If you are considering supplementing with DHEA: here is a reminder Peatbot.com: Young people produce about 12 to 15 milligrams of DHEA per day. This amount decreases by about 2 mg per day for every decade after the age of 30. By the age of 50, about 4 mg of DHEA per day is usually sufficient to restore the level of DHEA in the blood to a youthful level. In old age, the production of DHEA decreases significantly, to about 5% of the levels produced in youth. Peatbot.com: Taking supraphysiological levels of DHEA long term can lead to several adverse effects. One potential issue is the enlargement of the liver, as DHEA can stimulate liver growth and is highly carcinogenic to the liver. It can also cause an increase in estrogen levels, which may lead to an imbalance in hormone levels and associated side effects. In some cases, this can result in liver problems and an increased risk of liver cancer. Additionally, excessive DHEA can lead to masculinizing effects in women, such as the growth of facial hair. It is important to avoid taking more DHEA than needed, as excess amounts can disturb the function of the thymus gland and the liver.

@haidut Thanks a lot for this and all the other posts, we missed you so much! I read the paper and even though the authors claim that the purpose of sleep is to dissipate electrons, I struggle to get if they have really proven that. With their manipulations, I think they clearly showed what Dr Peat always said that sleep is an energy demanding process. What do you think? Nevertheless I agree that it is probably a way to antagonise electron leakage from fat metabolism.

@haidut said in Glaucoma may be a metabolic condition, vitamin B1 (thiamine) may treat it: The study below adds more evidence to the claim that glaucoma is a metabolic condition, by showing that vitamin B1 levels are low in glaucoma patients that supplementation with vitamin B1 (and/or agmatine, another pro-metabolic substance) may treat the condition. This suggests that vitamin B1 and B3, being highly water-soluble, may make a good eye-drop product for treating a number of eye conditions, by improving (glucose) metabolism (which is their primary role) both locally in the eye and systemically. Thank you for the study, Haidut; and glad to see you posting here. Can it be assumed adding agmatine to these drops would be beneficial as well? If time allows, I would be curious as to your thoughts on recipe ratios, storage, and lifespan when making these drops homemade: all ingredients mixed in water.

This post covers additional details about the function of Complex III and how it relates to other respiratory complexes, starting with nomenclature: Complex III is also referred to as Cytochrome b-c1 complex, Ubiquinol–cytochrome c Oxidoreductase, or Cytochrome c Reductase. Cytochrome b-c1 complex highlights the electron-transfer cytochromes representing each chain: High-potential chain (↑) Cytochrome c1 (+230 mV) Iron-sulfur Protein (ISP) (+250 mV) Low-potential chain (↓) Cytochromes b Cytochrome bL (low-potential heme: −30 mV) Cytochrome bH (high-potential heme: +100 mV) ⠀ [image: 1757372015647-f56dbb6e-df24-45dc-973f-9e794ceae17b-image.png] ⠀(10.1016/j.bbabio.2012.11.008) [It's a bacterial Complex III, but the core components in evidence remain the same. FeS clusters (ISC) are part of ISPs.] Ubiquinol–cytochrome c Oxidoreductase highlights the overall reaction, where ubiquinol is the electron donor and cytochrome c the acceptor, and indicates the role of Complex III as oxidant to one and reductant to the other. Cytochrome c Reductase emphasizes only its function as a cytochrome c reductant. Electrons can reach cytochrome c from sources other than Complex III, making this term less specific. Then, Complex III reduces and Complex IV oxidizes cytochrome c : Cytochrome c Reductase (Complex III) ↻ Cytochrome c Cytochrome c Oxidase (Complex IV) Calling Complex IV 'cytochrome c' for short is comparable to calling succinate dehydrogenase (SDH) 'succinate'. Complex III is often used interchangeably with III₂. Both notations refer to the same enzyme, which exists as a dimer needed for proper function. A