The Precis Weekly No. 15 Mon Sep 28

What's new in longevity research this week, checked against the full record.

One short email a week: the claims and evidence that moved, where the record disagrees, and whether any of it is worth doing. Every claim links to the minute it was said. In 15 issues so far, we marked 3 of 81 new claims worth acting on.

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This week, for example

Homocysteine, B vitamins and the omega-3 condition

New this week

High homocysteine goes with faster cognitive decline, Wood says, and the trials put the threshold around 10 or 11: ideally below 10, definitely below 13. Early B vitamin trials looked like failures because they gave B vitamins alone. In the VITACOG trial and the ones that followed, B vitamins slowed brain shrinkage only in people whose omega-3 status was adequate. His rough omega-3 bar is fatty fish two to three times a week, or 1 to 2 grams a day.

Tommy Wood 53:44
doubts the heart case

Calls the case that lowering homocysteine cuts heart risk 'definitely not an airtight argument'. He does not address the brain.

Chris Masterjohn 150:01

Both on tape. Click either minute and hear it.

This week's issue

No. 15 · Mon Sep 28 · 90-sec scan

Bottom line

A former Novartis drug developer says every BPC-157 study traces to one investigator. Two of the four other mentions on record agree, and one pushes back. The one thing worth doing this week is a homocysteine test: in trials, B vitamins only protected the brain when omega-3 was adequate.

Worth acting on

Homocysteine, B vitamins and the omega-3 condition

Worth acting on

High homocysteine goes with faster cognitive decline, Wood says, and the trials put the threshold around 10 or 11: ideally below 10, definitely below 13. Early B vitamin trials looked like failures because they gave B vitamins alone. In the VITACOG trial and the ones that followed, B vitamins slowed brain shrinkage only in people whose omega-3 status was adequate. His rough omega-3 bar is fatty fish two to three times a week, or 1 to 2 grams a day.

Tommy Wood · 53:44
“sort of the threshold based on the randomized control trials that that have been done is probably somewhere around 10 or 11”
Tommy Wood · Watch at 54:53
doubts the heart case
Chris Masterjohn Calls the case that lowering homocysteine cuts heart risk 'definitely not an airtight argument'. He does not address the brain. 150:01
agrees
Richard Isaacson Same condition. Small doses of B12, B6 and folic acid slowed brain shrinkage and helped memory. That held only for people with high homocysteine who also had enough omega-3. 87:44
agrees, without the omega-3 part
Richard Isaacson Cites VITACOG. People with high homocysteine who took B complex vitamins had slightly better memory and slower brain shrinkage. Homocysteine over 14 is tied to a 50% higher dementia risk. 09:02

Moved, nothing to do yet

BPC-157 and gray market peptides

The record splits

Buying peptides from online makers is a mistake, Klickstein says. He compares it to buying opioids on a street corner: you have no idea what is in the vial. Even if it is what the label says, the data on what it does are almost non-existent. For BPC-157, he says every study comes from one investigator and none has been reproduced.

Lloyd Klickstein · 83:07
“157. Yeah. Um all of the data for that peptide come from one investigator who's the only person published on it.”
Lloyd Klickstein · Watch at 1:23:52
pushes back
Edwin Lee Calls it a 'Wolverine' peptide for muscle, tendon and joint injuries. His evidence is patient results, his own experience and a rat tendon study. 03:15
agrees
Peter Attia Put BPC-157 in the bottom tier of his peptide ranking in August. He found no clear mechanism, no human trials and no safety data. 12:33
agrees, safety first
Rhonda Patrick For her it comes down to safety: a source you trust and someone qualified to prescribe it. She allows that the recoveries she has heard of could be placebo. 178:29

Microplastics: real signal, oversold numbers

The record splits

An old estimate said people eat a credit card's worth of plastic a week. Wood says a recount found it was off by orders of magnitude. He also doubts the autopsy studies that find more plastic in dementia brains. Poor blood flow may let plastic collect, and the lab method can read fat as plastic. He still counts plasticizers like BPA and phthalates as harmful. So he keeps leftovers out of plastic and filters his water, but still eats canned beans and frozen vegetables.

