My name is Joe Peck. I am 53 years old and in 2013 I tested positive for the SCA1 genetic mutation. I am neither a doctor nor a researcher, but I do have a strong background in science and graduated with honors from Dartmouth College. Over the last several years I have read hundreds of research papers some of which are linked below. Also, starting in 2016 I noticed early symptoms, but now I am symptom free and feel better than I have in a decade and here is what I am doing that I believe is making a difference.
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First, this isn't about any one aspect. I believe it's the combination of ALL the elements listed below that are allowing me to keep my symptoms at bay. The concept of using a multi-pronged approach to treating neurological disorders was studied in 2014 by Dr. Dale Bredesen and his work is the key to what I am trying to do. In his study 10 patients with Alzheimer’s used numerous alternative therapies TOGETHER and amazingly they got better something individual therapies never before accomplished.
ncbi.nlm.nih.gov/pmc/articl...
Second, although I just said it's not about any single element, I do believe the most important piece of this regimen is my running on a treadmill 30 minutes 3 times a week at 80% max heart rate. I use this exact type, amount and level of exercise because there is scientific evidence that it and ONLY it stops progression of a neurological disorder. That means not 70% heart rate, not 20 minutes, not cycling and not boxing, but 30 minutes on a treadmill at 80% max heart rate.
webmd.com/parkinsons-diseas...
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I know not everyone with SCA or other genetic disorders can run on a treadmill but even if one can't run I am certain most people can stand on a treadmill and hold the handrails while walking and there is ample research showing that any exercise is better than none.
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Aside from the concept of a multi-pronged approach the second key to understanding what I am trying to do is to understand that SCA1 is like many other neurological disorders in that at the heart of the disease is a protein that misbehaves and hangs around too long so anything that keeps the protein from misbehaving (forming an oligomer) and cleans out the protein (increases autophagy) might be helpful. It is true that if any of the supplements on my list are actually getting to the brain it is in teeny tiny quantities, but my hope and belief is that since these genetic disorders take decades to appear then maybe tiny quantities, WORKING TOGETHER, are enough to change the course of the disease. Certainly that is the basis for Dr. Bredesen's ideas. Also, it is my belief (based on the science in animals and cell cultures) that some of the items on the list work on the bad protein issue while others work to enhance general cellular survival and efficiency and still others work to provide extra energy to cells. Each piece of my regimen plays a slightly different and tiny role but, again, I think that TOGETHER they are making the difference. It is VERY hard to argue that I am experiencing some kind of placebo effect after nearly 4 years symptom free, when SCA1 is known to be one of the fastest progressing if not the fastest progressing SCA. Finally, I would note that all the supplements on my list have numerous human toxicity studies showing they are safe even at much higher levels than I am consuming, and many have human studies showing health benefits in general.
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In 2016, I had symptoms including: inability to stand on one foot, difficulty walking downstairs, difficulty with clear speech, diminishing handwriting, fatigue, and inability to use exercise to increase strength or endurance. All my symptoms are now gone and I am gaining strength and endurance again. Here is what I am doing:
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1) EXERCISE: Treadmill running 3 times a week for 30 minutes at 80% or more max heart followed by a 5 minute cool down walk (5.7 mph at 0% incline first and then 3.7 mph and 7% incline) plus additional weight training particularly leg lifts for my quadriceps and kettle ball dead lifts. Daily 20 minute dog walk. Twice weekly upper body weight training.
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2) DIET: - I am now a VEGAN and am no longer eating any animal products. This includes no cheese, eggs, or fish. My primary reason for doing this was to control my cholesterol and blood pressure. I still avoid processed foods and simple carbs, and try to focus on fresh produce and whole grains.
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3) INTERMITTENT FASTING: eating only between 1 and 7PM - I'm not crazy strict on this and admit taking trehalose in the AM with my coffee may make this moot, but anyways I normally don't eat until after lunchtime and never eat breakfast.
