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I wonder why we need to supplement glucosamine (e.g. to treat arthritis) when it is synthesised by the body from glucose in one of our basic metabolic pathways. I could only imagine this becomes a problem unless a) the enzymes responsible stop working or b) if the glucose gets shunted off to some other purpose.

It’s also funny that chondroitin supplementation does the job too, because it actually contains no glucosamine, but contains monosaccharides that are derived from glucosamine (N-acetyl Galactosamine).

I think there’s probably a very interesting answer to these metabolic questions that could shed a lot of light onto the phenotypes of aging. That said, I don’t know what evidence is out there for systemic lack of e.g. glycosaminoglycans in aged populations, or even in arthritic cohorts.




In absence of good, hard, scientific evidence of effects above and beyond placebo, I’m gonna go with “Cos it’s easy to bottle and it’s easy to sell”.

And profitable too, I have no doubt. Thanks to Orrin Hatch, US supplement peddlers don’t even have to prove their products are safe, never mind effective:

https://en.wikipedia.org/wiki/Dietary_Supplement_Health_and_...

I bet the oft-reviled Big Pharma (who, amusingly enough, are some of the biggest manufactures of supplements too) just wish all their products could enjoy such lax standards of regulation. Meanwhile, to everyone else, I wholeheartedly recommend The Poison Squad:

https://www.pbs.org/wgbh/americanexperience/films/poison-squ...

https://www.penguinrandomhouse.com/books/312067/the-poison-s...




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