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neuroprotectiveEVIDENCEAUSRx

Rapamycin

aka Sirolimus

mTOR inhibitor approved for immunosuppression after organ transplant. Studied off-label for longevity at low intermittent doses.

Dose range5–10mg
Half-lifeh
Onsetmin
Safety2/5high evidence base

Mechanism of action

Selective inhibitor of mTORC1. Reduces protein synthesis, induces autophagy. Pulsed dosing minimizes immunosuppression.

Benefits

  • Lifespan extension in mice

    EVIDENCEA

    Multiple replicated studies.

  • Immune system rejuvenation

    EVIDENCEB

    Mannick 2014.

Side effects

  • Immunosuppressioncommonsevere
  • Mouth ulcerscommonmoderate
  • Hyperlipidemiacommonmoderate
  • Glucose intolerancecommonmoderate

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