[HN Gopher] An evidence-based guide to reversing caffeine tolerance
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       An evidence-based guide to reversing caffeine tolerance
        
       Author : nkurz
       Score  : 108 points
       Date   : 2022-06-11 00:23 UTC (22 hours ago)
        
 (HTM) web link (lfbiohacking.squarespace.com)
 (TXT) w3m dump (lfbiohacking.squarespace.com)
        
       | Herodotus38 wrote:
       | Nice summary but I would point out that Huntington's is
       | hereditary and the association with caffeine is of an earlier age
       | of onset, not increased risk.
       | 
       | Simonin C, Duru C, Salleron J, et al. Association between
       | caffeine intake and age at onset in Huntington's disease.
       | Neurobiol Dis. 2013; 58: 179- 182.
        
         | spa3thyb wrote:
         | Almost like cropping tables from a study isn't a sharp way to
         | present data...
         | 
         | From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467199/
         | 
         | > Simonin et al. [72] assessed caffeine consumption in 80
         | patients with HD and it turned out that among people who
         | consumed a caffeine dose greater than 190 mg per day, the risk
         | of earlier HD was higher. [As parent referenced]
         | 
         | > Tanner et al. [79], based on their study results, concluded
         | that only caffeinated soda, but not other caffeinated
         | beverages, was associated with Huntington's disease risk, nor
         | was a combined caffeine dose associated, but this finding may
         | be spurious, or not related to caffeine.
        
       | cainxinth wrote:
       | Fascinating. Now do one for THC please.
        
       | ianai wrote:
       | As a sufferer of very severe migraines, a little caffeine is
       | daily requirement but too much is dangerous.
       | 
       | I vacilate between "you'll have to pry it from my cold, dead
       | hands" and "but I don't take much." (150 mg is starting to be too
       | much in a day.)
        
         | pstuart wrote:
         | Just saw an article about ginger being very helpful with
         | migraines -- perhaps worth checking out?
        
           | wsc981 wrote:
           | I used to make ginger / lemon tea, but didn't help with my
           | migraines. Eventually went to a Thai massage therapist in
           | Pattaya that helped cure many people from migraines. Ever
           | since I visited his shop and had a massage session + some
           | herbal medication, my migraines have not come back.
           | 
           | I also heard about a Chinese therapist (no massage, perhaps
           | acupuncture or something) that has cured migraines for many
           | people in Chiang Mai, but he makes small holes in the head
           | which will bleed a little. Was planning to go there if the
           | massage therapist would not be able to help me, but so far it
           | seems not needed.
           | 
           | In the past I read using micro-dosing magic mushrooms has
           | also helped some people reduce migraines, so could be worth a
           | try if you're dealing with migraines.
        
           | treeman79 wrote:
           | Reddit has a good migraine subreddit.
           | 
           | Usually mirgraines are caused by 1 to dozens of triggers.
           | Finding and eliminating them all can usually resolve them. Or
           | at least make them manageable.
           | 
           | I always recommend starting with a complete elimination diet
           | for 30 days. Plain chicken and Broccoli. Water or green tea.
           | 
           | After that you'll easily notice any food based triggers. I
           | was shocked at mine.
           | 
           | Then you get into light, smells, muscle tension, etc.
           | 
           | The supplements. Magnesium is the goto first choice. Get Vit
           | d levels checked. Vit e, fish oil are usually good
        
         | jokowueu wrote:
         | Used to be my "medicine" so to speak for migraines until I got
         | treated. Sleep was becoming difficult no matter how early I
         | started drinking.
         | 
         | Started with changing my diet which didn't help and then tried
         | SPG blocks using the cotton swab method
        
       | throw93232 wrote:
       | You will never get tolerance to negative health effects.
       | "Healthy" dose according to CDC is like 5 cups of coffee per day.
       | Permant dierhia and no sleep is worth it, because it may reduce
       | risk of alzhaimers by 2%.
       | 
       | There is no upside. Just stop consuming that poison!
        
         | xdfgh1112 wrote:
         | Data shows it is a net positive. TFA is about looking at
         | studies rather than anecdotes.
        
