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klevertree

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Show HN: Preventing plasticizer absorption with an oat fiber-based supplement

stellar-melomakarona-30fbb7.netlify.app
2 points·by klevertree·tahun lalu·1 comments

When rational drug design meets an irrational disease

trevorklee.substack.com
1 points·by klevertree·3 tahun yang lalu·0 comments

A miracle drug sold over the counter

trevorklee.substack.com
23 points·by klevertree·3 tahun yang lalu·20 comments

Letter to a Young Biotech Founder

trevorklee.substack.com
1 points·by klevertree·3 tahun yang lalu·0 comments

How to Manufacture a Drug

trevorklee.substack.com
1 points·by klevertree·3 tahun yang lalu·0 comments

What to do when the tide is going out

trevorklee.substack.com
1 points·by klevertree·4 tahun yang lalu·0 comments

How I've tried to fix my lower back pain

trevorklee.substack.com
2 points·by klevertree·4 tahun yang lalu·1 comments

Fundraising for a drug trial in feline autoimmune disease

trevorklee.substack.com
2 points·by klevertree·4 tahun yang lalu·0 comments

How much it costs to develop a drug for cats

trevorklee.com
1 points·by klevertree·4 tahun yang lalu·0 comments

I'm making drugs for cats

trevorklee.substack.com
170 points·by klevertree·4 tahun yang lalu·98 comments

Obesity's relationship with type 2 diabetes is weird

trevorklee.substack.com
18 points·by klevertree·4 tahun yang lalu·26 comments

A Medical Thought Experiment

trevorklee.substack.com
2 points·by klevertree·4 tahun yang lalu·0 comments

To improve medical trials, justify exclusion criteria

trevorklee.substack.com
83 points·by klevertree·4 tahun yang lalu·50 comments

Ask HN: Are you applying to YC as a bio company?

1 points·by klevertree·4 tahun yang lalu·0 comments

The Epstein-Barr virus causes multiple sclerosis. So what?

trevorklee.com
3 points·by klevertree·4 tahun yang lalu·0 comments

My terrible plan for reducing opioid deaths

trevorklee.com
2 points·by klevertree·5 tahun yang lalu·1 comments

Aging researchers should try reversing graying first

trevorklee.com
1 points·by klevertree·5 tahun yang lalu·0 comments

Charismatic Megadiseases

trevorklee.com
1 points·by klevertree·5 tahun yang lalu·0 comments

Why did they give antidepressants to Covid patients?

trevorklee.com
2 points·by klevertree·5 tahun yang lalu·0 comments

Organ transplant patients may not get dementia

trevorklee.com
290 points·by klevertree·5 tahun yang lalu·190 comments

comments

klevertree
·tahun lalu·discuss
Wrote about this in the context of repurposing, which is a pet interest of mine: https://trevorklee.substack.com/p/another-entry-for-the-repu...
klevertree
·tahun lalu·discuss
We're still prototyping and testing, but you'll probably have to eat it twice a day to get complete coverage. It needs to be in the gut at the same time as the plasticizer to have any effect.
klevertree
·tahun lalu·discuss
Not a bad idea for your health, but it won't trap plasticizers. We're modifying the beta glucan to have many tiny, "sticky" pores to trap the chemicals in the gut, so they go out with the rest of the beta glucan. Pure beta glucan, whether from oats or barley, won't have much effect.
klevertree
·tahun lalu·discuss
Reports like this on the dangers of DEHP is exactly why I started work on NeutraOat (https://neutraoat.com/), a modified oat fiber supplement designed to trap plasticizers in your gut before they can get into your bloodstream. The idea is to give people an easy, safe way to avoid absorbing plasticizers that you've ingested.

Link above has a form to sign up for the mailing list. I also have a Substack post summarizing what we know about the dangers of plasticizers (https://trevorklee.substack.com/p/the-evidence-on-plasticize...) .
klevertree
·3 tahun yang lalu·discuss
Yes, what do you think the pk trials and liver experiments would involve if not people who have a variety of phenotypes?
klevertree
·3 tahun yang lalu·discuss
Author here. Thanks! I'm pretty sure most of the negative effects of SSRIs were discovered in phase 2 trials, though. Pk trials aren't usually powered to find adverse effects in subpopulations like teenage patients. Same thing with GLP-1 agonists and their effects on addictions (which I think were actually discovered post approval).