Tommy Wood · 94:15
“we estimate that this is out by like several orders of magnitude. It's like not it's like a fraction of 1% of the amount that they said previously.”
Tommy Wood · Watch at 1:36:33
pushes back
Rhonda Patrick Cites the autopsy study Wood questions: up to 10 times more plastic in dementia brains. She says it proves no cause but is 'enough to raise serious concerns'. 33:47
pushes back, with caveat
Andrew Huberman Cites a 2024 study that found polyethylene in the artery plaque of about 58% of patients. He calls it correlative but says limiting exposure is a good idea. 55:25
agrees on the intake figure
Peter Attia His AMA says the credit card figure has been largely debunked. It puts intake at 10 to 300 micrograms a week, and most of it passes out in stool. 14:14

A basic multivitamin for brain aging

The record splits

In the COSMOS trial, older adults given a basic, low-dose multivitamin had brains that acted about 2 years younger on average, Wood says. The cheap, basic version is what showed a benefit, and he warns that very high doses could do harm.

Tommy Wood · 73:55
“in the two groups that got the multivitamin, there was a significant reduction in estimations of brain age and cognitive function such that you know on average people's brains acted as if they were 2 years younger”
Tommy Wood · Watch at 1:14:50
says a basic multi is not enough
James DiNicolantonio On a typical multivitamin, he says, almost as many people stay low in magnesium, calcium and copper. Many need extra minerals on top. 52:05
agrees
COSMOS trial Same trial, same size of effect: people on the multivitamin slowed brain aging by 2.1 years, with a benefit to memory. 70:08

A drug to keep muscle on a GLP-1

The record splits

In the BELIEVE trial, the high-dose group on bimagrumab plus semaglutide lost 22 to 23% of body weight and 45.7% of body fat at 72 weeks, which Klickstein compares to bariatric surgery. LDL rose about 20%, a direct effect of the drug on the liver. Earlier trials showed bimagrumab alone added 4 to 8% muscle, but muscles grew without getting stronger unless people lifted. Strength gains in BELIEVE were small.

Lloyd Klickstein · 130:28
“the body weight lost at 72 weeks was 22 23% of starting body weight”
Lloyd Klickstein · Watch at 2:13:30
pushes back
Dr. Tina Says 'the GLP-1s are not coming for your muscle': the loss is the same as any diet without lifting and protein. 13:08
doubts muscle drugs are needed
Ralph DeFronzo Asks 'why are you so worried about muscle mass', since his patients walk better and feel stronger even as lean mass drops. 03:50
agrees the loss is real
Zachary Knight Without enough protein or lifting, 25 to 33% of the weight lost on these drugs is muscle. Knight says resistance training can offset some of that. 78:26
agrees the loss is real
Ben Bikman Bikman cites a trial where almost 40% of the weight lost was lean mass, but says nobody has shown whether the drug or the diet causes it. 143:01
The standing question

Does BPC-157 actually work?

Nobody on this question claims a human trial exists. Lloyd Klickstein spent years developing drugs at Novartis. He says all the data come from one investigator and have never been reproduced, and that a vial bought online may not even hold the peptide. Three of the four other mentions read that gap as a reason to wait. Doctors like Edwin Lee see their patients recover and use it anyway. What would settle it: an independent group reproducing the healing results in people.

