People with failing memory and worried about Alzheimer’s disease are sometimes seduced by advertisements for Huperzine A, extracted from a type of moss. Some studies have shown that it increases levels of acetylcholine in the brain, a chemical that is in short supply in Alzheimer’s. But despite increasing acetylcholine, aside from a few questionable studies in China, there is no evidence that it improves memory. Unfortunately when it comes to memory pills, they are best forgotten. There is, however, hope that a nasal spray containing insulin can increase the absorption of glucose into brain cells and improve cognitive function. But in the meantime, the best bet to maintain good brain function is to monitor blood glucose and blood pressure, eat a diet rich in fruits, vegetables and whole grains, and low in simple carbs and saturated fat. And don’t forget that physical exercise also exercises your brain.
The fact of the matter is, though, that the phrase ‘best brain pill’ doesn’t cover any of the bases you’d want an informative article to cover. The human brain is a large and complex thing, and there are many different kinds of pills, supplements, and medications that you can take to improve or affect different areas and functions. Many more of those pills, supplements and medications you take when it breaks down or glitches, to help control harmful or disorienting symptoms of various mental diseases.
Starting from the studies in my meta-analysis, we can try to estimate an upper bound on how big any effect would be, if it actually existed. One of the most promising null results, Southon et al 1994, turns out to be not very informative: if we punch in the number of kids, we find that they needed a large effect size (d=0.81) before they could see anything:
Microdosing involves ingesting small amounts of psychedelics to induce a very subtle physical and mental effect accompanied by a very noticeable, overall positive, health effect. When you take a microdose of a psychedelic, it is typically referred to as a sub-perceptual dose. A sub-perceptual dose will not have a major impact on your ability to function normally, but the effect will definitely be present in your mood and behavior. The microdose of a particular psychedelic is correlated to the lowest dose that will produce a noticeable effect, which is also known as the threshold dose. Since the goal is not to get a hallucinogenic effect, a microdose can be well below the psychedelics threshold dose. By integrating the correct doses of psychedelics into your weekly routine, you can achieve higher creativity levels, more energy, improved mood, increased focus, and better relational skills. There is a growing body of research that shows microdosing to improve depression, anxiety, PTSD, and emotional imbalance, help with alcohol and tobacco addiction, and decrease ADD and ADHD behaviors.
(On a side note, I think I understand now why modafinil doesn’t lead to a Beggars in Spain scenario; BiS includes massive IQ and motivation boosts as part of the Sleepless modification. Just adding 8 hours a day doesn’t do the world-changing trick, no more than some researchers living to 90 and others to 60 has lead to the former taking over. If everyone were suddenly granted the ability to never need sleep, many of them would have no idea what to do with the extra 8 or 9 hours and might well be destroyed by the gift; it takes a lot of motivation to make good use of the time, and if one cannot, then it is a curse akin to the stories of immortals who yearn for death - they yearn because life is not a blessing to them, though that is a fact more about them than life.)
It’s 3 p.m., and I am crushing my e-mail inbox. At this time of day, I’m typically struggling to stave off the post-lunch slowdown by downing another cup of coffee or two. But today, message after message is flying off my fingertips effortlessly—work e-mail, personal e-mail, digital errands I’d been meaning to run for months. I’m in the zone, as they say, and for this burst of late afternoon productivity, I might have nootropics to thank.
Take the synthetic nootropic piracetam, for example. Since piracetam has been shown to improve cell membrane function and cause a host of neuroprotective effects, when combined with other cell membrane stabilizing supplements such as choline and DHA, the brain cells on piracetam can better signal and relay messages to each other for a longer period of time, which improves cognition and brain activity and decreases risk of a crash. So one example of an intelligent “stack” is piracetam taken with choline and DHA.
Reason: More than 50 percent of your brain is comprised of DHA! Among a big group of elderly Americans, those with the highest blood levels of DHA were about half as apt to develop dementia and 39% as apt to develop Alzheimer’s as those with lower blood levels of DHA over a nine-year period. The top 25% of those with the highest blood DHA got about 180 mg DHA a day or three servings of fish a week, researchers said. In this study, the other major fatty acid in fish oil. EPA had no effect.