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4) YOGA, STRETCHING, and MEDITATION
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5) SUPPLEMENTS: (amounts are daily total)
1 cup of Green Tea
50 g trehalose AM in coffee (2 heaping Tbs)
-AM&PM-
1200 mg Niagen by Chromadex (4 pills AM 4 pills PM)
180 mg bio-available curcumin (Theracurmin HP) (1 pill AM, 1 pill PM)
200 mg Pteropure by Chromadex (1 pill AM, 1 pill PM)
400 mg Ubiquinol (2 pills AM, 2 pills PM)
1333 mg NeuroMag (magnesium L-threonate) ( 1 pill AM,1 pill PM)
2000 mg taurine by Life Extension (1 pill AM, 1 pill PM)
100 mg Sulforaphane Glucosinolate by Thorne Research (1 pillAM&PM)
-AM-
2.5 g thiamine HCl/vitamin B1 by Solgar (5 pills AM)
100 mg EGCG - PURE brand (1 pill AM)
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5 mg lithium orotate (the PURE brand) (1 pill PM)
20 mg BioPQQ (1 pill PM)
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not taken for ataxia, but treatment of apthous stomatitis and general health:
1000 mcg B-12 (methylcobalamin) (1 pill AM, 1 pill PM) (contains mannitol)
1000 IU vitamin D (1 pill AM)
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And, here is the science behind why I have chosen to do what I am doing:
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Why treadmill running? Neuroplasticity and autophagy.
jamanetwork.com/journals/ja...
sciencedaily.com/releases/2...
europepmc.org/articles/PMC3...
journals.plos.org/plosone/a...
exercisepd.com/uploads/3/5/...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
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Why trehalose or mannitol? Autophagy, anti-oligomerization.
link.springer.com/article/1...
globenewswire.com/news-rele...
academic.oup.com/hmg/articl...
nebula.wsimg.com/2d91f65f64...
scienceofparkinsons.com/201...
scienceofparkinsons.com/201...
link.springer.com/article/1...
jbc.org/content/285/43/3325...
sciencedirect.com/science/a...
jbc.org/content/288/24/1757...
link.springer.com/article/1...
sciencedirect.com/science/a...
sciencedirect.com/science/a...
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one clinical trial of oral trehalose for vascular health:
ncbi.nlm.nih.gov/pmc/articl...
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An older study that shows that mannitol passes thru the stomach wall undigested at a rate of 0.5 to 2%:
researchgate.net/publicatio...
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Why Niagen and NOT other B3s? Cellular process enhancement, Sirtuin activation.
clinicaltrials.gov/ct2/show...
cell.com/cell-metabolism/fu...
cell.com/cell-metabolism/fu...
cell.com/cell-reports/fullt...
scienceofparkinsons.com/?s=...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
nature.com/articles/s41514-...
researchgate.net/publicatio...
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Why thiamine? Anti-oxidant, cellular energy.
ncbi.nlm.nih.gov/pmc/articl...
advances.umed.wroc.pl/pdf/2...
ncbi.nlm.nih.gov/pubmed/275...
ncbi.nlm.nih.gov/pubmed/274...
sciencedirect.com/science/a...
sciencedirect.com/science/a...
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pubmed/287...
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pmc/articl...
clinicaltrials.gov/ct2/show...
ncbi.nlm.nih.gov/pubmed/278...
ncbi.nlm.nih.gov/pubmed/285...
fafysio.wordpress.com/2016/...
healthunlocked.com/ataxia-u...
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Why pterostilbene? Sirtuin activation and anti-oxidatiion.
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pubmed/271...
ncbi.nlm.nih.gov/pubmed/293...
ncbi.nlm.nih.gov/pubmed/297...
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pubmed/291...
ncbi.nlm.nih.gov/pmc/articl...
sciencedirect.com/science/a...
nature.com/articles/nm.2558...
scienceofparkinsons.com/201...
nature.com/articles/s41598-...
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pubmed/293...
ncbi.nlm.nih.gov/pubmed/292...
ncbi.nlm.nih.gov/pmc/articl...
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Why Ubiquinol (mitochondrial health)
healthunlocked.com/ataxia-u...
