via xanthine oxidase), helping detoxify nitrogen waste from protein breakdown.

-High-carb diets
B1: Essential for pyruvate dehydrogenase.
B3: Needed for NAD+ synthesis in glycolysis and oxidative phosphorylation.
Magnesium: Cofactor for enzymes in glucose metabolism.
Zinc: Supports insulin signaling and glucose uptake.
Potassium: Supports insulin signaling and glucose uptake.
B5 : Precursor to coenzyme A, vital for metabolizing carbs into energy via the Krebs cycle.
Chromium: Enhances insulin sensitivity, improving glucose uptake in high-carb diets.

-High-fat diets
Choline: Critical for fat transport (via lipoproteins).
Electrolytes (Sodium, Potassium, Magnesium): Low-carb intake = can't hold onto enough electrolytes in the long run.
L-Carnitine: Transports fatty acids into mitochondria for energy.
Coenzyme Q10 (CoQ10): Supports mitochondrial energy production from fats, reducing fatigue in depression.
Glycine and taurine (for bile)Image
Number 2: The main things that deplete us of various micronutrients, interfere with their absorption or increase the need for certain micronutrients:

1. Sweating
Nutrients it mainly depletes:
-Electrolytes but especially potassium

2.Alcohol
Nutrients it mainly depletes:
-B vitamins
-Electrolytes
-Vitamin K

3. Sodium fluoride, bromine etc
Nutrients they mainly interfere with:
-Minerals and especially trace minerals

4. Smoking
Nutrients it mainly depletes:
-Retinol
-Vitamin C
-Taurine

5. Phytic acid
Nutrients it mainly depletes:
-Minerals and especially zinc

6. Stimulants
Nutrients they mainly deplete:
-Vitamin C
-Electrolytes
-B1
-B2
-B5

7. Statins
Nutrients they mainly deplete:
-CoQ10
-Vitamin D
-Vitamin A, K and E depending on the dosage

8. Birth control pills
Nutrients they mainly deplete:
-Everything, just stop using them

9. Antidepressants
Nutrients they mainly deplete:
-B vitamins
-Vitamin K
-Vitamin D

10. Blood pressure medication
Nutrients they mainly deplete:
-B vitamins
-Electrolytes

11. Stress
Nutrients it mainly depletes:
-Minerals
-B vitamins

12. Heavy metals
Nutrients they mainly deplete:
-Minerals

13. Herbicides and pesticides.
These terms are too broad, but most of the trouble makers deplete/interfere with:
-Minerals
-Glycine
-Vitamin K

14. NAC/glutathione
Now don't freak out, NAC can be a useful supplement but it will mess up copper status and even zinc if it's used for months on end.

Same with things such as NAD+, niacin or NMN for example.

If you're going to use them for a long time you should encounter for their side effects and in this case add some TMG for example.

15. Binders such as activated charcoal.
Nutrients it mainly depletes/interferes with:
-Minerals

16. Elevated PTH
Nutrients it mainly interferes with:
-Calcium
-MagnesiumImage
Read 21 tweets
Nov 9
Proper sauna use is one of the best things you can do for your health during this winter.

Overall, it is shown to:
-Protect against neurodegenerative diseases
-Rapidly alleviate depression (faster than antidepressants)
-Be one of the best tools for detoxing from industrial toxins
-Support the immune system
-Enhance physical performance
-Promote myelination
-Improve cardiovascular health
-Alleviate chronic pain
-Reduce fatigue in patients with chronic fatigue syndrome
-Be quite effective for resolving insomnia
and more.

Here's a short guide on the benefits of the sauna.
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*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*

For the few of you who might be unaware, sauna therapy involves controlled exposure to heat, typically in a traditional (hot rock/steam) sauna (160-200°F, 70-100°C) or an infrared sauna (120-140°F, 49-60°C), inducing hyperthermia and sweating.

This triggers a cascade of physiological responses, including activation of the HPA axis, sympathetic nervous system and heat shock protein (HSP) pathways.

These responses drive adaptations in neuroendocrine, cardiovascular, immune and integumentary systems, contributing to the following benefits.

But besides these, saunas have been a cornerstone of wellness practices for centuries, from the sweat lodges of indigenous cultures to the Finnish saunas embedded in modern spa culture.Image
So let's see some benefits (some of which we've known for 30+ years).

Number 1: Mood enhancement and depression reduction.

In one study, a single infrared sauna session (at 135-140°F for 30 min) reduced depression symptoms by ~50% in patients with major depressive disorder.

Not only that, but the effects persisted for six weeks.

This outperformed SSRIs (3-4x effect size) and exercise (2x effect size).

Another study on mildly depressed patients with fatigue and appetite loss reported significant improvements in appetite and mental complaints after infrared sauna therapy.Image
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Read 15 tweets
Nov 8
🧵The ultimate candida thread🧵

Most people don't really understand how problematic and dangerous having candida overgrowth actually is.