That being said, we'd still have to do dose escalation studies for toxicology even if we had great pbpk models. Not denying that.
klevertree
·3 tahun yang lalu·discuss
Author here. As someone who works in pharma, organ on a chip models are not even close to being relevant to providing accurate PK curves for oral absorption. The state of the art is trying to make it work for cutaneous absorption and that's still not great/commercially useful.

My whole point is that there needs to be way more open data on pharmacokinetics. That's the only way we're going to solve this.
klevertree
·3 tahun yang lalu·discuss
Author here. That's not what I said. Please don't be a jerk on the Internet.
klevertree
·3 tahun yang lalu·discuss
Cyclosporine and tacrolimus, if you look at the range in any of their pk trials you'll easily see 10 fold variability.
klevertree
·3 tahun yang lalu·discuss
Author here. Enzyme polymorphisms are tricky and would require a whole different blog post. Some drugs they matter a lot for, some drugs they do not. I actually have not found any drugs with 10-fold variability that could be ascribed solely (or even mainly) to polymorphisms, although it doesn't seem impossible.
klevertree
·4 tahun yang lalu·discuss
Do you have any connections there, by any chance? Always looking to talk to more vets.
klevertree
·4 tahun yang lalu·discuss
The corporate attorney agreed not to require me to pay any of their invoices until I closed a seed round, while the patent attorney let me pay their invoices a full year after I received them. These sorts of arrangements are common with attorneys who work with startups.
klevertree
·4 tahun yang lalu·discuss
I'm sorry to hear about your calico. Stomatitis is really a terrible disease.
klevertree
·4 tahun yang lalu·discuss
Unfortunately, the reality of trying to cure animals is that sometimes you accidentally hurt animals. That's also the reality of trying to cure humans.

This is the exact same issue vets face when they perform surgery on your cat, and it's the exact same issue that surgeons face when they perform surgery on you. The difference is that vets don't have to pay tons of money for malpractice insurance in case they get sued by the owner, which is one of the big reasons why veterinary surgery is so much cheaper (i.e. affordable to ordinary people) than human surgery.
klevertree
·4 tahun yang lalu·discuss
Trying to cure a disease that gives cats such bad mouth sores that they sometimes can't even drink water isn't exactly "pushing crap".

We're trying to make it to profitability so we can get to the point where we can test the solution in humans who have neurodegeneration. When you're dealing with incredibly complex regulatory environments and millions of dollars in development costs, it's not always easy to make it from point A to point B. That's the point of this post.
klevertree
·5 tahun yang lalu·discuss
To add to what everyone else said: it's not just an immunosuppressant, it's an immunosuppressant with unpredictable, severe side effects. It's really interesting, and I hope to reformulate it to make it possible for healthy people to use, but you will cause severe damage to yourself if you self-administer.
klevertree
·5 tahun yang lalu·discuss
I thought it'd be too much in the weeds. The UTexas paper goes into their prescribing data and comes out with the conclusion that calcineurin inhibitors are the only common factor in their patients who don't get dementia.

Rapamycin also does not have any evidence of efficacy on neurodegeneration, while there's evidence for CNI on other forms of neurodegeneration.
klevertree
·5 tahun yang lalu·discuss
That's not muscular dystrophy. That's a motor neuron disease.
klevertree
·5 tahun yang lalu·discuss
Sorry, didn't mean that it was obvious scientifically. I meant obvious in terms of pharmaceutical progress. They built a mouse model to mimic muscular dystrophy and cured the mouse model of muscular dystrophy, which is why they felt confident spending their millions on human muscular dystrophy. Unfortunately, it was not a good model, in the same way that most most mouse models are not good models.
klevertree
·5 tahun yang lalu·discuss
In this analogy, I meant to indicate all the wooden beams were rotten to the core, in the same way that muscles die in Duchenne muscular dystrophy. Quadrupling up the beams just means that you've spent a lot more resources on something that's fundamentally unusable.