           | MarcoZavala wrote:
        
       | charliebwrites wrote:
       | If anyone's interested, I tackled the other end of this problem
       | (building a tolerance) in a blog post a few months ago:
       | 
       | https://medium.com/@TestingInProd/building-a-caffeine-tolera...
        
         | brxck wrote:
         | Thanks for sharing this. I'm also caffeine sensitive and
         | unwittingly built up a tolerance as a teenager.
         | 
         | I realized the degree of my caffiene sensitivity when I had to
         | give it up. Just quitting my one cup of coffee a day was rough.
         | (The headaches!)
         | 
         | Now that I should be able to consume caffiene again, I can
         | scarcely look at black tea without my heart racing. I really
         | miss good coffee and it's effects, so I'm thinking about doing
         | just this myself.
         | 
         | It's hard to start however, now that I know that I'm basically
         | cultivating an addiction.
        
           | jotm wrote:
           | I don't see the problem. You can taper off easily in less
           | than a week - every day, drink half of what you had
           | yesterday, for example.
        
             | brxck wrote:
             | You're right. What what bothers me most is not the stopping
             | -- it's the maintenance required.
        
       | ac130kz wrote:
       | Drink green tea, it obliterates the side effects via L-theanine,
       | while still providing the necessary energy boost
        
         | fellowniusmonk wrote:
         | yaupon tea has by far the cleanest energy of any naturally
         | caffinated beverage but supposedly it also has the highest
         | l-theanine content as well. I've only found it in north
         | america. The tannins in regular tea are too much for me.
        
         | ta988 wrote:
         | There is really little evidence of L-theanine being responsible
         | of that outside of some papers that used doses in the gram
         | range for adults (their minimal dose was 20mg/kg in
         | https://pubmed.ncbi.nlm.nih.gov/22285321/). Some other papers
         | showed that the effects were due to polyphenols that could slow
         | the absorption of caffeine. But one should be careful with
         | polyphenols in academic research as you will always find a
         | paper that says "polyphenol X can do Y". We know that
         | polyphenols cause artifacts in many kind of bioassays and they
         | are rarely taken into account.
        
           | rrrrrrrrrrrryan wrote:
           | I mean, compared to caffeine alone, if you take a bunch of
           | L-theanine and caffeine, you can literally feel the
           | difference. With high doses of caffeine, the effects of the
           | L-theanine are strikingly obvious. All the anxiety and jitter
           | just fades away.
           | 
           | I also agree with what you're saying, though. The levels of
           | L-theanine in green tea are way, way lower than the
           | supplements I use, and I've literally never noticed any
           | similar effects by drinking green tea, but I do think it's
           | possible that the effects do persist at such low doses even
           | if it's harder to measure and not as blatantly obvious.
           | 
           | There's probably a reason Buddhist monks choose to drink it -
           | they're far more in tune with their mental state at any given
           | moment and are much more likely to notice very subtle effects
           | on their consciousness.
        
           | ac130kz wrote:
           | I don't get a rush after green tea, compared to when I take
           | in similarly dosed caffeine with energy drinks. That's what
           | matters
        
       | hackarimoo wrote:
       | You really need a legend for the graph. What are Caff/Caff and
       | Plac/Caff groups, exactly?
        
         | starkd wrote:
         | Indeed. The article also really does not introduce the concepts
         | properly. For instance, I started reading it thinking the point
         | of the article was to discuss lessening caffeine tolerance by
         | weaning oneself off of it, but by the end, it promotes caffeine
         | tolerance as a net positive. Confusing.
        
         | nonameiguess wrote:
         | I believe what they did is take some time duration to develop
         | tolerance and another time duration to read the effects from
         | it, and during those durations, split study participants into
         | four group, one of which received 400mg of caffeine during both
         | periods (caff/caff), one of which received placebo then
         | caffeine (plac/caff), one of which received caffeine then
         | placebo (caff/plac), and one of which received placebo in both
         | durations (plac/plac).
         | 
         | Assuming tolerance and withdrawal are actually happening, you
         | would expect the caff/plac group to be the only group
         | experiencing both the tolerance and withdrawal. From looking at
         | the paper, it looks like they gave 400mg of one thing (either
         | placebo or caffeine) for 14 days, then gave 400mg of the other
         | thing for 1 day and asked study participants to rate themselves
         | after 24 hours. The caff/plac group seemed to rate higher on
         | fatigue, weariness, and being tired (not sure what the
         | distinction is between those three things) and lower on energy.
        
