by Ray Holder » Wed Jan 24, 2007 4:03 pm
Dear Brooks
I cannot be sure of what happens, but I will tell you what I believe is going on. First the good news, I had a lot of muscle wastage, particularly on the top front of my right leg (quadriceps), that was due mainly to carnitine shortage, and came back to about the pre- statin size, it was already smaller than normal due to polio 50 years ago. My stomach muscles, also polio affected, were further damaged by the statin, size not visible so can only say how strong they felt. Improved only a small amount.
Carnitine production, very hard to say, muscle wastage CK test improved only slightly in 2 weeks on Q10 only, so some cells in that production process must have recuperated, but carnitine supplement has been necessary ever since to avoid muscle loss, so no more regeneration/recuperation there.
I stopped the statin for 14 months before I found out about Q10, and in that time everything only got worse, so Q10 production does not come back. things started to get better in a few days on Q10, but I find it essential now. I think it is very unlikely that Q10 will improve, it is made by a 17 stage , very vulnerable process needing about 8 vitamins /minerals. Also, as it declines over the lifetime from age 20, it would seem that it is the reason for problems in later years, so only supplementation will help.
Type 2 diabetes gains some help from Q10, but it is not a total cure, so some insulin production appears to resume, but this has only been observed in a few cases.
As for carnitine, I have found no benefit from the acetyl form, but I have a preponderance of type 1 muscle using fat/L carnitine as fuel, much type 2 having been lost to polio, so carnitine is needed to give me muscle action to a greater degree than in non-polios. Darrell and others find that either type works as well for them, as its main function seems not to be to fuel the muscle, glusose/insulin do that, but its second purpose of carrying waste products out of the muscle can be done as well by the acetyl form. I still believe that if muscle wastage has visibly occurred, then L carnitine may be necessary to get fat fuel through the membrane into the mitochondria, and avoid the muscle fibre being consumed as a last resort to keep muscle action going, in starvation mode.
That is how it as been for me, some postings have reported things getting better over time, but I had 4 years on simvastatin, and 14 months after with no supplementation, I may have come in too late.
Ray