19 Comments
Nov 9Liked by Sarah Constantin

Baffling N=1 personal anecdote: I started taking creatine and supplementing whey protein about three months ago. I am apparently an outlier in creatine response; I've been regularly setting lifetime personal best records for weight lifted (at age 63). But also my visible body fat has significantly decreased while I have increased my calorie intake by >>500 kcal/day and I've done only my usual amount of aerobic exercise.

Maybe my liver will start bulging out of my belly soon? And then explode?

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author

I assume you're also gaining muscle. Congrats!

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Thank you! It's a lot of fun. Although really puzzling! Creatine does not have this effect size for most people. My best guess is that I have some mutation that made me creatine deficient all my life. Now somewhat wistfully imagining the body I might have had if I'd started taking it when I was 23 instead of 63.

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I would be interested in what happens with living liver (node) donors. Unfortunately they’re sufficiently rare that it would be hard to get a decent sample.

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It makes sense from an adaptive perspective, athletes benefit from the larger glycogen storage.

Which has two questions spring to mind :

- is the effect larger in endurance athletes?

- do athletes get larger livers, or are larger livers a necessary condition to become an elite athlete?

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Nov 9Liked by Sarah Constantin

You have been on fire the last two weeks. I know a little about this and the cancer stuff. First class work. Please keep it up

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I'm a bit worried about your male athletes though... 200lbs is not exactly what I would call a "large" male athlete!!

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author

the study was in Japan

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Ah ok! Makes more sense.

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Wait, so what's the reason to want a bigger liver? It doesn't seem like the post explains this. Do we generally expect bigger livers to work better if they don't develop the problems listed above?

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Nov 8Liked by Sarah Constantin

To increase REE, right?

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author

yep

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What does the larger liver actually do with all the extra energy that it's using?

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Process more food, basically. So keeping the rest of the body "topped up" faster than it could otherwise, and filtering blood faster, helping keep toxin levels lower.

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Oh, cool, so it sounds like it's directly good for body function as well as just wasting more calories for those who have trouble with energy balance?

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Well in principle yes. I'm not sure it is an absolute good though, I imagine that one needs some kind of proportionality to be respected.

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It’d certainly be easier if you wanted a smaller liver:

> “Most drugs are metabolized by the liver. By manipulating liver size, we can tailor the metabolic rate to any level that we want.”

>

> “Manipulating liver size?” Hermes didn’t like the sound of this.

[...]

> The eagle gave a voracious shriek.

<https://slatestarcodex.com/2017/02/27/a-modern-myth/>.

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Does that mean it's better for health to have big organs? Intuitively it seems beneficial for them to have extra capacity, but I don't know

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So what?

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