figure from an earlier post highlights one monomer in pink and the other in yellow: [image: 1757372077953-528b59bc-fff9-4059-b87b-d60e0defc96b-image.png] ⠀(10.1038/s42255-023-00956-y) These monomers are sometimes called protomers, implying that they are part of a larger complex and don't occur in isolation. A Complex III dimer has 4 Q-sites in total (red circles), 2 per monomer, but located on different levels: Qp (positive) [sometimes called Qo (outside)] Qn (negative) [sometimes called Qi (inside)] [image: 1757372105275-dfd0c642-edd3-4bec-8f7b-cf0c14ab50eb-image.png] ⠀(10.1016/j.bbabio.2012.11.008) Electrons from UQH₂ oxidized at Qp-sites bifurcate into the high- and low-potential chains: UQH₂ (2e⁻) ↳ 1e⁻ → [ISP → Cyt c1 →] Cyt c ↳ 1e⁻ → [Cyt bL → Cyt bH →] UQ/UQH• So, one electron moves 'upward' (toward cyt c) and the other 'downward' (toward UQ/UQH•) from a Qp-site. The short distance separating the two cytochromes bL allows electron transfer between monomers. [image: 1757372015647-f56dbb6e-df24-45dc-973f-9e794ceae17b-image.png] [image: 1757372215623-f1e9aed8-4263-4734-ad00-733b0713702b-image.png] ⠀(10.1016/j.bbabio.2008.04.022) (Here they call the Qp-site 'Center P' and the Qn-site 'Center N'. Damn it.) This bL–bL interaction lets the Complex III dimer reroute electrons when needed, preventing incomplete oxidation of UQH₂ at the Qp-site and consequently reducing the risk of ROS production. Complex III releases superoxide to the matrix and the cytosol, but most of it originates from the susceptible Qp region: [image: 1757372273140-adcfbb6f-e999-46d6-99fa-5e11e0823374-image.png] ⠀(10.1074/jbc.M407715200) However, electron accumulation anywhere can affect the Qp regions indirectly, so increasing the number of possible electron acceptors through inter-monomer communication gives Complex III flexibility. Monomer A Monomer A Monomer B Monomer B UQH₂ {Qp/Qo} (Empty) 1e⁻ 1e⁻ ↓ ↓ ISP ◯ bL ◯ ⇄ ◯ bL ◯ ISP ↓ ⇅ ⇅ ↓ c1 ◯ bH ◯ ◯ bH ◯ c1 ↓ ⇅ ⇅ ↓ c ◯ UQ ◯◯ {Qn/Qi} ◯◯ UQ ◯ c c ↵ UQH• ◯ ↵ or ↳ ◯ UQH• High-potential chain Low-potential chain Low-potential chain High-potential chain To avoid mixing up the order of cytochromes b, this may help: Qo - bL - bH - Qi Which reads: oL-Hi An inverted Low next to a High. Let the trauma sink in. I find the obsession with reverse electron flow at Complex I out of proportion. It does happen, but is energetically unfavorable, needing an excess of electrons in the UQ pool along with elevated membrane electrical and chemical potentials to force Complex I to run in reverse. In contrast, it doesn't seem to bother the obsessed how the same excess electrons in the UQ pool might affect other UQ-dependent respiratory complexes that operate nearer the UQH₂/UQ potential, making them less resistant to backflow than Complex I. Like Complex I, Complex III relies on UQ (the oxidized form) to function. As redundant as it may seem, Complex III uses UQ to oxidize UQH₂, but only partially because the other half of electrons go to cytochrome c. Whether UQH₂ is produced at Complex I or III, its protons (H⁺) are derived from the matrix of mitochondria. Qp-sites are traditionally viewed as UQH₂-oxidizing centers (where electrons enter Complex III), while Qn-sites are viewed as UQ-reducing centers (where electrons leave Complex III). However, electrons can also enter via Qn-sites, especially when UQH₂ is in excess. The redox state of cyt bH changes the behavior of its Qn-site: Oxidized cyt bH is an acceptor and favors UQH₂ binding to gain an electron. Cyt bH³⁺ ◯ ↶ UQH₂ Reduced cyt bH is a donor and favors UQ binding to lose an electron. Cyt bH²⁺ ↷ ◯◯ UQ This change in affinity according to the state of cyt bH reduces Complex III dependence on appropriate levels of UQH₂ and UQ. In either case an ubisemiquinone [◯ UQH•] is formed and stabilized at the Qn-site. The occupancy of Qn-sites affect the activity of Qp-sites via ISP. Possible scenarios: Qn-site A Qn-site B Outcome Qp-sites A and B UQH• UQH• → 1 active Empty Empty → 1 active UQH• Empty → 2 active Empty UQH• → 2 active Due to intense activity, the first scenario is more common, which limits oxidation capacity but prevents incomplete