First, some potential signs and symptoms of Candida overgrowth include:
-Digestive issues such as bloating, constipation, white coating on the tongue or gas (especially after eating carbs).
-Brain fog that, even though it might sound weird, it’s very similar to a low-grade hangover (since it releases acetaldehyde) which is experienced once again, especially after eating carbs.
-Blood sugar regulation issues.
-Intense sugar cravings.
-Athlete’s foot, toenail fungus, jock itch, oral thrush, bad breath, acne and eczema.
-Chronic fatigue.
-Frequent infections.
-Leaky gut.
-Developing more and more food intolerances.

Now, how can a candida overgrowth lead to these symptoms?

Here are some basic explanations.

First, it disrupts the balance of gut microbiota, reducing beneficial bacteria.

This leads to fermentation of undigested carbohydrates, producing gas and bloating by 2–3-fold as most studies suggest.

It also secretes aspartyl proteases and phospholipases, damaging the mucosal bilayer which can lead to bloating and general discomfort.

When it comes to the oral cavity, it forms biofilms creating a white coating on the tongue.

Then, it metabolizes sugars via fermentation, producing acetaldehyde, a toxic byproduct that crosses the blood-brain barrier and impairs neuronal function, causing brain fog, confusion, and a “hangover-like” feeling.

In animal models for example, candida-induced inflammation reduced cognitive clarity by 30%. Candida also consumes glucose for growth and biofilm formation, causing fluctuations in blood sugar levels, especially after high-carb meals.

In diabetic patients for example, an ovegrowth led to a 2-fold increase in insulin resistance.

Regarding sugar cravings, candida albicans thrives on glucose and its overgrowth may signal the host to consume more sugars throygh gut-brain axis modulation of hormones that control our appetite such as ghrelin.

Many studies show that a Candida overgrowth increased sugar cravingsand ghrelin levels in 20–30% of patients.

Fatigue-wise, candida overgrowth triggers cytokines such as IL-6 and TNF-α, causing systemic inflammation that disrupts energy metabolism, the acetaldehyde impairs mitochondrial function, reducing ATP production, biofilms and mucosal damage impair nutrient absorption (especially when it comes to B vitamins and iron), which are critical for energy production.

Then, candida overgrowth overwhelms mucosal immunity, reducing IgA and phagocytic activity, increasing susceptibility to bacterial and fungal infections.

And finally when it comes to effects such as developing a leaky gut and food intolerances, the overgrowth degrades tight junction proteins such as occludin and ZO-1 (it’s shown to reduce ZO-1 expression by 40%), increasing intestinal permeability allowing toxins and antigens to leak into the bloodstream triggering immune responses and food intolerances (Candida-induced leaky gut has shown to lead to a 30% increase in food intolerances).Image
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But the problems don't end here.

An overgrowth will also:
1. Increase D-Arabinitol.

Unlike L-arabinitol (produced by humans), D-arabinitol is specific to fungal metabolism. D-arabinitol is a five-carbon sugar alcohol (polyol) produced by certain fungi, including Candida albicans and other Candida species, during carbohydrate metabolism (candida metabolizes glucose into D-arabinitol via the pentose phosphate pathway).

2. Pyruvate accumulation and thiamine (B1) deficiency.

Pyruvate is an intermediate in glucose metabolism, formed after glycolysis and is converted into acetyl-CoA by pyruvate dehydrogenase (PDH) for entry into the citric acid cycle.

The problem now is that acetaldehyde inhibits PDH by binding to its coenzyme A or thiamine pyrophosphate (TPP) (*) sites and excess pyruvate is shunted to lactate production through lactate dehydrogenase.

(*)Acetaldehyde inactivates thiamine by binding to its active sites.

*Partly why a lot of people who have a candida overgrowth and start using thiamine as a pre-workout, anecdotally improve their endurance at the gym by 20-30-40%.

3. Urea cycle dysfunction (why a lot of people who have a candida overgrowth get severe headaches after supplementing glutamine without any magnesium or P5P (ammonia crosses the BBB)).

Candida can produce ammonia as a byproduct of amino acid metabolism and thus overwhelm the urea cycle, leading to accumulation of intermediates such as ornithine, citrulline or ammonia itself (the urea cycle detoxifies ammonia into urea via enzymes like carbamoyl phosphate synthetase and ornithine transcarbamylase).

4. Increased BBB (blood-brain-barrier) permeability. Acetaldehyde disrupts tight junction proteins such as occludin and claudin-5 in BBB endothelial cells, yet chronic BBB dysfunction is linked to neurodegenerative diseases and even multiple sclerosis.

5. Increased oxalic acid production (and absorption).

Oxalic acid is produced by Candida via the glyoxylate cycle, which converts carbohydrates into oxalates

Why is this a problem? Because oxalates overall can cause joint pain, insomnia, prostate issues, kidney issues, skin issues, brain fog, fatigue, hair loss, issues with eyesight and even affect autism and your blood vessels believe it or not.