           | starkd wrote:
           | Thanks for this. Now it makes more sense. Interesting that
           | the caff/caff and plac/plac group have levels that are
           | identical for all four measures. As you may have noticed,
           | coffee prices are through the roof now. I've been a heavy
           | coffee drinker for most of my life, so I recently decided to
           | confine it to just one cup in the morning. I'm becoming
           | convinced that the feeling of more energy and wakefulness
           | that caffeine brings is just an illusion. It only last for
           | 10-15 minutes at best but thereafter leaves you feeling
           | depleted and vacant. Also, for the addicted user, that good
           | 10-15 minutes is only a period of relief from feeding the
           | dependence.
        
       | PainfullyNormal wrote:
       | > Complete tolerance to caffeine's subjective effects is complete
       | and takes at least 2 weeks at 400mg/day to develop. Caffeine's
       | performance-enhancing effects remain for at least 20 days at
       | 210mg/day. Tolerance to caffeine's effects on cerebral blood
       | flow, blood pressure, and cortisol is incomplete. Tolerance takes
       | 2 days to reverse at 100mg/day and up to 9+ days at 400mg+/day.
       | 
       | So... 2 weeks on, 2 weeks off?
        
         | Tenoke wrote:
         | Being in withdrawal so often sounds worse than just taking it
         | daily with occasional short breaks to reset a bit.
        
         | jmpman wrote:
         | As with all drugs, it's more fun to abuse them then simply use
         | them.
        
       | yamrzou wrote:
       | At some point, Caffeine started making me feel jittery and
       | anxious, so I stopped taking it.
       | 
       | Is there a way to restore my tolerance for it?
        
         | jotm wrote:
         | Yeah, 3-4 weeks without it...
         | 
         | Also, try different coffee brands/beans/roasts.
         | 
         | I hate coffee now because of that variation.
         | 
         | So better yet, use caffeine pills, but also try different
         | brands, because some give you "cleaner" energy than others.
         | There's only 2 ways to extract it, the rest is about dosage.
         | Capsule vs tablet difference is almost unnoticeable imo.
        
         | nverno wrote:
         | I get similar jittery+anxiety and also sweaty palms from
         | coffee, but not from tea. Have you tried different sources?
        
           | yamrzou wrote:
           | I tried Yerba Mate, same effect, although milder.
        
         | 29083011397778 wrote:
         | Actually linked earlier in the thread! A fun read about someone
         | building their tolerance for caffeine during the pandemic, who
         | was jittery and anxious before.
         | 
         | https://medium.com/@TestingInProd/building-a-caffeine-tolera...
        
           | yamrzou wrote:
           | Thanks, exactly what I was looking for!
        
         | r1ch wrote:
         | Have you tried taking theanine with it?
        
           | yamrzou wrote:
           | No, what does it do?
        
             | rrrrrrrrrrrryan wrote:
             | Reduces the jitter/anxiety. It's present in green tea, and
             | its to caffeine as CBD is to THC.
             | 
             | Doesn't do much on its own, but dampens some of the
             | unpleasant side effects of the main psychoactive chemical
             | in its plant.
        
       | ankaAr wrote:
       | I cannot drink coffee last days because gastrointestinal problems
       | (I need to avoid the acidity of the coffee) and it feels like I'm
       | waiting a good friend to come back from vacation (IT IS NOT
       | ANXIETY I SAID!)
       | 
       | Meanwhile, I'm cheating him with mate, the South American
       | infusion with 68 mg/100ml of caffeine.
       | 
       | Being drinking coffee my whole life and not having it is sad, but
       | embracing my regional drink it makes that better..., i think.
        
         | o_____________o wrote:
         | oh man, mate is so good. tastes like green tea mixed with
         | tobacco. and energy is far more sustained. I've been making it
         | in a french press lately.
         | 
         | I do miss the mouthfeel of milk foam when I don't have an
         | espresso-based drink once in a while.
        
           | pantalaimon wrote:
           | It's also a popular fizzy soft drink. There is nothing better
           | than a cold bottle of Mate in the morning.
        
