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posted by mito_mike 13d ago

MOTS-C, NAD+, glutathione: do these belong in an injury conversation at all?

Serious question rather than a provocation. This board exists, people are prescribed these, and I use two of them. MOTS-C is metabolic and mitochondrial. NAD+ is cellular energy pathways. Glutathione is antioxidant support. None of them are tissue repair peptides and none of them claim to be. So what is the actual argument for them being in an injury recovery conversation? Is it just "you are a body, everything is connected," which is true and also unfalsifiable? I am asking because I like these and I want to know if I am rationalizing.

Watts do not lie. Neither do lactate strips.

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LabRatLouisBoston, MA8 points13d ago
You are mostly rationalizing. The steelman argument is that tendon repair is metabolically demanding and oxidative stress is present in tendinopathy. But the jump from 'oxidative stress exists in pathological tissue' to 'exogenous antioxidants improve clinical tendon repair' is massive, and we lack the in vivo data to bridge it. Plus, blunting oxidative signaling can actually impede necessary mechanical adaptations, much like chronic NSAID use blunts muscle hypertrophy post-training. Where these agents actually belong is general energy support and overall systemic tolerance during a heavy rehab block. That has real value, but it is not tissue healing.

Preclinical is not a promise.

mito_mikeBoulder, CO8 points13d ago
Appreciate the honesty. I use them for endurance training, but honestly neither did a thing for my two tendon issues.

Watts do not lie. Neither do lactate strips.

NightShiftNurseSacramento, CA5 points13d ago
I take glutathione because night shifts leave me completely cooked, not for my shoulder. People just call it injury recovery because of where they happen to be posting.

Recovery happens at 3am, if it happens.

Dr_Rehab_RayCleveland, OH6 points12d ago
That is a great point. Context heavily dictates reporting. If you are on an injury board, any boost in general energy or systemic baseline gets credited to your tendon rehab, even when the underlying loading progression is doing the actual heavy lifting.

Load is the drug with the best data.

tendon_tinkerAustin, TX4 points11d ago
This is exactly why I track 'tendon rehab' and 'overall systemic energy' in separate columns in my spreadsheet. They diverge all the time.

Measure it or it did not happen.