I realized I would never get around to writing this if I properly documented every assertion, but they should be readily searchable in pubmed. If there is anything that is questionable, I'll try to back-fill.
We know resveratrol acts to increase SIRT1's effects. In addition it affects PPAR alpha and PPAR gamma. These increase mitochondrial biogenesis, an effect we have seen documented in rodents in Auwerx' papers, and effects in humans were reported in this forum by users. PPAR-gamma though stimulating mitochondria is also lipogenic, which is perhaps why we did not see any reports of dramatic weight loss reported here.
AICAR is a synthetic substance that agonizes PPAR-delta, which affects mitochondria without lipogenesis, but also requires SIRT1 to work. Besides mitochondrial biogenesis, effects reported in rodents were a 44% improvement in running time without exercise training. With exercise training the exercise time was double that. Other effects: weight loss, increase in muscle mass as seen in obese and normal human subjects. AICAR was reported to increase the amount of brown fat in adults (fat-burning fat). It was quickly banned in athletics, though it has turned up in pro cyclists' lockers. Testing is very expensive if it is possible at all. Although AICAR is putatively available over the internet, the identity of the substance is unverifiable to the average person, and it is prohibitively expensive in any case. To complicate things, there are two substances called AICAR, with different CAS numbers.
One advantage of AICAR over resveratrol is the dose; we have found heuristically in this forum that a minimally effective dose of resveratrol for improved athletic performance is around 400 mg, give or take. The effective dose for AICAR is an order of magnitude less, as little as 10 mg suggested in some body-building forums (those guys will swallow anything, even shit, if you said it increased muscle mass.) The human trials seemed to indicate a 40 mg dose in obese subjects, and dramatic weight loss was reported with an improvement in muscle mass, insulin resistance and blood sugar levels. Since AICAR and other PPAR-delta agonists need SIRT1 to work, adding a little resveratrol to the mix (less than needed for resveratrol's endurance effects) should be synergistic - assuming lower doses activate SIRT1, as some claim.
But AICAR is not readily available. However, a common prescription heart medication is available, and much cheaper. Micardis (Telemisartan) has recently been reported to be an effective PPAR-delta agonist. It has been on the market for years, still under patent in most countries. It is an
angiotensin II receptor antagonist used primarily to treat hypertension. It is sometimes used to treat metabolic syndrome, (elevated blood sugar
and insulin resistance.) But Micardis also is an effective PPAR-delta agonist.I do not recommend running out to buy Micardis - a prescription is required. But if you have mild essential hypertension, you might try to get a prescription for it over other blood pressure meds. Adding a little resveratol should help even more with blood sugar and insulin resistance. For healthy people, I would expect the effects to include weight loss and improved exercise tolerance - exercise in a pill. Down-side, if you do attempt to obtain and use it without a prescription - something I am not recommending - it does lower blood pressure, and blood sugar. You would want to be monitored by a doctor, or at the very least use a blood pressure meter so you don't overdo it.
It is thought by some that chronic essential hypertension leads eventually to congestive heart failure by the time you are in your eighties, so it is well worth treating if your blood pressure is mildly elevated (over 130.) Perhaps a majority of people over 60 experience elevated systolic blood pressure, so this or other as yet unknown PPAR-delta agonists are worth pursuing. I'd certainly add some resveratrol to the mix to see if the expected synergy is there.
Edited by maxwatt, 06 March 2013 - 01:08 PM.