UQH₂ oxidation and premature electron leakage to oxygen around the problematic Qp-sites. Since monomers interact, an electron entering via a Qn-site can transfer to the opposite monomer, promoting UQ binding there to accept it. This clears the original monomer for unimpeded electron flow from a Qp-site while stabilizing another terminal acceptor on the neighboring monomer. The result is technically known as 'bi-winning': win here, win there. [image: 1757372854255-15b46985-2907-420a-99c7-03fa33ed151b-image.png] ⠀(10.1016/j.bbabio.2008.04.008) The figure below shows UQH₂ again entering a Qp‑site for oxidation, but in contrast to before, the low-potential chain of this monomer wasn't primed for oxidation. The path to its Qn‑site is now blocked, but the electron can divert to the opposite monomer to complete the process. [image: 1757372876452-37ed3c35-9d0a-4efd-aca3-33e68c65fa49-image.png] ⠀(10.1016/j.bbabio.2008.04.008) These inter-monomer interactions often take place within larger structures, as it's common for a Complex III dimer to associate with other respiratory complexes. For example, most Complex I occurs with Complex III in a supercomplex: [image: 1757372946934-0c20f30f-de55-49c8-b13b-79ab85e9f389-image.png] ⠀(10.1074/jbc.M106474200) Composition Frequency I+III₂+IV ~54% I+III₂ ~17% I+III₂+IV₂ ~9% I+III₂+IV₂+IV ~3% I+III₂+IV₂+IV₂ ~1% I (free) ~16% This is how Complex III₂ associates with Complex I, in the presence or absence of Complex IV: [image: 1757372995228-e937442c-42b7-4427-8e2d-fc27b6d01249-image.png] ⠀(10.1038/nature19774) I+III₂+IV (a,b) I+III₂ (c) As you can tell, the 'heel' of Complex I isn't fully turned against Complex III (as often represented in figures), nor is the heel directly facing Complex III. Instead, Complex I and Complex III are arranged in parallel, and one of the Complex III monomers ends up adjacent to Complex I, gaining privileged access to the Q-tunnel of Complex I: [image: 1757373050908-640d7f1c-dbeb-464c-9ad9-df72b0407156-image.png] ⠀(10.1016/j.molcel.2019.07.022) From the legend, this is a cross-section of the I+III₂ supercomplex through the membrane domains and viewed from the matrix. Proximal and distal refer to two lipid-filled cavities on opposite sides of the Complex III dimer: each cavity gives access to the Qp-site of one monomer and Qn-site of the other, shown by the alternate 'dashed wedges' on a lower plane and the 'solid wedges' on a higher plane (which includes the Q-tunnel). The proximity is relative to the Q-tunnel (a source of UQH₂ for Complex III to oxidize). It helps to picture the Q‑tunnel at the heel of Complex I, but the tunnel and its opening are oriented more to the side than to the back: [image: 1757373152795-84e43691-17e6-4e4d-b11f-c8c7ed628448-image.png] ⠀(10.1080/09168451.2020.1747974) When Complex IV joins the supercomplex, it forms an autonomous respiratory unit capable of completing respiration, hence the term 'respirasome'. [image: 1757373189597-9fa6d06c-e80f-4f1a-be10-d6c1b57c571d-image.png] ⠀(10.1016/j.sbi.2020.01.004) [image: 1757373216932-1ac3fa39-599c-458a-8893-418bf8b6f94a-image.png] ⠀(10.1038/nature19774) Rotating it to coincide with the view of the previous figure: [image: 1757373253787-8c23a569-d87e-4298-94b0-b89052a70d52-image.png] IV: pink IIIb: dark green IIIa: light green I: blue The authors speculate that occlusion of the distal cavity by Complex IV may be advantageous: because the Q-cycle involves formation of ubisemiquinone radicals, partial closure of the cavity while Complex IV consumes local oxygen may protect unstable intermediates from adverse reactions. However, they also acknowledge that the occluded Qn-site is not a major ROS producer and that the Qp-site in the same cavity may be inactive. For mobile carriers that connect these respiratory complexes, some argue for the existence of dedicated UQ pools for NAD-linked and FAD-linked respiration. [image: 1757373298373-c97d77bb-e630-4c8c-9dba-3224505d1b89-image.png] ⠀(10.1016/j.freeradbiomed.2021.03.010) Relying only on UQ trapped within I+III₂(+IV) would limit reoxidation of Complex I–derived UQH₂ to the proximal cavity of Complex III₂, because