A 60 microgram dose is optimum according to Ame's paper (
full text free) if we've calculated correctly based on his stated
in vitro concentration and our estimated blood volume for a "70 kg primate"; more than twice that amount was said to negate the effects, which were much the same as those claimed for acetyl-l-carnitine (ALCAR): reduced ROS generation. It's cheaper too. Also, more than twice that dose turns ones urine faintly but definitely green. The dose ROL82 is considering would result in intensely green or blue urine. I believe it's been estimated that the low dose is gone from one's system in four hours, so it might be desirable to take it three times a day. I take it in the morning, and sometimes before afternoon workouts and again before bed.
Does it work? I think so, at least as well as ALCAR for exertion at one's anaerobic threshold. But then it could be all placebo effect for both of them. I also hae a number of confounding factors, including other supplements. There is noting I've found in the literature that supports Ames' conclusions at these low doses, and neither is there anything I've found for his earlier findings on ALCAR and R-lipoic acid. I dropped ALCAR when I started using methylene blue.
FWIW, my current supplements are the Imminst designed multi (#3 in the sidebar at the left of this screen) plus additional vitamin D to bring up my levels of D hydroxy 25 toward 40, some extra D2 as MK7, though not consistently. Due to a genetic polymorphism I also take 800 to 1000 mcg of methyl-tetra-hydrofolate.* Other than vitamins, resveratrol (400 mg) in the morning, with a small amount of luteolin (50mg) and recently 500 mg of curcumin - which has a synergistic effect with resveratrol according to many studies. If nothing else, it might prevent cancer of the colon. With this combination, I need less resveratrol to control arthritis symptoms.
I'd give up the methylene blue before giving up resveratrol, but continue to use MB as it seems to help stamina in a different way than resveratrol. Resveratrol improves endurance, MB seems to improve muscle contractile strength with short anaerobic efforts, or for longer periods at one's limit. Again, these are only my impressions. YMMV
Disclaimer: I nagged Kingherbs to formulate this, so I'd have a ready source without having to mix my own from fish-store solutions. I don't think they consider it will be a profit center.
* this form of folate is an effective anti-depressant, at least in those with one or two copies of the MTHFR polymorphism.