Re: Theory as to why some people so sensitive to Calcium-D-Glucarate
u/drwillpowers
r/DrWillPowers2026-09-27T16:15:22Z
Dr Will Powers’ own statements and theorizing
Mentions treatments or doses — not guidance
Summary (paraphrased)
Powers reduced calcium D-glucarate's (CDG) action to a single mechanism — inhibition of bacterial beta-glucuronidase — arguing it only matters for patients who actually have substantial beta-glucuronidase activity, using a house-fire/shed-fire analogy. He said he suspects androsterone will turn out to be absurdly elevated in many patients, particularly in PSSD, based on ongoing lab testing, while acknowledging others likely have the opposite pattern with the switch thrown the other way. He criticized two decades of research fixated on allopregnanolone, noting that absurd 3α metabolite elevations (a 28x multiplier versus controls) in the original PFS studies were never followed up. He framed the disease state as a derangement of the normal neurosteroid order — one steroid absurdly high, another low, in either direction — with normalization as the goal, and explained the indomethacin panic reactions as occurring only in patients whose THDOC is actually the out-of-band molecule. He closed with the model that the disease is roughly fifteen different switch-flips, up or down, differing per person — which is why "X crashed me" anecdotes dominate discussion and why CDG may simply not address a given individual's specific dysfunction.
Key points (paraphrased)
- CDG = beta-glucuronidase inhibition only; effect depends on the patient's actual beta-glucuronidase burden.
- Androsterone suspected absurdly elevated, especially in PSSD — but opposite patterns exist.
- Historical allopregnanolone focus criticized; original PFS 3α-metabolite findings (28x controls) ignored.
- Neurosteroid derangement can be high OR low per molecule; treatment goal is normalization per individual.
- Indomethacin reactions explained by which molecule is out of band for that person.
- ~15 switch-flips model explains heterogeneous "crashed me" reports.
Why it’s in the corpus
Key statement of Powers' heterogeneity thesis: PFS/PSSD as a person-specific pattern of neurosteroid derangements, which explains variable treatment responses and undermines one-size-fits-all interventions. The critique of the allopregnanolone-centric literature is relevant to the corpus's historiography of PFS research.
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:
What if we appear to be one of those who do not respond to CDG at all? I tried up to 5 grams for a couple of days without any effect. I've been doing things to improve gut health and I am retrying it, but could it be that CDG is not effective enough for some of us?
Also, I posted this somewhere else, but what do you make of the recoveries from cycling androsterone products? there was a high who posted a lot in the past "cdnuts" who recovered by cycling androsterone and some people were able to replicate it.
(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.
Related records
- Powers · Reddit post
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Re: CDG Theory
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