hiya Krystal.
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I have a *very* mentally demanding career which requires
- analytical and creative thinking
- excellent communication skills
- excellent decision making and problem solving skills
- strong motivation
- quick response
- long working hours, etc.
I'm in a very similar position so hopefully I can help by sharing a little bit of what I do to help me get through the day. It's quite common to be in your position and I have often wonder how many out there in similar positions know about nootropics/nutraceuticals/medications and how to utilise them in effectively in various situations.
I'm am NOT a doctor. I recommend that you consult your doctor about any choices you make regarding your regime. You should do this regardless of how harmful you think the substance that you are taking is. In saying that, you need to understand that not all doctors understand alot about supplements and nootropics. Try and find an aligned doctor that understand your needs. When I say aligned I am referring to a a doctor that is open minded and prepared to listen. I am also referring to a doctor that is also open to prescribing reasonably safe medications to you that will help you accomplish the things that you have mentioned above.
Just for the record I have a PhD in Biochemistry/biogerontology. Credentials on-line however mean didly squat though.
So here we go. I use to use nootropics such as racetams but found that they really didn't do anything for me. The current research with piracetam suggests that it is only effective in an aged/compromised system and hence, not effective in normal health humans. To say that it is not effective might be too big of a statement though. It is probably effective but would not give you the best "bang for your buck" if you are healthy
Here are a few recent review abstracts
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Piracetam--an old drug with novel properties?
Winnicka K, Tomasiak M, Bielawska A.
Department of Drug Technology, Medical University of Bialystok, 1 Kilinskiego Str., 15-089 Bialystok, Poland.
Piracetam (2-oxo-1-pyrrolidine-acetamide), the most common of the nootropic drugs, is a cyclic derivative of gamma-aminobutyric acid. The treatment with piracetam improves learning, memory, brain metabolism, and capacity. Piracetam has been shown to alter the physical properties of the plasma membrane by increasing its fluidity and by protecting the cell against hypoxia. It increases red cell deformability and normalizes aggregation of hyperactive platelets. Piracetam is an agent with antithrombotic, neuroprotective and rheological properties. The interaction of this molecule with the membrane phospholipids restores membrane fluidity and could explain the efficacy of piracetam in various disorders ranging from dementia and vertigo to myoclonus and stroke.
Publication Types:
* Review
PMID: 16459490 [PubMed - indexed for MEDLINE]
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Piracetam improves mitochondrial dysfunction following oxidative stress.
Keil U, Scherping I, Hauptmann S, Schuessel K, Eckert A, Muller WE.
1Department of Pharmacology, Biocenter, N260, University of Frankfurt, Marie-Curie-Str. 9, 60439 Frankfurt, Germany.
Mitochondrial dysfunction including decrease of mitochondrial membrane potential and reduced ATP production represents a common final pathway of many conditions associated with oxidative stress, for example, hypoxia, hypoglycemia, and aging.Since the cognition-improving effects of the standard nootropic piracetam are usually more pronounced under such pathological conditions and young healthy animals usually benefit little by piracetam, the effect of piracetam on mitochondrial dysfunction following oxidative stress was investigated using PC12 cells and dissociated brain cells of animals treated with piracetam.Piracetam treatment at concentrations between 100 and 1000 muM improved mitochondrial membrane potential and ATP production of PC12 cells following oxidative stress induced by sodium nitroprusside (SNP) and serum deprivation. Under conditions of mild serum deprivation, piracetam (500 muM) induced a nearly complete recovery of mitochondrial membrane potential and ATP levels. Piracetam also reduced caspase 9 activity after SNP treatment.Piracetam treatment (100-500 mg kg(-1) daily) of mice was also associated with improved mitochondrial function in dissociated brain cells. Significant improvement was mainly seen in aged animals and only less in young animals. Moreover, the same treatment reduced antioxidant enzyme activities (superoxide dismutase, glutathione peroxidase, and glutathione reductase) in aged mouse brain only, which are elevated as an adaptive response to the increased oxidative stress with aging.In conclusion, therapeutically relevant in vitro and in vivo concentrations of piracetam are able to improve mitochondrial dysfunction associated with oxidative stress and/or aging. Mitochondrial stabilization and protection might be an important mechanism to explain many of piracetam's beneficial effects in elderly patients.British Journal of Pharmacology (2006) 147, 199-208. doi:10.1038/sj.bjp.0706459; published online 14 November 2005.
PMID: 16284628 [PubMed - in process]
and same snippets from the discussion
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Findings that piracetams efficacy is usually associated with conditions of disturbed brain function like aging, that is, young healthy animals usually benefit little or nothing from piracetam treatment (1)., has lead to the speculation that piracetam's mechanism of action is associated with biochemical deficits of the aged brain. This assumption was supported by the observations that piracetam specifically enhances membrane fluidity in the aged brain material, showing no effect at all in the membranes from young brains (2).............Piracetam's improving effects on the fluidity of the aged synaptosomal membranes could easily explain the beneficial effects of piracetam on age-related deficits of several mechanisms of signal transduction (receptor density and function, transmitter release) (3), since these mechanisms are distributed in the aging brain probably due to a decrease in membrane fluidity...........Evidences that piracetam's beneficial effects on the fluidity on the aged mitochondrial membranes might contribute to its therapeutic efficacy are rather indirect and originate from observations that piracetam might improve glucose uptake and utilisation as well as ATP production (4). Even if these effects led to the term "metabolic enhancer', sometimes used to characterise piracetam and related nootropics, the mechanism of this effect and its possible relationship to mitochondrial function remain unsolved.
finishing off with
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In conclusion, therapeutically relevant in vitro and in vivo concentrations of piracetam are able to improve mitochondrial dysfunction associated with oxidative stress and/or aging. Mitochondrial stabilisationand protection might be an important mechanism to explain many of piracetam's beneficial effects in elderly patients
So for me, a healthy male of 35, I have chosen not to use racetams. I find that there is more bang for your buck in nutraceuticals and some reasonable safe medications.
Here are a few standout things I have in my supplement regime
For memory and mild stimulation I am using 4mg/day of
Galantamine. I take this in the morning with food.
To help me deal with the daily stresses I use Rhodiola (250-500mg per day in the morning on an empty stomach) and Ashwagandha (225-450mg per day before bed on an empty stomach). These are adaptogenic supplements that help you adapt to both the psychological and physiological stresses that you may encounter on a day-to-day basis.
To wake you up in the morning it is often easy to just supplement with either L-Tyrosine (1000-4000mg) or
D,L-Phenylalanine (1000mg) rather than brewing a coffee. It's not generally a good idea to supplement with both of these compounds at once because that are large neutral amino acids (LNAA) that will compete with each other at the blood brain barrier (BBB). Taking either one of these + coffee is a buzz and a half. A buzz that some cannot handle

Another thing I use every now and then isa 1/4 tab (25mg) of thyroxine. This is a prescription only thyroid hormone. Mention some of the things that you mentioned above to your doctor and ask if they believe that this would help you achieve what you wish to achieve.
For now I will leave you with that Krystal. I will also leave some room for others to respond