Dan Ostermayer's avatar
Dan Ostermayer
ostermayer@primal.net
npub1gc64...uyek
physician metabolic health maximalist πŸ“š co-sleeping https://a.co/d/0itAvPV the simple world https://a.co/d/5u4BdMU πŸ“š
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ostermayer 7 months ago
summary of creatine dosing 0 g (baseline) – Normal endogenous production (1 g/d) and diet (meat/fish) maintain muscle phosphocreatine at 60–70 % of saturation. 1–2 g/d – β€œLow-dose” supplementation – Slightly raises muscle creatine (~10–15 % above baseline). – May offer modest cognitive support in vegetarians or during sleep deprivation, but minimal strength/power gains. 3–5 g/d – Standard daily dose (no loading) – Achieves near-maximal muscle phosphocreatine saturation (β‰ˆ 20 % rise) within 3–4 weeks. – Improves high-intensity exercise capacity (β‰ˆ 5–15 %), lean mass accrual (β‰ˆ 1–2 kg over 8–12 weeks), and recovery. – Cognitive benefits in older adults and those with low dietary intake. 20 g/d (split 4 Γ— 5 g) for 5–7 days – β€œLoading phase” – Rapidly saturates muscle stores (β‰ˆ 20 % rise) in <1 week. – Same long-term performance benefits as 3–5 g/d, just reached faster. – Higher incidence of mild GI upset or water-weight gain (1–2 kg). >5 g/d maintenance (>10 g/d) – No additional muscle or performance benefit once stores are saturated. – May increase plasma creatinine without renal harm in healthy kidneys, but offers no extra advantage. Bottom line: – 3–5 g/d is the sweet spot for strength, hypertrophy, and recovery. – 20 g/d loading for 5–7 days speeds saturation if rapid benefit is desired.
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ostermayer 8 months ago
during covid i wrote a book about my thoughts on living a good life that i hope my kids will share with their kids to keep our family values alive through the generations. a lot of time spent journaling is ultimately never read by anyone yet it contains ideas which could be useful if shared and could form a guide to life for a multigenerational family. instead of journaling my thoughts i wrote a book that is a conversation between two neighbors. image
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ostermayer 8 months ago
it's so simple to save money and eat healthy: "just bring your own food to work". avoid all the cafeteria and takeout stuff
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ostermayer 8 months ago
fasting insulin level is the most important lab if you could only get one drawn.
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ostermayer 8 months ago
the development of a fever is not a dysfunction of the human body, it is a natural process with a single goal: pathogen destruction
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ostermayer 8 months ago
vaccine science is pretty suspect and vaccine zealots don't make criticizing it easy. the long term effects of the metals and adduces in vaccines are also basically unknown. however, if you take out the aluminum the injection causes no inflammation and goes from potentially not working to definitely not working.
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ostermayer 8 months ago
my kids think the ATM is a money printer image
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ostermayer 8 months ago
High fructose corn syrup (HFCS) disrupts gut microbiome signaling through several interconnected mechanisms that alter microbial composition, metabolic pathways, and host-microbe communication: HFCS consumption directly induces gut dysbiosis, which refers to an imbalance in the gut microbial community that disrupts normal signaling between microbes and host cells . Unlike glucose, which is primarily metabolized systemically, fructose is predominantly metabolized in the small intestine where it interacts directly with the local microbiome. When consumed in excess (as is common with HFCS-sweetened beverages), fructose overwhelms the small intestine's metabolic capacity, allowing unabsorbed fructose to reach the colon where it creates an abnormal nutrient environment for gut bacteria. The excess fructose promotes the growth of pro-inflammatory bacterial species while suppressing beneficial bacteria that produce short-chain fatty acids (SCFAs), which are crucial signaling molecules for intestinal health . Fructose directly mediates innate immune responses and alters T-cell immunity, leading to increased inflammation. This occurs because fructose metabolism changes the metabolic environment in ways that favor pro-inflammatory immune cell differentiation. fructose promotes "leaky gut" through ethanol-inducible cytochrome P450-2E1-mediated oxidative and nitrative stress, compromising the gut barrier and allowing bacterial endotoxins to enter circulation . This triggers systemic inflammation and disrupts normal gut-liver axis signaling. The signaling disruption also affects lipid metabolism pathways. HFCS consumption increases lysophosphatidylcholine (LPC) species in serum by more than sevenfold, which cancer cells then consume to generate phosphatidylcholines for cell membrane production Signaling disruptions create vicious cycles - gut dysbiosis from HFCS promotes increased sugar preference through altered gut-brain signaling , leading to further HFCS consumption and worsening dysbiosis. https://www.nature.com/articles/s42255-025-01356-0 https://www.nature.com/articles/s44324-025-00066-1 https://www.nature.com/articles/s41575-025-01077-5 https://www.nature.com/articles/s41586-024-08258-3 https://www.nature.com/articles/s41564-024-01902-8 image
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ostermayer 8 months ago
i really enjoy the flavor of coffee and in residency unfortunately got myself hooked on caffeine. as i have weened myself off to a cup a day I have substituted decaf. unfortunately conventional decaf is washed with methylene chloride or ethyl acetate to dissolve the caffeine. the swiss water method uses a water that is saturated with green coffee solubles except for caffeine which allows the caffeine to diffuse into the solution leaving behind a swollen caffeine free bean that can be dried and roasted. it is currently the only chemical free decaf method and happens at the Swiss Water plant in Vancouver BC. image
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ostermayer 8 months ago
I made this table for a family member who was trying to convince me the need to take a multivitamin. At worst you just urinate out the excess vitamins that are water soluble if you don't need them. However, I'd rather spend money on food than vitamins. It is very easy to get all of your micro-nutrients from animal based diets. Also easy as a carnivore as well but not necessary to be that restrictive.
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ostermayer 8 months ago
The value of intermittent fasting is probably grossly over exaggerated once you get down to a body fat percent of less than 15%
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ostermayer 8 months ago
if you take a multivitamin make sure the where key B vitamins (primarily folate and vitamin B12) are pre-converted into their active, methylated formsβ€”5-methyltetrahydrofolate (5-MTHF) for folate and methylcobalamin for B12β€”instead of using cheaper, synthetic precursors like folic acid or cyanocobalamin
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ostermayer 8 months ago
the interesting result of so many people taking GLP-1 agonists is the exposure of diseases that improve with weight loss. recently there are reports of psoriasis improving and i suspect we will see the mainstream finally acknowledge that most if not all autoimmune conditions have an origin with metabolic dysfunction resulting from obesity. adipose cells are extremely hormonally active and play a role in many "untreatable" chronic diseases this is probably why the carnivore diet helps so many because it often results in substantial weight loss (at least initially).
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ostermayer 8 months ago
keep your shoulder mobility as you do a lot of pushups by doing them hindu style image
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