of its exclusive access to the Q-tunnel. Nonetheless, these respiratory complexes have their quinone sites exposed to the supercomplex exterior and can exchange with the free UQ pool, so they're not restricted to local UQ and can respond to mitochondrial conditions. This flexibility is particularly important given that Complex I can outpace Complex III. More information here. Because the Qp-site of monomer A shares a cavity with the Qn-site of monomer B, reoxidized UQ can return to Complex I to bring in more electrons, exchange with the free UQ pool around the supercomplex (and indirectly affect the distal cavity), or perhaps be reused in the same cavity as an electron acceptor. This last possibility isn't futile, since part of electrons are removed via cytochrome c. Monomer A Monomer A Monomer B UQH₂ ↷ UQ 1e⁻ 1e⁻ ↓ ⇅ ISP bL bH ↓ ⇅ ⇅ c1 bH bL ↓ ⇅ c UQH• High-potential chain Low-potential chain Low-potential chain If UQ turnover is insufficient, an elevated UQH₂/UQ ratio can favor ROS production and reversibly deactivate Complex I or promote its degradation for supercomplex remodeling, freeing some of the III₂+IV to serve FAD-dependent complexes. These can be adaptive. Recall that substrates more reliant on FAD-linked respiration (↓ATP/O) demand additional UQ turnover. I ↮ III₂+IV SDH/ETFDH/etc. + III₂+IV [image: 1757373484287-023b11f6-9806-4f94-90f2-049cb214d084-image.png] ⠀(10.1016/j.bbabio.2023.148977) It's complicated at times, but when a problem appears to run counter to the oversimplified and sensationalist take of bioenergetic gurus, it's probably a good sign. ⠀ Herrero Martín, J. C., Salegi Ansa, B., Álvarez-Rivera, G., Domínguez-Zorita, S., Rodríguez-Pombo, P., Pérez, B., ... & Formentini, L. (2024). An ETFDH-driven metabolon supports OXPHOS efficiency in skeletal muscle by regulating coenzyme Q homeostasis. Nature metabolism, 6(2), 209-225. https://doi.org/10.1038/s42255-023-00956-y Muller, F. L., Liu, Y., & Van Remmen, H. (2004). Complex III releases superoxide to both sides of the inner mitochondrial membrane. Journal of Biological Chemistry, 279(47), 49064-49073. https://doi.org/10.1074/jbc.M407715200 Murai, M. (2020). Exploring the binding pocket of quinone/inhibitors in mitochondrial respiratory complex I by chemical biology approaches. Bioscience, biotechnology, and biochemistry, 84(7), 1322-1331. https://doi.org/10.1080/09168451.2020.1747974 Hernansanz-Agustín, P., & Enríquez, J. A. (2021). Functional segmentation of CoQ and cyt c pools by respiratory complex superassembly. Free Radical Biology and Medicine, 167, 232-242. https://doi.org/10.1016/j.freeradbiomed.2021.03.010 Covian, R., & Trumpower, B. L. (2008). Regulatory interactions in the dimeric cytochrome bc1 complex: the advantages of being a twin. Biochimica et Biophysica Acta (BBA)-Bioenergetics, 1777(9), 1079-1091. https://doi.org/10.1016/j.bbabio.2008.04.022 Parey, K., Wirth, C., Vonck, J., & Zickermann, V. (2020). Respiratory complex I—structure, mechanism and evolution. Current opinion in structural biology, 63, 1-9. https://doi.org/10.1016/j.sbi.2020.01.004 Xia, D., Esser, L., Tang, W. K., Zhou, F., Zhou, Y., Yu, L., & Yu, C. A. (2013). Structural analysis of cytochrome bc1 complexes: implications to the mechanism of function. Biochimica et Biophysica Acta (BBA)-Bioenergetics, 1827(11-12), 1278-1294. https://doi.org/10.1016/j.bbabio.2012.11.008 Letts, J. A., Fiedorczuk, K., Degliesposti, G., Skehel, M., & Sazanov, L. A. (2019). Structures of respiratory supercomplex I+ III2 reveal functional and conformational crosstalk. Molecular cell, 75(6), 1131-1146. https://doi.org/10.1016/j.molcel.2019.07.022 Letts, J. A., Fiedorczuk, K., & Sazanov, L. A. (2016). The architecture of respiratory supercomplexes. Nature, 537(7622), 644-648. https://doi.org/10.1038/nature19774 Guaras, A., Perales-Clemente, E., Calvo, E., Acín-Pérez, R., Loureiro-Lopez, M., Pujol, C., ... & Enríquez, J. A. (2016). The CoQH2/CoQ ratio serves as a sensor of respiratory chain efficiency. Cell reports, 15(1), 197-209. https://doi.org/10.1016/j.celrep.2016.03.009 Covian, R., & Trumpower, B. L. (2008). The dimeric structure of the