How are they able to affect all these? Well, the easiest rabbit hole to go down to is how they can deplete glutathione.

There are simple papers you can read as well in general such as this: sciencedirect.com/science/articl…

We can go on and on when it comes to the problems that a Candida overgrowth can create.

Candida for example can release so much acetaldehyde and thus salsolinol all the way to making someone experience symptoms of anhedonia.

Now when it comes to diagnostic tools for the things we just talked about (1->5) we have:
-Urine D-arabinitol/L-arabinitol ratio
-Serum D-arabinitol
-Blood lactate
-Urine organic acid test
-Erythrocyte transketolase activity
-Urine oxalate
-Plasma ammonia
-GSH/GSSG ratioImage
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Now for the people who might be unaware of what candida even is, candida is a genus of yeast that includes close to 200 species not all of which are pathogenic.

These organisms are naturally found in and on the human body, particularly in the skin, nasal passages, digestive tract (mouth, esophagus, stomach, small intestine, large intestine etc) and female reproductive system.

In small amounts, Candida species are typically harmless and may even play beneficial roles in the gut microbiome.

However, an overgrowth of certain pathogenic species, particularly Candida albicans, can lead to infections known as candidiasis, ranging from superficial issues like oral thrush to life-threatening systemic infections.

What’s also worth knowing from the get-go, is that candida albicans is a dimorphic fungus, existing in two primary forms:

-Yeast form: Single, oval-shaped cells ideal for dissemination through the bloodstream.

-Hyphal form: Elongated, thread-like filaments that facilitate tissue invasion and adherence to host cells.

This yeast-to-hypha transition is a major virulence factor, regulated by environmental cues like temperature (37°C favors hyphae), pH, CO2 levels, and nutrient availability.

Key transcription factors, such as Efg1 and Ace2, and signaling pathways like cAMP-PKA and MAPK, orchestrate this process.Image
Read 21 tweets
Nov 7
Oxidative stress is a very important but far more complicated topic than the average person is made to believe.

Here's what you need to know.
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*Standard disclaimer that this does not constitute medical advice*

Oxidative stress is characterized by the overproduction of reactive oxygen species (ROS), which can induce mitochondrial DNA mutations, damage the mitochondrial respiratory chain, alter membrane permeability, and influence Ca2+ homeostasis and mitochondrial defense systems.

Calcium homeostasis refers to the maintenance of a constant concentration of calcium ions in the extracellular fluid.

It includes all of the processes that contribute to maintaining calcium at its “set point.”

Because plasma [Ca2+] rapidly equilibrates with the extracellular fluid, ECF [Ca2+] is kept constant by keeping the plasma [Ca2+] constant.Image
Maintaining a constant plasma [Ca2+] is important for things such as nerve transmission and conduction, cardigan contractility, blood clotting, cell to cell adhesion and of course bone formation.

Now a free radical attack occurs directly at complexes in the mitochondrial respiratory chain.

Mitochondria are normally protected from oxidative damage by a multilayer network of mitochondrial antioxidant systems which consist of superoxide dismutase, catalase, glutathione peroxidase and glutathione reductase together with a number of low molecular weight antioxidants such as α-tocopherol and ubiquinol.

These molecules are particularly effective in scavenging lipid peroxyl radicals and preventing free radical chain reactions of lipid peroxidation.

Cumulative oxidative injuries to mitochondria, triggered by endogenous metabolic processes and/or exogenous oxidative influences, cause mitochondria to progressively become less efficient.Image
Read 14 tweets
Nov 7
Miracle supplement for high cholesterol and blood pressure revealed.

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*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*

It's George.

Plenty of people, once they hit 40-50 get on statins and since they have plenty of side effects, some of them start searching for other solutions (usually OTC supplements).

But the problem is that even though certain supplements can in fact help, high LDL overall is not caused by "one thing" so there's no one-size-fits-all magic supplement.

When it comes to LDL, it all begins with the synthesis of very-low-density lipoprotein (VLDL) in the liver.

In hepatocytes, microsomal triglyceride transfer protein (MTP) loads apoB-100 with triglycerides, cholesterol esters, and phospholipids in the endoplasmic reticulum, forming nascent VLDL.

Each VLDL particle contains:

-One molecule of apolipoprotein B-100

-Triglycerides (50–60%)

-Cholesterol esters (20–25%)

-Chospholipids

-Smaller apolipoproteins like apoC and apoE

So the liver uses VLDL particles to transport triglycerides and cholesterol to peripheral tissues for example.Image
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Notes:

1. Insulin suppresses VLDL secretion by promoting apoB-100 degradation and inhibiting MTP.

2. High saturated fat (KEY WORD: HIGH i am not saying eat no saturated fat) and/or sugar intake increases VLDL output.

3. When M.Ds say that high cholesterol is genetic they mean that mutations in LDLR, APOB, or other lipid-regulating genes enhance VLDL production.

4. Hypothyroidism slows LPL activity, delaying VLDL breakdown into LDL.Image
Read 14 tweets

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