I find this very troubling. The magnesium supplementation was harmful enough to do a lot of cumulative damage over the months involved (I could have done a lot of writing September 2013 - June 2014), but not so blatantly harmful enough as to be noticeable without a randomized blind self-experiment or at least systematic data collection - neither of which are common among people who would be supplementing magnesium I would much prefer it if my magnesium overdose had come with visible harm (such as waking up in the middle of the night after a nightmare soaked in sweat), since then I’d know quickly and surely, as would anyone else taking magnesium. But the harm I observed in my data? For all I know, that could be affecting every user of magnesium supplements! How would we know otherwise?
The makeup of the brain is about 29% fat, most of which is located in myelin (which itself is 70–80% fat). Specific fatty acid ratios will depend in part on the diet of the animal it is harvested from. The brain is also very high in cholesterol. For example, a single 140 g (5 oz) serving of "pork brains in milk gravy" can contain 3500 mg of cholesterol (1170% of the USRDA).
One item always of interest to me is sleep; a stimulant is no good if it damages my sleep (unless that’s what it is supposed to do, like modafinil) - anecdotes and research suggest that it does. Over the past few days, my Zeo sleep scores continued to look normal. But that was while not taking nicotine much later than 5 PM. In lieu of a different ml measurer to test my theory that my syringe is misleading me, I decide to more directly test nicotine’s effect on sleep by taking 2ml at 10:30 PM, and go to bed at 12:20; I get a decent ZQ of 94 and I fall asleep in 16 minutes, a bit below my weekly average of 19 minutes. The next day, I take 1ml directly before going to sleep at 12:20; the ZQ is 95 and time to sleep is 14 minutes.
That first night, I had severe trouble sleeping, falling asleep in 30 minutes rather than my usual 19.6±11.9, waking up 12 times (5.9±3.4), and spending ~90 minutes awake (18.1±16.2), and naturally I felt unrested the next day; I initially assumed it was because I had left a fan on (moving air keeps me awake) but the new potassium is also a possible culprit. When I asked, Kevin said:
Whether you want to optimise your nutrition during exam season or simply want to stay sharp in your next work meeting, paying attention to your diet can really pay off. Although there is no single 'brain food' that can protect against age-related disorders such as Alzheimers' or dementia, and there are many other medical conditions that can affect the brain, paying attention to what you eat gives you the best chance of getting all the nutrients you need for cognitive health.
Your co-worker in the cubicle next to you could now very likely be achieving his or her hyperfocus via a touch of microdosed LSD, a hit of huperzine or a nicotine-infused arm patch. The fact is, concepts such as microdosing, along with words like “nootropic” and “smart drug” (yes, there’s a difference between the two, as you’re about to discover) are quickly becoming household terms, especially due to all the recent media hype that has disclosed how popular compounds such as smart drugs and psychedelics are among Silicon Valley CEOs and college students, along with the smart drug movies “Limitless” and “Lucy“ and popular TV shows like “Limitless”, “Wormwood” and “Hamilton’s Pharmacopeia”.
In my SkepDoc column in Skeptic magazine (text available online) I reviewed the video series “Awakening from Alzheimer’s,” in which a journalist interviews numerous “experts” and claims that Alzheimer’s is for the most part preventable and can be reversed in 9 out of 10 patients! The recommendations of those “experts” are all over the map. There is nothing even remotely approaching a scientific consensus. They claim the main cause of Alzheimer’s is everything from gluten to obesity to lack of sleep to chronic Lyme disease to toxins spewed by “leaky gut” syndrome. They claim to have reversed Alzheimer’s with a wide variety of treatments: everything from coconut oil to a ketogenic diet to probiotics to strenuous exercise to various long lists of dietary supplements to psychological interventions that are considered successful if they make patients cry. There is no satisfactory evidence to support any of their claims.