cytochrome bc1 complex prevents center P inhibition by reverse reactions at center N. Biochimica et Biophysica Acta (BBA)-Bioenergetics, 1777(7-8), 1044-1052. https://doi.org/10.1016/j.bbabio.2008.04.008 Schägger, H., & Pfeiffer, K. (2001). The ratio of oxidative phosphorylation complexes I–V in bovine heart mitochondria and the composition of respiratory chain supercomplexes. Journal of Biological Chemistry, 276(41), 37861-37867. https://doi.org/10.1074/jbc.M106474200 Nesci, S., Algieri, C., Trombetti, F., Fabbri, M., & Lenaz, G. (2023). Two separate pathways underlie NADH and succinate oxidation in swine heart mitochondria: Kinetic evidence on the mobile electron carriers. Biochimica et Biophysica Acta (BBA)-Bioenergetics, 1864(3), 148977. https://doi.org/10.1016/j.bbabio.2023.148977

On this website they offer a chart with methionine levels of all kinds of foods. Apparently people in need of it, can also order methioniase. Also lots of studies on methionine and cancer . https://howtostarvecancernaturally.com/

I LOVE GROUNDING

I've been using it. My first order of 20g ended up with me going to the ER for breathing difficulty. But only because I had bronchitis, and Emeramide mobilized lead out of the deep tissues, and caused an immune response that involved a respiratory burst (I suspect) that used up plenty of oxygen, and got my SpO2 to drop so low I had to rush myself to the ER with the help of a tricycle driver, whose tricycle was my ambulance to the ER. In retrospect, I shouldn't be using it until I recovered from bronchitis. I should also be dosing a much smaller amount than the 400mg I was taking. I landed again in the ER, because I was so intent in fixing my long battle with hypertension and was in a dazed rush to be rid of hypertension, that I took lightly my bronchitis, that I ended up with heart failure after also disregarding warning signs as I developed edema. My heart stopped in the ER, and I was revived after 15 minutes. My brain was safe from here, due to having been intubated before my heart stopped. I was in the ICU for 2 days before being transferred to a regular room to continue my week long IV antibiotics of a wide spectrum gram negative and a gram positive antibiotics. I was prescribed a long list of drugs by my cardio. Now, 2 years later, I am taking less drugs by gradually tapering off my medications, and have resumed Emeramide,! taking only 2 doses of 50mg Emeramide daily, and observing carefully. I have learned a lot from my experience, and using myself as the experiment, which no other doctor would do along the principles of Ray Peat, I am for myself what other doctors would call "complications" but for me the body adapting to accommodate my healing as I would see respiratory distress as being part of this healing, and I would be less alarmed but welcome what is happening and try to understand what the body is doing. Naturopaths would call it a Herx reaction, but I would see it as the body remodelling itself as toxins and microbes are mobilized and excreted and along the way inflammation would occur and the respiratory system is where it is most visibly expressed. I would see this as very much a confirmation of the terrain theory in action. The respiratory distress is coming from within, and not from without, which germ theory would keep insisting so. But I know from my personal experience that asmy body expels toxins and microbes from within, it is getting rid of internal imbalances that is ground zero for cancer. But the clearing process is fraught with danger if a team of doctors with no coherent view of the unifying forces in the organism that makes it heal and renew take to their own and paper (to prescribe) and scalpel and interfere and do more harm. With help from a Ray Peat AI whom I discuss my situation as my healing progresses, I am taking 2 steps forward as I take an inch backward with the body remodelling itself to better health. I have my tools such as my personal ECG, to track my QTc and proxy markers for edema and for pulmonary hypertension; my Heart Rate Analyzer app on my Samsung S10 to track for signs of remaining carboxyhemoglobinemia