The attached senolytic protocol combines grape seed extract (GSE) with either fisetin or, alternatively, dasatinib as effective senolytics for a wide range of cell types, including endothelial cells. This protocol builds reviews and assessments of the current state senescent cell (SnC) research, which I summarized in concise tables in the attachment. A review of therapeutic targets of SnC removal is also included.
This protocol is intended to improve the physical function of healthy individuals in middle and old age (45-80 years). However, for those who are frail or older, senolytic treatment might be dangerous due to the high percentage of SnCs these groups carry, along with their low levels of regeneration. For those younger than 40 or so, senolytic treatment is not expected to make much of a difference since this group has a low percentage of SnCs.
An exception to these age categories is smokers. While the effects of senolytics have not been studied in smokers, the well established associations between smoking, telomere attrition, DNA damage and cellular senescence suggest that removing SnCs will likely benefit those younger than 45 years in this group.
Protocol A (Primary): GSE + Fisetin
The doses listed here are calculated for a 70 kg individual and may be scaled by body weight.
For first-time SnC removal, as a precaution start by taking a half dose treatment cycle without food.
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2000 mg grape seed extract, 1x/day for 3 days.
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1000 mg fisetin, 1x/day for 3 days.
After the first SnC removal, wait about 4 weeks then take the following full dose treatment cycle once/month for 4 months. Thereafter, for maintenance repeat 1 or 2x/year.
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4000 mg grape seed extract, 1x/day for 3 days.
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2000 mg fisetin, 1x/day for 3 days.