The reality is that cognitive impairment and dementia are also on the rise, and sometimes symptoms of forgetfulness and confusion are not so innocuous. According to the Alzheimer’s Association, someone in the United States is diagnosed with Alzheimer’s disease every 66 seconds. By the middle of this century, that is expected to grow to every 33 seconds.
For now, instead of reaching for a designer supplement, you're better off taking a multivitamin, according to some experts. It's well known that antioxidants like vitamins C and E protect cells from damage by disarming free radicals. Brain cells are especially vulnerable to these troublemakers because the brain generates more free radicals per gram of tissue than any other organ. Antioxidants also protect neurons by keeping blood vessels supple and open, ensuring the flow of nutrients to the brain.
Similarly, we could try applying Nick Bostrom’s reversal test and ask ourselves, how would we react to a virus which had no effect but to eliminate sleep from alternating nights and double sleep in the intervening nights? We would probably grouch about it for a while and then adapt to our new hedonistic lifestyle of partying or working hard. On the other hand, imagine the virus had the effect of eliminating normal sleep but instead, every 2 minutes, a person would fall asleep for a minute. This would be disastrous! Besides the most immediate problems like safely driving vehicles, how would anything get done? You would hold a meeting and at any point, a third of the participants would be asleep. If the virus made it instead 2 hours on, one hour off, that would be better but still problematic: there would be constant interruptions. And so on, until we reach our present state of 16 hours on, 8 hours off. Given that we rejected all the earlier buffer sizes, one wonders if 16:8 can be defended as uniquely suited to circumstances. Is that optimal? It may be, given the synchronization with the night-day cycle, but I wonder; rush hour alone stands as an argument against synchronized sleep - wouldn’t our infrastructure would be much cheaper if it only had to handle the average daily load rather than cope with the projected peak loads? Might not a longer cycle be better? The longer the day, the less we are interrupted by sleep; it’s a hoary cliche about programmers that they prefer to work in long sustained marathons during long nights rather than sprint occasionally during a distraction-filled day, to the point where some famously adopt a 28 hour day (which evenly divides a week into 6 days). Are there other occupations which would benefit from a 20 hour waking period? Or 24 hour waking period? We might not know because without chemical assistance, circadian rhythms would overpower anyone attempting such schedules. It certainly would be nice if one had long time chunks in which could read a challenging book in one sitting, without heroic arrangements.↩
However, as a result of the efficacy of this type of stacking, the supplement world is saturated with brain-boosting blends, and it can be difficult to cut through the confusion and figure out what really works and what could be a waste of time and money, or downright dangerous. The fact is, when creating your own stack, you must carefully think about your specific needs and goals. For example, if you want to reduce anxiety and depression, but don’t necessarily care to enhance your cognitive performance or get through a day of work in a sleep-deprived state, you could just stick to a single nootropic that increases dopamine levels, such as Mucuna pruriens or tryptophan. Or if you wanted to reduce anxiety and depression while simultaneously improving your memory because you’re studying for a school or work exam, you could add Bacopa monnieri to the mucuna or tryptophan. Then, let’s say you want long-term cognitive performance to the mix that lasts an entire day: in this case, you’d add a racetam, and to avoid an end of day crash, a touch of choline or DHA. It’s a bit like cooking in the kitchen, isn’t it?
I am sort of a health nut. I only use natural medicines- never prescriptions. Lately I have been experiencing some brain fog in spite of my detoxing, so I tried this product. I LOVE IT! I really can tell a difference. I have tried many memory and brain support supplements before, but this one seems quite different. I love the daytime and separate night time formulas. I have never slept so soundly in my life. In fact, I've always had a lot of trouble sleeping, but I sleep like a baby and wake feeling refreshed and full of energy.
Omega-3 fatty acids: DHA and EPA – two Cochrane Collaboration reviews on the use of supplemental omega-3 fatty acids for ADHD and learning disorders conclude that there is limited evidence of treatment benefits for either disorder. Two other systematic reviews noted no cognition-enhancing effects in the general population or middle-aged and older adults.