from the effects of the enzyme heme oxygenase working on my store of dead red blood cells stuck in my lymph nodes, and my ear thermometer to gauge my thyroid condition, and the use of photodynamic biotherapy using methylene blue and red light, and the use of emf therapy for lymphatic drainage. As well as the use of foods to give me the nutrients needed to power myself back to health, and some supplements needed to assist my body in building me back to health, such as those that restore my myelin sheath that had been damaged before with a mistake I made. All these I have gradually incorporated into my toolkit over the years of reading Ray Peat and making sense of it and connecting the dots together. It has been a very long journey, and I hope with success I can get to write more about it after I'm healed totally and not while I'm in the process of doing so, as I found that sharing an ongoing healing process to be frustrating not only to write but also to read.

@Mr-X It took about three drops in an hour or more.

@CrumblingCookie I thought it increased insomnia, but I'm not sure anymore. It was also really hot when I was doing it, so taking it in the winter is probably a better idea. I'll definitely do another round at some point. But I don't really have weight to loose, so it would be more for the other benefits. I'd also be willing to sell a part of it to someone in Europe.

@DavidPS while he didn’t mention lactoferrin in the interview, I remember hearing Peat once say that an all milk diet would be sustainable for about a month before causing iron deficiency. Just another thing to think about in the role milk and its components seem to have on iron. I’ve had pretty rough teeth my whole life despite following dentists recommendations as a child/teen. I have found a ton of relief in lactoferrin, (helps with tooth sensitivity, color, (from yellow to white) and translucence). The color of my teeth reminds me of rust, (which when diluted is more of a yellow-orange than red). Another modality that has improved my teeth has been the work of Dr Manhart over at the Calcium Therapy Institute. His products combine calcium with zinc… And here we are again, zinc, iron. I wonder, if bones are holding iron instead of zinc what their appearance might be? Maybe yellowing from oxidized iron? How is the Calcium Therapy Institute able to recalcify teeth that have almost completely disintegrated, (they primarily focus on bacterial infections causing the decay-though this brings us back to iron potentially)? Another thing I think about regularly is copper plumbing. All the water that touches our body lives/travels in copper. I don’t know one way or that other if this matters, but it’s just another drop in the bucket of “what the heck is going on with iron, zinc, and copper?” Is it possible we’d be better off with pex tubing? I recall another interview with Peat where he mentioned that the plastics used for pex were actually some of the safest. I have become fully convinced that environmental factors are possibly the most important to our health, but maybe they aren’t the ones commonly considered. People seem very worried about pollution, and sprawl, and things of this ilk, (which obviously have their own issues) but no one really talks about copper plumbing as potentially problematic. I have no evidence it is to be clear, it’s just something that pops in my head from time to time. One final thing I consider is the number of times I heard Peat say that typically chelation is more deleterious than simply leaving it alone. This stops me from jumping on the HG7 bandwagon despite being interested. I sometimes wish Dr Peat was still with us, as l’d love to have his option on some of the newer modalities that pop up now and then. I also think that Peat tended to focus on simplicity over utility because of his understanding of the nature of those who are ill. It’s possible that a complex system like say HG7 could be beneficial, however Peat may have discounted it for its potential to harm, and the difficulty of adhering to it. This doesn’t mean however that something so complex is inherently non-beneficial.