Pharmacology & Neuroscience

Bioavailability

What is bioavailability?

Bioavailability is the percentage of a substance that actually makes it into your bloodstream and becomes available to produce effects. When you take a substance orally, not all of it reaches your brain — some is destroyed by stomach acid, some is metabolized by liver enzymes before reaching circulation ("first-pass metabolism"), and some simply isn't absorbed.

Bioavailability is expressed as a percentage:

  • 100% bioavailability = the entire dose reaches circulation (by definition, intravenous injection = 100%)
  • 50% bioavailability = half the dose reaches circulation; the rest is lost to digestion and metabolism

Why bioavailability matters for microdosing

Dose accuracy

If a substance has 50% oral bioavailability, you need to take twice as much orally to get the same circulating dose as you would through a 100% bioavailable route. This is why the "effective dose" depends not just on the amount you take, but on how you take it.

Route of administration matters

Route Bioavailability Onset Notes
Oral (swallowed) Variable (20–80%) 30–90 min Most common for microdosing; affected by food, stomach pH
Sublingual (under tongue) Higher than oral 15–45 min Bypasses first-pass metabolism
Oral (dissolved) Volumetric dosing 30–60 min Gold standard for precision
Insufflation (nasal) High 5–15 min Not typical for microdosing

Variability is the enemy

For microdosing, consistency is more important than maximizing bioavailability. This is why:

  • Volumetric dosing is recommended — dissolving in liquid provides the most consistent bioavailability
  • Taking capsules on an empty stomach reduces variability
  • Consistent timing relative to meals helps standardize absorption

Factors that affect bioavailability

Substance-specific

  • Chemical stability in stomach acid — some compounds degrade in acidic environments
  • Molecular size and lipophilicity — affects absorption through gut lining
  • First-pass metabolism — liver enzymes (especially CYP450 family) can metabolize a significant portion before it reaches the brain

Individual

  • Genetics — CYP450 enzyme variants affect metabolism speed
  • Age — liver function and gut absorption change with age
  • Body composition — affects distribution of lipophilic substances
  • Gut health — microbiome and gut lining integrity affect absorption

Contextual

  • Food — eating before dosing generally slows absorption and may reduce peak bioavailability
  • Stomach pH — antacids, proton pump inhibitors can alter absorption
  • Other substances — caffeine, grapefruit juice, and certain supplements can affect CYP450 enzymes

Practical tips for consistent bioavailability

  1. Dose on an empty stomach (or consistently with light food) — reduces variability
  2. Use volumetric dosing — the substance is already dissolved, so absorption is more predictable
  3. Consistent timing — same time of day, same relationship to meals
  4. Sublingual option — holding a liquid dose under your tongue for 1–2 minutes before swallowing can increase bioavailability
  5. Avoid grapefruit juice — it inhibits CYP3A4 enzymes and can unpredictably alter drug metabolism

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