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Why Green Tea? Autophagy, anti-oligomerization, anti-oxidation.
ncbi.nlm.nih.gov/pubmed/286...
ncbi.nlm.nih.gov/pubmed/250...
ncbi.nlm.nih.gov/pubmed/168...
ncbi.nlm.nih.gov/pubmed/292...
ncbi.nlm.nih.gov/pmc/articl...
scienceofparkinsons.com/?s=...
scienceofparkinsons.com/?s=...
mdpi.com/1420-3049/23/6/129...
michaeljfox.org/foundation/...
ncbi.nlm.nih.gov/pubmed/293...
ncbi.nlm.nih.gov/pubmed/288...
ncbi.nlm.nih.gov/pubmed/286...
ncbi.nlm.nih.gov/pubmed/282...
ncbi.nlm.nih.gov/pubmed/273...
ncbi.nlm.nih.gov/pubmed/272...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/268...
fegt.org/en/clinical-studie...
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Why Theracurmin? Autophagy, anti-oligomerization, anti-oxidation.
sciencedirect.com/science/a...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/267...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/240...
ncbi.nlm.nih.gov/pubmed/282...
michaeljfox.org/foundation/...
tandfonline.com/doi/abs/10....
ncbi.nlm.nih.gov/pubmed/290...
ncbi.nlm.nih.gov/pubmed/284...
ncbi.nlm.nih.gov/pubmed/288...
ncbi.nlm.nih.gov/pubmed/273...
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Why lithium (autophagy enhancement, cellular health, GSK3 inhibitor)
healthunlocked.com/ataxia-u...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/278...
ncbi.nlm.nih.gov/pubmed/238...
lifeextension.com/Magazine/...
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Sulforaphane Glucosinolate - NrF2 activation
ncbi.nlm.nih.gov/pmc/articl...
chemoprotectioncenter.org/p...
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Why PQQ? Mitochondrial health and memory.
ncbi.nlm.nih.gov/pubmed/275...
ncbi.nlm.nih.gov/pubmed/267...
sciencedirect.com/science/a...
functionalfoodscenter.net/f...
sciencedirect.com/science/a...
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Why taurine? Anti-oxidation and muscular health.
ncbi.nlm.nih.gov/pubmed/112...
ncbi.nlm.nih.gov/pubmed/240...
ncbi.nlm.nih.gov/pubmed/163...
ncbi.nlm.nih.gov/pubmed/229...
ncbi.nlm.nih.gov/pubmed/295...
ncbi.nlm.nih.gov/pubmed/260...
ncbi.nlm.nih.gov/pubmed/192...
ncbi.nlm.nih.gov/pubmed/289...
lifeextension.com/Magazine/...
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Why nano-magnesium (Magtein) ? Cellular process enhancement.
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/274...
ncbi.nlm.nih.gov/pubmed/263...
ncbi.nlm.nih.gov/books/NBK5...
ncbi.nlm.nih.gov/pubmed/201...
ncbi.nlm.nih.gov/pubmed/?te...
clinicaltrials.gov/ct2/show...
alzdiscovery.org/cognitive-...
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Why vitamin B12? Treatment of apthous stomatitis.
ncbi.nlm.nih.gov/pubmed/260...
ncbi.nlm.nih.gov/pubmed/295...
ncbi.nlm.nih.gov/pubmed/282...
ncbi.nlm.nih.gov/pubmed/278...
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Why vitamin D? General health.
academic.oup.com/ajcn/artic...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/206...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pubmed/265...
health.harvard.edu/blog/vit...
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Why a combination of therapies?
Using a multi-pronged approach to neurological disorders:
ncbi.nlm.nih.gov/pmc/articl...
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Why a diet rich in cruciferous vegetables?
scienceofparkinsons.com/201...
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Why daily/intermittent fasting?
ncbi.nlm.nih.gov/pubmed/295...
ncbi.nlm.nih.gov/pubmed/285...
ncbi.nlm.nih.gov/pubmed/291...
ncbi.nlm.nih.gov/pubmed/278...
ncbi.nlm.nih.gov/pubmed/293...
ncbi.nlm.nih.gov/pubmed/264...
Joe in NY
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-The role of oligomers and autophagy:
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...