Rankings / Cognitive — Nootropics

Methylene blue

Cognitive · Alternative electron carrier / MAOI

Tier C+

mitochondrialmao-inhibitorprescriptionotc
5.5 / 10
Tier C+
Ev 6.0 Bn 5.0 Sf 5.0 Ax 6.0

What this is

Hormetic dose-response is critical — the biohacker sweet spot is 0.5-2 mg/kg. Only USP/pharmaceutical grade is safe orally (industrial/aquarium grades contain heavy metal contaminants). TauRx developed TRx0237 (LMTX/hydromethylthionine) for Alzheimer's — results disappointing in Ph3.

Mechanism

Hormetic: at low doses shuttles electrons to cytochrome c oxidase, boosting mitochondrial ATP; at high doses becomes pro-oxidant; also reversible MAO-A/B inhibitor; tau aggregation inhibitor

Dose & route

0.5-4 mg/kg PO (hormetic — higher doses counterproductive for cognition)

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.