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Paul a very good blog. Rapamycin, Acarbose and a new one for me Canagliflozin. This might be better than Metformin. What was interesting was that Acarbose lowered HbA1c which is not easy to do. Progress marches on little by little. Richard Miller said it right about all those Dr.'s making a lot of money on NAD precursors and ripping people off. That includes Sinclair. Sinclair had already ripped off the drug companies with Resveratrol. No NR/NMN found in tissues where it is needed.
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I just started taking Arcarbose instead of Metformin. My plan was to take 100 mg Arcarbose with meals 3 X's a day. The reason that I was going to try and change was the Arcarbose seem to do a better job in control glucose and extending lifespan. It also had a bigger impact on HbA1c which for me was hard to get lower. Well I took 1,000 mg Metformin at noon and 3 hours later had a meal. Took 100 mg Arcarbose with that meal and 30 minutes later felt bloated and just over all bad. Took nothing else until next day. Told myself to not take them together. Next day took 50 mg instead of 100 with my meal and felt great no problems. So that is where I am at at this moment. Read on the web that it takes awhile to let your body adjust to Arcarbose just like it did with Metformin. WIll report back when I have more data. I would not take both together. I took Metformin to control Glucose and just like you I was pre-diabetes. Metformin schedule was 500 mg morning, 1000 mg 12-2pm., and 500 mg at bedtime. Really reduced my cravings for carbs, and helped reduce fat and weight gain. Hope Arcarbose does same because here in spain 40 50 mg tablets only cost $2. Metformin is also super cheap