             | ankaAr wrote:
             | Angry tradition noise
             | 
             | Jokes aside, I don't like it, but it is really popular in
             | Paraguay and northern provinces from Argentina.
             | 
             | It is called terere.
             | 
             | They even use orange juice or other things with the mate
             | leaves... Angry tradition noise again :v
        
               | BenjiWiebe wrote:
               | My cousin who spent some time in Paraguay did terere the
               | way she learned there. It wasn't fizzy though.
               | 
               | It was made in one cup with a steel straw/strainer
               | combination, and you'd pour ice cold water on it. Then
               | you'd drink it all (with leaves+strainer the cup didn't
               | hold much), then pass it on to the next person. Everyone
               | drank from the same cup/straw.
               | 
               | And you'd use the leaves for many drinks before replacing
               | them. There was a lot of leaves for the amount of liquid.
               | 
               | And you wouldn't let it steep at all either. Fill, drink,
               | pass it on, repeat.
               | 
               | I really liked it.
        
               | jamal-kumar wrote:
               | Nah they're referring to Club Mate, a German yerba mate
               | based soda which I am a fan of. Very popular out that way
               | from what I have been told. I like the pink one
        
           | ankaAr wrote:
           | Try to have it as the original way, sipping from the metal
           | straw in the container (the mate.., same name) serving one at
           | the time. Tip: add a filter to avoid the little leaves
           | pieces.
           | 
           | It helps you to avoid eat a lot while you are working on the
           | computer.
           | 
           | https://www.bbc.com/travel/article/20120405-drinking-mate-
           | in...
        
         | toast0 wrote:
         | > I need to avoid the acidity of the coffee
         | 
         | My ancestors will say it's not coffee anymore, but if you put
         | in cream or at least milk with fat, that reduces the acidity,
         | at least somewhat.
        
           | ankaAr wrote:
           | I'm lactose intolerant :v
        
             | toast0 wrote:
             | Sorry :( most of the alternative milk products don't have
             | much fat either. Non-dairy creamer is pretty meh. I think
             | you've got a good thing with embracing your local culture
             | and making angry tradition noises at people that do it
             | wrong, though.
        
             | gs17 wrote:
             | Most non-dairy milks haven't been good as creamers to me,
             | but I've had decent luck with NotMilk.
        
         | Bluecobra wrote:
         | Have you tried the cold brew method? That is supposed to reduce
         | acidity by a huge amount. Makes me wonder if you can even
         | further reduce it by running the cold brew through a paper
         | filter.
        
           | ankaAr wrote:
           | I Will ask my nutritionist. Thanks for the idea! :)
        
             | soared wrote:
             | Another thing to look into is buying low acidity beans. I
             | think they give the beans a short hit steep or something to
             | reduce the acidity.
        
         | jotm wrote:
         | Caffeine pills. You might need to find a good brand, because
         | the effects can be different (though none of them have negative
         | GI effects).
        
         | tsol wrote:
         | This is probably dumb, but what if you put something like tums
         | in their? Acid + base = neutral. That won't help the extra
         | stomach acid your body produces, but you can just take an
         | antacid for that
        
       | dav_Oz wrote:
       | One omitted hard part is to accurately determine caffeine content
       | which can fluctuate widely depending on the beans, roasting,
       | brewing method, water temperature ... E.g. 100% _robusta_ coffee
       | can be nearly double in caffeine than 100% _arabica_ coffee.[0]
       | 
       | Another important thing also missing in this context is the
       | individual "activity" of the CYP1A2 enzyme which helps to
       | metabolize caffeine (so called "fast" or "slow metabolizer"); it
       | is dependent on genetics and environmental factors. [1] E.g. a
       | regular smoker breaks down caffeine a lot faster.
       | 
       | [0]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228209/
       | 
       | [1]https://pubmed.ncbi.nlm.nih.gov/33397254/
        
         | ianai wrote:
         | Yes, and I remember being able to read caffeine content on most
         | thing's until recently. I wish it were standard on nutrition
         | labels.
        
           | BenjiWiebe wrote:
           | It's still clearly labeled on the drinks we have in the house
           | now. (USA)
        
         | mrfusion wrote:
         | Anyone know if exercise speeds up caffeine metabolism?
        
           | jotm wrote:
           | Just from my personal experience, yes it does.
        
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