DISCLAIMER: What worked for me is quite likely to kill you. Consult your physician before making any potentially lethal changes in your health care routine, like eating a pound of blueberries.
It's been a bit over a month and the results haven't abated (though some of the initial euphoria has worn off), so I'd like to share the most effective stack additions I've found in the past ~18 months of cognitive decline and dreaded "brain fog". You can skip the few narrative paragraphs in the spoiler, if you're in a hurry.
At roughly this point I realized that I had nearly every symptom of anti-cholinergic use, along with a few that weren't on the list but connected anyway. This paper saved my life. It has 3 main points in the full text:
1) Acute stress (or nootropic abuse) leads to an acetylcholine surge (perhaps life flashing before one's eyes?)
2) the cFos gene is activated (in other tissues this is a general response to oxidative stress)
3) cFos in turn triggers long-lasting changes in gene expression: upregulation of AChE, downregulation of ChAT and VAChT
It is unclear how a several-day change in their experimental animals translates to years-long effects in humans -- perhaps our big brains allow us to re-traumatize ourselves better than those sweet, dumb animals. But days or weeks would be consistent with many people's experiences after choline overload.
There are so many posts around here about brain fog after cholinergic abuse, memory problems, etc... Now that I know, I see ACh dysfunction everywhere. Not saying it's THE answer, but ACh deserves more respect than as something you maybe need to supplement a little when you use racetams.
Alright, the stack:
1) 1 pound of wild Boreal blueberries daily (smoothified, usually). This alone made a noticeable improvement in days. Wild blueberries are so dark they're almost black -- I figure they're likely much denser in proanthocyanidins, and they're definitely a bit lower in sugar, than the cultivated kind. Even if they're the same as regular blueberries, that's a bit over 1000 mg of pro- and anthocyanidins daily. US$3.50/day
2) Fisetin, 100 mg x 2 daily. cFos inhibitor. Many health benefits. Found in "high" concentrations in strawberries, but I think all commercial extracts come from wax trees. This was a definite "light switch" type addition. There are plenty of other cFos inhibitors out there. $0.80
3) 20 g sunflower lecithin. Unfortunately high in omega 6. Oh well. Mostly eat bison which is low, as are the oils I use. Planning to reduce and start using αGPC. US$0.50
4) Acetyl-CoA support: 1g L-Carnitine fumarate, 1g ALCAR, 450 mg pantethine (these were not nearly as effective without the other elements in place) $1.20
5) Additional ACh synthesis support: Magnesium Glycinate (600 mg elemental Mg), allithiamine (300 mg) $1.25
So, this stack runs at just over $7 a day. The results have been pretty amazing. 75% cognitive recovery in a week. Whereas I couldn't work at all before, getting a fever from a few minutes of modest intellectual exertion, I can tutor two students online simultaneously in topics I don't really know while reading the wikipedia articles in other browser tabs, for several hours a day. Plus, it's been kinda nice to, I dunno, have a sense of humor again. Anybody who's pumping money into research chems (like yours truly, haha) might be advised to drop $50 to give this a go for a week.
Of course, this is a work in progress. Future phases (not necessarily in this order):
1) αGPC, Noopept, for cholinergic repair
2) Cerebrolysin, TB4, Dihexa: because if I'm injecting one thing, might as well inject everything. Expected synergy between TB4 and Dihexa via HGF receptor, see 107 x as much BDNF thread
3) NSI 189, not sure if this stuff is pro- or anti-cholinergic though from user experiences. Have only tried a little bit personally.
4) Long term: repair ChAT and VAChT genes. Most promising candidates are through CNTF and NGF, though I'm a bit worried that NGF will backfire in two ways: overexpression may drive the body further into a sympathetic state, and it also blocks CNTF's effects. Any experts in gene expression please weigh in. Also, hell, it looks like some forms of vitamin A might work...
But, that said, I think the path ahead is pretty clear for the mental stuff. Will update with whatever additions come next. Now on to fix the physical damage caused by having the cholinergic anti-inflammatory pathway all but shut down for a year. (Any suggestions on spinal arthritis, venous reflux, dry eye, lingering dysautonomia, cellulite despite weighing less than I have in 16 years, maybe kidney damage, etc...? [yeah, sounds vaguely autoimmune, did take a drug with lupus as a side effect before this all started, oops])
Feedback, comments, questions welcome. I invite anyone interested to try the stack on their rats, after consulting a health care professional, health care amateur, priest, rabbi, high school Spanish teacher, and John Elway, and report back here.
Edited by StevesPetRat, 23 December 2014 - 02:57 AM.