Re: Theory as to why some people so sensitive to Calcium-D-Glucarate
u/drwillpowers
r/DrWillPowers2026-09-27T16:23:12Z
Dr Will Powers’ own statements and theorizing
Mentions treatments or doses — not guidance
Summary (paraphrased)
Powers reported that relugolix (temporary chemical castration) at least temporarily fully restores normal androgenic signaling, with patients typically noticing improvement within days — return of acne, body odor, and related signs — persisting for weeks after the trial ended, though he lacked longer-term data. He cautioned that it does not appear to correct the underlying brain miswiring caused by prolonged exposure to GABA-A positive allosteric modulating neurosteroids, and noted he ran trials until the 3α-androstanediol glucuronide (3A-ADG) fell into the normal range from values above 5,000 that maxed out the assay. He added the caveat that 3A-ADG measures only the glucuronidated metabolite, so it may not accurately reflect remaining 3α-androstanediol in serum or CSF. He framed clearing the androgen "clog" as reopening an exit pathway so the brain can drain, described the post-clearance rewiring as analogous to quitting a benzodiazepine, and said he is seeking CSF taps with mass spectrometry to identify the disrupted molecule(s) precisely — while expressing high confidence that the mechanism of both PFS and PSSD has been solved, citing the model's successful predictions (e.g., the THDOC experiment outcome and unexpected indomethacin panic reactions).
Key points (paraphrased)
- Relugolix reportedly restores androgenic signaling within days; effects persist weeks post-trial, but brain-level GABA-A PAM miswiring appears untouched.
- Trials were run until 3A-ADG normalized from assay-maxing levels (>5,000).
- 3A-ADG is the glucuronidated metabolite only — an imperfect proxy for serum/CSF 3α-androstanediol.
- Clearing peripheral androgen pile-up is framed as reopening a drainage pathway, not a complete fix; neural rewiring would take time, likened to benzo withdrawal.
- Goal: CSF taps + mass spectrometry for patient-specific neurosteroid targeting.
- Claims the PFS/PSSD mechanism is essentially solved, citing the model's predictive track record on unusual drug reactions.
Why it’s in the corpus
A core treatment-outcome statement for the corpus: the strongest claim of castration-trial efficacy Powers made in this chunk, plus the explicit two-compartment model (peripheral androgen pile-up vs. central GABAergic miswiring). The 3A-ADG monitoring detail and CSF mass-spec plan document his biomarker strategy.
Context — the post Powers was replying toVerbatim third-party text, shown for context only — not Powers’ statement. Usernames removed.ShowHide
Powers' comment replies to a community member:
does this mean clearing out the androgen clog with relugolix is not necessary? or you have to do that first before ungabaing yourself?
(Parent context recovered from the r.genit.al mirror on 2026-10-07; Powers' comment text itself is from John's user-provided export.)
Some fields on this page come from the release’s Markdown edition, which carries text the JSON edition omits.
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