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Sulbutiamine

Arcalion, Enerion, Bisibutiamine

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A synthetic vitamin B1 derivative for fatigue and cognitive support.

Sulbutiamine is a synthetic derivative of thiamine (vitamin B1) engineered to more easily cross the blood-brain barrier. It aims to increase brain thiamine levels, which may support cholinergic and dopaminergic neurotransmission. Its relevance to healthspan is highly speculative, primarily focused on its potential to alleviate fatigue (asthenia) and support cognitive function, with no direct evidence for extending lifespan or preventing age-related diseases.

Verdict

Speculative nootropic for fatigue; no proven benefit for healthspan or longevity.

HEALTHSPAN IMPACT

Experimental

RISK LEVEL

Low

EVIDENCE GRADE

B

MONTHLY COST

$20 - $40

Protocol

  • Typical use involves 200-600 mg daily, often cycled for several weeks on and off to prevent tolerance.

Flags

  • Tolerance may develop with continuous use, necessitating cycling.
  • Can cause mild side effects like agitation, headache, or insomnia.
  • Banned for in-competition use by the World Anti-Doping Agency (WADA).
  • Long-term safety profile in healthy individuals is not well-established.