See the full dated record →

Primary sources

  • 83:07 Lloyd Klickstein Buying peptides from online makers is a mistake, Klickstein says. He compares it to buying opioids on a street corner: you have no idea what is in the vial. Even if it is what the label says, the data on what it does are almost non-existent. For BPC-157, he says every study comes from one investigator and none has been reproduced.
  • 12:33 Peter Attia Put BPC-157 in the bottom tier of his peptide ranking in August. He found no clear mechanism, no human trials and no safety data.
  • 178:29 Rhonda Patrick For her it comes down to safety: a source you trust and someone qualified to prescribe it. She allows that the recoveries she has heard of could be placebo.
  • 28:40 Andrew Huberman Finds the animal safety margin wide, but it raises VEGF and growth hormone receptors, which could speed an existing tumor. He cautions against continuous use.
  • 03:15 Edwin Lee Calls it a 'Wolverine' peptide for muscle, tendon and joint injuries. His evidence is patient results, his own experience and a rat tendon study.
  • 53:44 Tommy Wood High homocysteine goes with faster cognitive decline, Wood says, and the trials put the threshold around 10 or 11: ideally below 10, definitely below 13. Early B vitamin trials looked like failures because they gave B vitamins alone. In the VITACOG trial and the ones that followed, B vitamins slowed brain shrinkage only in people whose omega-3 status was adequate. His rough omega-3 bar is fatty fish two to three times a week, or 1 to 2 grams a day.
  • 87:44 Richard Isaacson Same condition. Small doses of B12, B6 and folic acid slowed brain shrinkage and helped memory. That held only for people with high homocysteine who also had enough omega-3.
  • 09:02 Richard Isaacson Cites VITACOG. People with high homocysteine who took B complex vitamins had slightly better memory and slower brain shrinkage. Homocysteine over 14 is tied to a 50% higher dementia risk.
  • 150:01 Chris Masterjohn Calls the case that lowering homocysteine cuts heart risk 'definitely not an airtight argument'. He does not address the brain.
  • 94:15 Tommy Wood An old estimate said people eat a credit card's worth of plastic a week. Wood says a recount found it was off by orders of magnitude. He also doubts the autopsy studies that find more plastic in dementia brains. Poor blood flow may let plastic collect, and the lab method can read fat as plastic. He still counts plasticizers like BPA and phthalates as harmful. So he keeps leftovers out of plastic and filters his water, but still eats canned beans and frozen vegetables.
  • 33:47 Rhonda Patrick Cites the autopsy study Wood questions: up to 10 times more plastic in dementia brains. She says it proves no cause but is 'enough to raise serious concerns'.
  • 55:25 Andrew Huberman Cites a 2024 study that found polyethylene in the artery plaque of about 58% of patients. He calls it correlative but says limiting exposure is a good idea.
  • 14:14 Peter Attia His AMA says the credit card figure has been largely debunked. It puts intake at 10 to 300 micrograms a week, and most of it passes out in stool.
  • 21:12 Mark Hyman Never heats food in plastic, stores it in glass and cooks in stainless steel or cast iron. He avoids telling people their packaging is poisoning them.
  • 73:55 Tommy Wood In the COSMOS trial, older adults given a basic, low-dose multivitamin had brains that acted about 2 years younger on average, Wood says. The cheap, basic version is what showed a benefit, and he warns that very high doses could do harm.
  • 70:08 COSMOS trial Same trial, same size of effect: people on the multivitamin slowed brain aging by 2.1 years, with a benefit to memory.
  • 52:05 James DiNicolantonio On a typical multivitamin, he says, almost as many people stay low in magnesium, calcium and copper. Many need extra minerals on top.
  • 130:28 Lloyd Klickstein In the BELIEVE trial, the high-dose group on bimagrumab plus semaglutide lost 22 to 23% of body weight and 45.7% of body fat at 72 weeks, which Klickstein compares to bariatric surgery. LDL rose about 20%, a direct effect of the drug on the liver. Earlier trials showed bimagrumab alone added 4 to 8% muscle, but muscles grew without getting stronger unless people lifted. Strength gains in BELIEVE were small.
  • 78:26 Zachary Knight Without enough protein or lifting, 25 to 33% of the weight lost on these drugs is muscle. Knight says resistance training can offset some of that.
  • 143:01 Ben Bikman Bikman cites a trial where almost 40% of the weight lost was lean mass, but says nobody has shown whether the drug or the diet causes it.
  • 13:08 Dr. Tina Says 'the GLP-1s are not coming for your muscle': the loss is the same as any diet without lifting and protein.
  • 03:50 Ralph DeFronzo Asks 'why are you so worried about muscle mass', since his patients walk better and feel stronger even as lean mass drops.

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