Monday, September 30, 2019

Biohacking

Biohacking is described many ways (Google it!)  The way I define biohacking is experimenting on myself to make my life with PD as effective as possible, using, in my case, low risk means.

This includes trying out vitamins and other supplements, like melatonin (tried it, but it didn't seem to help.)  It also includes trying out devices like the "red hat" (red and near infrared light), and grounding/earthing sheet to deal with all my extra oxidation.  Sometimes they work; sometimes they don't (if my test results show that I'm low on a vitamin, then I supplement, whether or not it feels better.  However, I've had to cut pills in half to get to a level that my gut likes, since vitamin-makers seem to subscribe to the more-must-be-better school.)

Similar to formal case studies written by physicians about individual patients, sometimes we call this biohacking N=1 studies.  Our responses to PD medications are already quite individual, so what works for one may not work for another.  At the same time, there is not a lot of funding for formal clinical trials for vitamins, supplements, and other treatments that can't be patented.  Not that there are no studies like these, but we have a progressive disease, and often can't wait for somebody to formulate a study, obtain funding, invite participants, conduct the study, and write up the results; just the writing up of results can take 2 or more years, and as I said, meanwhile we are progressing.

Doctors are often not enthusiastic about this self-experimentation, but they have mostly treatments that deal with symptoms, some treatments better than others.  I make sure to let my neuro/MDS knows what I'm taking.  The only "medicine" that has been demonstrated to slow down progression is vigorous exercise (and we still don't know the optimum kind of exercise/duration/frequency.)

My latest biohacking experiment has been with caffeine, which seems to at least provide symptomatic relief.  I've been eating two squares of 70% cacao dark chocolate when I first wake (often around 5 AM);  I don't take my first dose of c/l (carbadopa/levodopa) until 8 AM.  I realized that when I eat the chocolate, I feel great, and my keyboarding is fluent; when I can't eat my chocolate, I'm stiff and my keyboarding is slow.  Caffeine is an important part of chocolate, and has been found to assist in making pwp feel better (and who doesn't like an excuse to eat chocolate?)

I tried expanding this by taking 100 mg caffeine (1/2 a Nodoze caffeine pill) with breakfast, and the same with lunch.  Any caffeine after lunch lasts for a long time, and interferes with sleep - and lousy sleep leaves these other annoying symptoms in the dust, so I do nothing that interferes with sleep.  I started keeping track of finger-tapping on my affected hand, since that's quantifiable.  When I compare before I take the caffeine to after (when I'm "on"), the finger tapping sometimes improves, sometimes not - but I can tell if I'm stiff and keyboarding is easy - not so quantifiable, but works for me. (In other words, forget the finger tapping and go with keyboarding.)

Note: discovered that Nodoze, and most caffeine pills, are not gluten-free (they include corn starch, which is sometimes contaminated with wheat).  The results of accidental gluten ingestion for a person who is gluten-sensitive are unmistakable, unfortunately.  Usually I remember to read all the ingredients, but not this time. So I had to search for GF caffeine pills and pause the caffeine experiment for a few days.

Once I found another caffeine supplement, I was just taking caffeine with lunch.  But the only caffeine that isn't like Nodoze (doesn't have corn starch) is basically concentrated coffee.  After a few days, the supplement gives me what coffee gives me:  um, the runs.  Caffeine in soda or chocolate doesn't cause this, so I know that it's the coffee that's a problem for me.  Rats!  The caffeine did seem to make me less stiff.

But my MDS has me taking an extra dose of c/l (4 half-pills instead of 3, 4 hours apart instead of 5).  So far that's helping.  Fingers crossed.

And I'm still having chocolate when I first get up.  The sacrifices I make for science.

Images: Pixabay

Monday, September 9, 2019

Nicotine experiment goes haywire

There is some research to suggest that nicotine gum increases blood pressure in people with PD.  A recent clinical trial showed that chewing nicotine gum improved low BP for about 90 minutes.  So I thought, given that I have orthostatic hypotension, I would give nicotine gum a shot.

First, I chewed the gum while driving to Rock Steady Boxing, then spit it out when I got there.  Partway through class, though, my BP dropped, and I had to sit.  Okay, so next time chew through class, right?

Wrong.  Yesterday, I started chewing the gum at the start of class.  Felt great for 10 minutes.  Then had to sit down.  Even sitting I felt light-headed.  No way could I get up, even to move my rollator, where I was sitting, out of the way.

I have never felt so washed out.  I even considered phoning my husband to walk me out of class, down the stairs, and take me home; my independence is important to me, so this demonstrates how poorly I felt.  After about 30 minutes, I spit out the gum and slowly started to feel better.  Cognition was subpar throughout, which is not normal either; it improved as my BP improved.

Put one in the "fail" column.  No nicotine gum for me.  There is medication to increase my BP; I haven't wanted to consider it (danger of high BP when lying down), but now I think I have to.

Tuesday, September 3, 2019

Where to find the latest on Parkinson's research

There are a few really good places to look for the latest on PD research.

For day-to-day updates, along with interesting discussions about research, nothing beats PRIG (Parkinson's Research Interest Group) on Facebook.  I know that some people don't like FB, but it's the best platform for discussion where the conversation focuses on research topics, people know how to use it, and it's searchable.  Unlike the many FB PD support groups, this focuses on facts.  I have not found a more reliable, consistent source of information about PD research (and I read a LOT of online sources for PD information).

PRIG is tightly moderated, so there are no ads, no cat videos, no clickbait, and no support group sob stories.  PRIG is also a closed group, so you need to make clear that you aren't looking for a support group (answer the questions, and you're in).  There will be a link for more information for almost every story - sometimes more than one. I heartily recommend it.

For current information about active clinical trials see http://www.pdtrialtracker.info/

This is curated and updated by Sue Buff and Gary Rafaloff and provides a current picture on drug trials in particular.  Fair warning:  there is a great deal of information here that can really suck you in. 

In the Interventional tab for PDTrialTracker, (http://www.pdtrialtracker.info/interventional-trials-1.html)  scroll down to see Clinical Trials by Therapy Focus.

Finally, want to find a Clinical Trial that is in your area so that you can participate?  Then click on Recruiting Trials and scroll down to "Find Recruiting PD Trials in your Area."

The Science of Parkinson's blog/website, run by Dr. Simon Stott, takes deep dives into individual research topics, while defining all those terms (which you can skip over once you understand them).  Outstanding job of explaining why something might be important, along with what researchers found (and what related studies have found), and even what related research is being conducted now.  This blog is searchable, too.  And has a monthly research roundup.  I do not know how he has time to read everything, write extensively, and work full-time, too. This is a tremendous service to the PD community.

For more information about specific research papers, see Pubmed.  For more info about how to use Pubmed, see https://parkiesupport.blogspot.com/2017/12/research-news-about-pd.html.

For more information about specific clinical trials, see ClinicalTrials.gov.  For more info about how to use this website, see https://parkiesupport.blogspot.com/2019/02/using-clinicaltrialsgov.html.

I've written in the past about e-newsletters you can subscribe to, and I still do subscribe, but now I tend to go to PRIG, which cuts through the hype (example: this is a study in rats, not people; and a lot more investigation is required to find out if it's a useful treatment) and often provides links to related research.

There is a lot of work being done; it's certainly worth knowing what's being worked on, and why.

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